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Risk Assessment Tool: (Use This Tool To Analyze Potential Risks in Your Work Area.)

This document provides a risk assessment tool to analyze potential risks in a laboratory or work area. It includes categories of hazards such as chemical, biological, radiation, ergonomic, and safety hazards. For each hazard category, assessors describe how exposure could occur, the potential negative outcomes of exposure, and the consequences in terms of expected harm. They then assign values to the likelihood of exposure and severity of consequences, and calculate a risk rating number. The tool is intended to help identify existing control measures and priorities for additional safety improvements.

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desurkarb
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117 views

Risk Assessment Tool: (Use This Tool To Analyze Potential Risks in Your Work Area.)

This document provides a risk assessment tool to analyze potential risks in a laboratory or work area. It includes categories of hazards such as chemical, biological, radiation, ergonomic, and safety hazards. For each hazard category, assessors describe how exposure could occur, the potential negative outcomes of exposure, and the consequences in terms of expected harm. They then assign values to the likelihood of exposure and severity of consequences, and calculate a risk rating number. The tool is intended to help identify existing control measures and priorities for additional safety improvements.

Uploaded by

desurkarb
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Risk Assessment Tool

Principle Investigator/Area Supervisor:

(Use this tool to analyze potential risks in your work area.)


Brief Description of Laboratory Activities/Project:

Date of Assessment:

Department:
Assessor(s)/Team:
Building:

Positions affected by area (lab personnel/students/faculty/staff/visitors):

Room Number:

Lab Operation Hours (if operational hours impact the Risk Assessment):

Hazard/Exposure Category

How could you be


exposed to this hazard?
(briefly describe)

Given the exposure, what is


negative outcome? (briefly
describe)

Consequences (Outcome)
What is the
expected harm?

Value
0 to 5

Existing Control
Measure In Place

Probability
Risk
Value 0 to Rating
5
Number

Chemical Exposure - Toxic /


Highly Toxic
0
Chemical Exposure - Corrosive
0
Chemical Exposure - Reproductive
Toxins (Mutagen/Teratogens)
0
Exposure to
Carcinogens
0
Exposure to Irritants
0
Exposure to Sensitizers
0
Exposure to Nonionizing Radiation
0
Exposure to Ionizing Radiation
0

How could you be


exposed to this hazard?
(briefly describe)

Hazard/Exposure Category

Given the exposure, what is


negative outcome? (briefly
describe)

Consequences (Outcome)
What is the
expected harm?

Value
0 to 5

Existing Control
Measure In Place

Probability
Risk
Value 0 to Rating
5
Number

Exposure to Organic Peroxide


0
Storage or Use of Explosives
0
Water Reactive Material
0
Unstable (reactive) /
Polymerizable Material
0
Combustible Liquid
Flammables

/
0

Exposure to
Biohazards/Bloodborne Pathogens
0
Combustible Dust
0
Oxidizer
0
Pyrophoric Material
0
Exposure to Compressed
Gases
cryogenic

(including
material)

Exposure to heat/cold
0

How could you be


exposed to this hazard?
(briefly describe)

Hazard/Exposure Category

Given the exposure, what is


negative outcome? (briefly
describe)

Consequences (Outcome)
What is the
expected harm?

Value
0 to 5

Existing Control
Measure In Place

Probability
Risk
Value 0 to Rating
5
Number

Exposure to Noise
0
Walking/Working Surfaces
0
Means of Egress (Emergency)
0
Energy Control (Lock-out/Tag-out)
0
Exposure to Fall Hazards
0
Pressure vessels
0
Material Handling of
Chemicals (Bulk)

Physical Hazards - Exposure


Sharp Objects

0
to
0

Physical Hazards Exposure to Rotating


Equipment & Points of
Operation

Welding/Cutting Hazards
0
Exposure to Electrical Hazards
0
Employee knowledge of the chemical hygiene plan

Hazard/Exposure Category

How could you be


exposed to this hazard?
(briefly describe)

Given the exposure, what is


negative outcome? (briefly
describe)

Consequences (Outcome)
What is the
expected harm?

Value
0 to 5

Existing Control
Measure In Place

Probability
Risk
Value 0 to Rating
5
Number

Eye Hazards
0
Unattended Operations

Working Alone
0
Working with Animals or Biological Agents
0

Risk Hazard Matrix


Consequences

Probability

Unlikely
People

1
Fatality(s) / Chronic Illness with no recovery

Injury/Illness requiring personnel to be hospitalized/off


work for extended period of time

Probably
Possible will occur
to occur under
over time routine
conditions

Will occur
under
current
conditions

Frequent/
Regular /
Continuous
Occurrence

High Risk
Injury/Illness requiring medical treatment by a medical
professional beyond first aid / no time off work required

Injury/Illness requiring first aid treatment by nonmedical personnel

Medium Risk

Low Risk
Minimal - no medical treatment or assistance
needed.

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