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Hazard Identification Risk Assessment Risk Control (HIRARC) Form

This Hazard Identification Risk Assessment Risk Control (HIRARC) form contains 3 sections to identify hazards, analyze risks, and control risks associated with work activities. Section 1 involves identifying hazards and which can cause or have effects. Section 2 analyzes the likelihood and severity of each hazard on scales of 1 to 5 to determine a risk level from 1 to 25. Section 3 recommends control measures to address hazards, prioritizing elimination, substitution, engineering controls, administrative controls, and personal protective equipment. The form was prepared by student names for a location/laboratory and requires review and approval.

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Jeft Tan
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3K views1 page

Hazard Identification Risk Assessment Risk Control (HIRARC) Form

This Hazard Identification Risk Assessment Risk Control (HIRARC) form contains 3 sections to identify hazards, analyze risks, and control risks associated with work activities. Section 1 involves identifying hazards and which can cause or have effects. Section 2 analyzes the likelihood and severity of each hazard on scales of 1 to 5 to determine a risk level from 1 to 25. Section 3 recommends control measures to address hazards, prioritizing elimination, substitution, engineering controls, administrative controls, and personal protective equipment. The form was prepared by student names for a location/laboratory and requires review and approval.

Uploaded by

Jeft Tan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Hazard Identification and Risk Assessment Form

Hazard Identification Risk Assessment Risk Control (HIRARC) Form

Prepared by (Student Names) :


Location / Laboratory Name
Review By: Lecturer
Date Prepared:
(Name, Designation, Date) Signature
Approved By: Technician Lab
Review Date: 1) 2)
(Name, Designation, Date) Signature

1. Hazard Identification 2. Risk Analysis 3. Risk Control

Likelihood Severity Risk


No. Work Activity Hazard Which can cause/effect Recommended Control Measures
(A) (B) (AxB)

Scale of Likelihood Scale of Severity Hierarchy of Hazard Control Level of Risk


5 - Most likely (The most likely result of the
5 - Catastrophic (Numerous fatalities, irrecoverable property damage) 1 - Elimination 1-4 -Low
hazard / event being realized)
4 - Possible (Has a good chance of occurring 4 - Fatal (Approximately one single fatality major property damage 4
2 - Substitution 5-12 - Medium
and is not unusual) if hazard is realized)
3 - Conceivable (Might be occur at sometime
3 - Serious (MC > 4days/Non-fatal injury, permanent disability) 3 - Engineering control 15-25 - High
in future )
2 - Remote (Has not been known to occur after many
2 - Minor (MC < 4 days/Disabling but not permanent injury) 4 - Administrative controls
years )
1 - Inconceivable (Is practically impossible
1 - Negligible (Minor abrasions, bruises, cuts, first aid type injury) 5 - Personal protective equipment (PPE)
and has never occurred)
Occupational Safety Health & Environment Department (OSHE), UNITEN

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