WHS FORM WHS2
GENERAL RISK ASSESSMENT
Managing Workplace Health and Saet! Ri"k" procedure
This form can be expanded electronically or extra information attached.
Workplace #School$In"tit%te$&nit'(
Assessment No: Assessment Date: / / Review Date: / /
( years maximum!
What is being assessed? Describe the item, job, process, work arrangement:
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Step ) " For* a tea* o a""e""or"+ ,ecide -ho el"e "ho%ld .e con"%lted+
Assessor(s!:
#thers consulted: (e$ elected health and safety representative% other personnel exposed to ris&s!
Step 2 " Identi! the ha/ard" associated with the thin$ or situation bein$ assessed
Ha/ard"( 0otential to ca%"e har* to people1 propert! or the en2iron*ent+ Tick the applica.le ha/ard"
General Work En2iron*ent Health and Sec%rit! 0lant and e3%ip*ent
Restricted access or e$ress 'ood (ehicles
)onfined spaces *oisonin$ or contamination +obile and fixed plant
Air"conditionin$ (thermal comfort! ,ntoxication *owered e-uipment
Air -uality Dehydration Non"powered e-uipment
.i$htin$ (iolence /levated 0or& *latforms
Noise (discomfort! 0or&in$ alone or in isolation *ressure vessel
#utdoors (sun exposure! 0or&in$ in remote areas .aser ()lass 1 or above!
2neven wal&in$ surfaces 3ites / 4tin$s Traffic control
0or&in$ at hei$ht /lectrical
4he*ical (ibration
Ergono*ic$*an%al handling 5a6ardous chemicals +ovin$ parts
0or&station set up /xplosives Acoustic / Noise
*oor posture /n$ineered nanomaterials
.iftin$ / )arryin$ 7as cylinders Te*perat%re $ Weather eect"
*ushin$ / *ullin$ 5eat
Reachin$/overstretchin$ Radiation )old
Repetitive movement ,onisin$ radiation Rain / 'lood
3endin$ 2ltraviolet (2(! radiation 0ind
/ye strain Radiofre-uency/microwave ,n or on water
,nfrared radiation *ressure (Divin$ / Altitude!
Work de"ign and *anage*ent .i$htnin$
'ati$ue 5iological 4mo&e
0or&load +icrobiolo$ical
+ental stress Animal tissue / 'luids OTHER
#r$anisational chan$e 5uman tissue / 'luids
0or& violence or bullyin$ Aller$enic
,nexperienced or new personnel #ther 3iolo$ical
Li"t the ha/ard" identiied ro* a.o2e
8. 9.
1. :.
. ;.
<. =.
>. 8?.
Any specific circumstances (describe!:
*ersons at ris& (list!:
Any relevant re$ulation% code% standard or $uideline (list!:
Step 6 7 Ri"k A""e""*ent
Step 8 7 Ri"k control"
'or each identified ha6ard rate the ris& usin$ the Ris& Ratin$ +atrix.
Detail controls measures re-uired to address the ris&s applyin$ the 5ierarchy of )ontrols
)ontrols to be considered from the followin$ hierarchy of control
8. /limination (is it necessary@!
1. 4ubstitution
. ,solation (restrict access!
<. /n$ineerin$ ($uardin$% redesi$n!
>. Administration (trainin$. 4#*s%!
9. *ersonal *rotective /-uipment (**/! (e$
$loves% leather apron% coveralls% respirator!
Identiied Ha/ard"
E9po"%re
Ri"k a""e""*ent Ri"k
Rating
Re3%ired 4ontrol"
4ontrol"
I*ple*ented
4on"e3%ence" Likelihood
4elect 4elect 4elect
Aes No
4elect 4elect 4elect
Aes No
4elect 4elect 4elect
Aes No
4elect 4elect 4elect
Aes No
4elect 4elect 4elect
Aes No
4elect 4elect 4elect
Aes No
4elect 4elect 4elect
Aes No
4elect 4elect 4elect
Aes No
4elect 4elect 4elect
Aes No
4elect 4elect 4elect
Aes No
4elect 4elect 4elect
Aes No
4elect 4elect 4elect
Aes No
4elect 4elect 4elect
Aes No
I" the ri"k:
(Tic& one!
Ade-uately controlled. No further action re-uired " 4i$n off form as completed.
,nade-uately controlled. 'urther Action/,nvesti$ation re-uired. )ontinue with 4tep >.
Step ; 7 I*ple*entation 0lan #or control" not alread! in place'
4ontrol Option Re"o%rce" 0er"on#"' re"pon"i.le 0ropo"ed
i*ple*entation
date
Step < 7 4o**ent" and endor"e*ent"
Name: 4i$nature: Date:
A""e""*ent Appro2al( (e$ *rincipal researcher% 5ead of research $roup% 5ead of 4chool% Technical 4ervices +ana$er!
, am satisfied that the ris&s are not si$nificant and/or ade-uately controlled and that resources re-uired will be provided.
Name: 4i$nature: Date:
*osition Title:
054 7eneral Ris& Assessment% (8.8 Au$ust 1?8 4afety and 0ellbein$ 2nit Page 2 of 3
Ri"k A""e""*ent Matri9
0RIORITISING HA=AR,S AN, RISKS
4
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3
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0ro.a.ilit!
(ery .i&ely .i&ely 2nli&ely 5i$hly 2nli&ely
.ife Threatenin$ High High High Medi%*
Detrimental High High Medi%* Medi%*
5armful High Medi%* Medi%* Lo-
Ne$li$ible Medi%* Medi%* Lo- Lo-
HA=AR, 4ONSE>&EN4E RATING TA5LE
Lie Threatening 5a6ard may cause death or total loss of one or more bodily functions (e$. loss of: or use an
arm% an eye% hu$e financial loss!.
,etri*ental 5a6ard may cause severe inBury% illness or permanent partial loss of one or more bodily
functions (e$. noise induced hearin$ loss!% or serious property dama$e% loss of production
capability.
Har*%l 5a6ard may cause a reportable incident ie. an incident that results in the employee bein$
unable to underta&e their normal duties for : days or more% or si$nificant property dama$e%
hi$h financial loss.
Negligi.le 5a6ard may cause minor inBury% illness or property dama$e% first aid treatment only or no
inBury% low financial loss.
0RO5A5ILIT? RATING TA5LE
@er! Likel! /xposure to ha6ard li&ely to occur fre-uently.
Likel! /xposure to ha6ard li&ely to occur but not fre-uently.
&nlikel! /xposure to ha6ard unli&ely to occur.
Highl! &nlikel! /xposure to ha6ard so unli&ely that it can be assumed that it will not happen.
RISK 0RIORIT? TA5LE
Ri"k 0riorit! ,einition" O 0riorit! S%gge"ted Ti*e
Fra*e
High 4ituation critical% stop wor& immediately or consider cessation of wor& process.
+ust be fixed today% consider short term and/or lon$ term actions.
No-
Medi%* ,s very important% must be fixed this wee&% consider short term and/or lon$ term
actions.
Thi" Week
Lo- ,s still important but can be dealt with throu$h scheduled maintenance or
similar type pro$rammin$. 5owever% if solution is -uic& and easy then fix it
today.
Review and/or mana$e by routine procedures.
) A 6 Month"
054 7eneral Ris& Assessment% (8.8 Au$ust 1?8 4afety and 0ellbein$ 2nit Page 3 of 3
