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Title: Risk Assessment Guideline Number: 3.1Appendix A
Location of Hazard:
Risk Assessment (rate the consequence, exposure and probability associated with the hazard):
FACTOR CLASSIFICATION RATING
1. CONSEQUENCE
a. Catastrophe; numerous fatalities; major disruption of activities 100
Most probable result b. Disaster; multiple fatalities; 50
of the potential c. Very serious; Fatality; 25
accident.
d. Serious; serious injury (amputation, permanent disability); 15
e. Important; disabling injury; 5
f. Noticeable; minor cuts, bruises, bumps; minor damage 1
2. EXPOSURE
Hazard exposure occurs:
The frequency of a. Continuously (or many times daily) 10
exposure to the
b. Frequently (approximately once daily) 6
hazard.
c. Occasionally (from once per week to once per month) 3
d. Infrequent (from once per month to once per year) 2
e. Rarely (it has been known to occur) 1
f. Very rarely (not known to have occurred) 0.5
3. PROBABILITY
Complete accident sequence:
Likelihood that the a. Almost certain likely or expected result; 1 in 10 chance 10
consequence will
b. Quite possible/not unusual; 1 in 10 to 1 in 100 chance 6
occur once the
individual is exposed c. Would be an unusual sequence or coincidence; 1 in 100 to 1 in 1000 chance 3
to the hazard. d. Would be a remotely possible coincidence 1 in 1000 to 1 in 10,000 chance 1
e. Has never happened after many years of exposure, but is conceivably possible; 1 in 10 000 to 1 in
0.5
100,000
f. Practically impossible sequence (has never happened) 1 in 100,000 chance or lower 0.1
Risk Control Identification (to determine appropriate risk control measures(s) sequentially go through the
hierarchy of controls):
Practicability Test
Hierarchy of Risk Controls Ye No Comment
s
1. Eliminate
Is it possible to eliminate the hazard?
2. Reduce
Is it possible to reduce the level of risk posed by the hazard by
(priority order):
Substitution (using less hazardous alternatives)
Isolation (separating the operator from the risk)
Engineering controls (re-designing plant or equipment).
3. Administration
Is it possible to reduce the level of risk posed by the hazard by
changing operating procedures, training, supervision, providing
information etc
4. Personal Protection
Is it possible to reduce the level or risk posed by the hazard by
wearing personal protective equipment and clothing?
Risk Control Action Plan (include short term and long term risk control measures):
Recommended Risk Control to be Implemented Responsibility Timeline Completed
(date/ initials)
Revised Risk Score (re-score the hazard risk score once recommended risk control measure(s) are implemented) :
Signed:
Manager: Employee:
HSR: