Risk Management - Workplace Safety and Health Council

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Appendix C: Risk Assessment FormRisk Assessment FormDepartment: RA Leader: Approved by: Reference NumberProcess: RA Member 1: Signature:Process/ Activity Location: RA Member 2:Original Assessment Date: RA Member 3: Name:Last review Date: RA Member 4: Designation:Next review Date: RA Member 5: DateHazard Identification Risk Evaluation Risk ControlRef Work Activity HazardPossibleInjury/Ill-healthExisting RiskControlsS L RPN AdditionalControlsS L RPN ImplementationPersonDue Date Remarks12345678910Notes: Page of page(s)23
Appendix D: Hierarchy of ControlFigure 2: Hierarchy of controlELIMINATIONSUBSTITUTIONENGINEERING CONTROLSADMINISTRATIVE CONTROLSPERSONAL PROTECTIONEQUIPMENT (PPE)WSH Hierarchy of ControlMostEffectiveLeastEffectiveChange design to eliminaterisky maintenance worksUse of less flammableconstruction materialsDesign-in safe access forbuilding maintenanceImplement safe workprocedure for maintenanceProvision and correct use of safetyrestraint, harness, and so on.ExamplesThe control of hazards and reduction of risks can be accomplished by following the WSH Hierarchy of Control(see Figure 1). These control measures are not usually mutually exclusive. Generally, it may be more effective to usemultiple control measures, for example, engineering controls work better with adminstrative controls like trainingand SWPs.EliminationElimination of risk refers to the total removal of the worker’s exposure to the hazards, effectively making all theidentified possible accidents, incidents and ill health impossible. This should be attempted first as recommendedin the hierarchy, and is a permanent solution. Once the risk is eliminated, the item does not appear in subsequentRA forms. For example, using robots to replace humans to eliminate the danger of working in confined space.SubstitutionThis involves substituting a process or a product with a less hazardous process or product to mitigate the risk, forexample, using water-based paint instead of solvent-based paint.Engineering ControlsEngineering controls are physical means that serve the workforce by reducing the likelihood of occurrenceor severity of consequence of the mishap. These include structural changes to the work environment or workprocesses, erecting a barrier to interrupt the accident transmission path between the worker and the hazard (forexample, machine guards, confined space ventilation).Administrative ControlsThese eliminate or reduce exposure to a hazard by adherence to procedures or instructions. Documentationshould emphasise all the steps to be taken and the controls to be used in carrying out the activity safely. Forexample, Permit-to-work systems, scheduling of incompatible works, SWPs (see also Appendix F for additionalnotes on SWP).Personal Protective EquipmentThis should be used only as a last resort, after all other control measures have been considered, or as a short termcontingency during emergency/ maintenance/ repair, or as an additional protective measure against residual risks.The success of this control depends critically on the protective equipment being chosen correctly, fitted correctly,worn at all times and maintained properly.24
Page 5 and 6: 1. PurposeThe purpose of this Code
Page 7 and 8: 3. DefinitionsAdditional ControlEmp
Page 9: 5. General Requirements5.1 General5
Page 14 and 15: 7. Risk Assessment7.1 General Requi
Page 16 and 17: 7.3.3.2 Where there is more than on
Page 18 and 19: 7.3.8.3 Likelihood shall be listed
Page 20 and 21: 8. Implementation8.1 RA Approval8.1
Page 22 and 23: Appendix A: Risk Management Process
Page 26 and 27: Appendix E: Risk Register and Cover
Page 28 and 29: Appendix F: Additional NotesSafe Wo
Page 30: Published in February 2011 by the W

Risk Management - Workplace Safety and Health Council

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