Form

Procedure

JOB SAFETY ANALYSIS and RISK ASSESSMENT

COMPANY NAME:
JSA Title: Date:

Prepared By: Supervisor:

Required Training: 1.

Required Personal Protective Equipment (PPE) 1.

STEP JOB/TASK HAZARD/S INITIAL RISK RATING SOLUTION/CONTROL MEASURE RESIDUAL RISK Rating

(List the tasks required to perform the Against each task list the Use the College Risk (List the control measures required Reassess the risk with
job in the sequence they are carried potential hazards that could Matrix to determine to eliminate or minimise the risk of the control measures in
out.) cause injury when the task is the risk rating injury arising from the identified place.
performed hazard)

1.

2.

3.

4.

5.

Custodian of document: Director Corporate Services Uncontrolled when printed

South Regional TAFE OSH03 F16 Issued: 23/02/2021 PIR 5966 Printed: 23/03/2021 Page 1 of 2
 OSH RISK MATRIX

This document can be used to identify the level of risk and Consequences
help to prioritise any control measures. 1 – Insignificant 2 – Minor 3 – Serious 4 – Disastrous 5 – Catastrophic
Minor injury, low financial First Aid treatment, on-site Medical treatment required, Extensive permanent injury Death. Toxic release off-site
Consider the consequences and likelihood for each of the loss etc. release immediately On-site release contained Loss of production capability, with detrimental effects,
identified hazards and use the table to obtain the risk level. contained, medium financial with outside assistance, high off-site release with no huge financial loss
loss, etc. financial loss. detrimental effect, major
financial loss.

Almost 5. Medium (M) 10. Substantial (S) 15. High (H) 20. Extreme (X) 25. Extreme (X)
5 Expected to occur in most circumstances
Certain
4 Likely 4. Low (L) 8. Medium (M) 12. Substantial (S) 16. High (H) 20. Extreme (X)
Likelihood

Will probably occur in most circumstances

3 Possible 3. Low (L) 6. Medium(M) 9. Medium (M) 12. Substantial (S) 15. High (H)
Might occur at some time
2 Unlikely Could occur at some time 2. Low (L) 4. Low (L) 6. Medium(M) 8. Medium (M) 10. Substantial (S)
May only occur in exceptional
1 Rare 1. Low (L) 2. Low (L) 3. Low (L) 4. Low (L) 5. Medium (M)
circumstances
How to Prioritise the Risk Rating:Once the level of risk has been determined the following table may be of use in determining when to act to college the control measures.
Extreme Immediate action required: must be managed by senior Either eliminate, substitute or implement engineering control measures. Remove the hazard at the source. An identified
management with a detailed plan. extreme risk does not allow scope for the use of Administrative or PPE controls even in the short term.
Act immediately to mitigate the risk.
High Senior Management attention required, detailed research and Either eliminate, substitute or implement engineering control measures.
management plans involvement. If these controls are not immediumiately accessible, set a timeframe for their implementation and establish interim risk
Act immediately to mitigate the risk. reduction strategies for the period of the set timeframe. An achievable timeframe must be established to ensure that
elimination, substitution or engineering controls are implemented.

NOTE: Risk (and not cost) must be the primary consideration in determining the timeframe. A timeframe of greater than 6
months would generally not be acceptable for any hazard identified as high risk.
Substantial Managers must sign off on the procedures and inform their Line Take reasonable steps to mitigate the risk. Until elimination, substitution or engineering controls can be implemented,
Manager of their agreed actions. college administrative or personal protective equipment controls. These “lower level” controls must not be considered
permanent solutions. The time for which they are established must be based on risk. At the end of the time, if the risk has
not been addressed by elimination, substitution or engineering controls a further risk assessment must be undertaken.
Medium Managers must be informed and sign off on agreed procedures. Take reasonable steps to mitigate and monitor the risks.
Instigate permanent controls in the long term.
Low Work Teams must take reasonable steps to mitigate and Manage by routine procedures.
monitor the risk. • Procedures must be documented. Permanent controls may be administrative in nature.
Hierarchy of Control Controls identified may be a mixture of the hierarchy in order to provide minimum operator exposure.
Elimination Eliminate the hazard.
Substitution Provide an alternative that is capable of performing the same task and is safer to use.
Engineering Controls Provide or construct a physical barrier or guard.
Administrative Controls Develop policies, procedures practices and guidelines, in consultation with employees, to mitigate the risk. Provide training, instruction and supervision about the hazard.
Personal Protective Equipment Personal equipment designed to protect the individual from the hazard.
Related documents – Policy: OSH Statement of Intent and Commitment | Process: Development of Job Safety Analysis/Safe Work Procedures/Standard Operating Procedures
Custodian of document: Director Corporate Services Uncontrolled when printed
South Regional TAFE OSH03 F16 Issued: 23/02/2021 PIR 5966 Printed: 23/03/2021 Page 2 of 2