Date: Assessed by: Description: . Reviewed by: Note: Parent/Guardian - written consent is obtained prior to event, when members less than 18 years.
HAZARD ID RISK IDENTIFICATION RISK ANALYSIS RISK CONTROLS
Activity/ Risk Treatment Action Plan Current / Existing Impact Description List of Risks Likelihood Consequence Rating Control Means Residual Persons for Controls (Task/Location) (Incl. MSDS; PPE) Rating Control
Definitions Control Measures - (Hierarchy of Control)
Hazard - Something that has POTENTIAL to cause harm e.g. electricity, height, water, etc. ELIMINATION - First Option: Can the hazard be removed altogether? Risk - The harm that will occur from exposure to the hazard e.g. electrocution, fall, drown. SUBSTITUTION: Involves replacing hazard with one that presents a lower risk. Risk Analysis - Refer to tables - Likelihood; Consequence; Risk Priority ISOLATION: Separates the hazard from the person. Risk Controls - Represents the status IF the control measures are followed Admin. CONTROL: Reduce or eliminate through procedures, instructions or training. Residual Rating - Revised score after new controls. Conforms acceptance (Yes-No) PPE- Last Option: Provide barrier between hazard and person - gloves, glasses etc. Impact Likelihood Consequence Risk Priority Rating Consequence 1 2 3 Likelihood Minor Moderate Major A = Likely: The event is expected to occur 1 = Minor: Low level impact - First Aid treatment H = High A = Likely Medium High High B = Possible: The event is not expected to occur 2 = Moderate: Medical attention &/or incapacity M = Medium B = Possible Low Medium High C = Unlikely: The event is conceivable but unlikely 3 = Major: Long term illness or serious injury L = Low C = Unlikely Low Low Medium