HOT WORK RISK ASSESSMENT

TASK DETAILS
Complete details or tick () the relevant boxes where required:
Risk Assessment completed by:_________________________________________ Date:___/___/____ Time:_____________

Department responsible for work:  Corporate  Community  Office of the CEO  Regional Services

Work Unit: ____________________________________________________________________________________________

Location the work will take place: ___________________________________________________________________________

Details of the work to be undertaken:_________________________________________________________________________

______________________________________________________________________________________________________

Will the task involve or generate:  Heat  Sparks  Flames If yes, please provide details___________________________
______________________________________________________________________________________________________

Are pressure vessels required/involved:  Yes  No If yes, what type:____________________________________________

Is the work to be conducted in a confined space:  Yes*  No *If work is to be performed in a confined space, a Hot Work
Permit and gas monitoring shall be completed in conjunction with all other confined space requirements

Is atmospheric (gas) monitoring required?  Yes  No

FREQUENCY AND DURATION OF WORK

Who will be exposed to this work (e.g. employees, members of the public):___________________________________________

How often is the task performed:  Several times a day  Several times a week  Once or twice a month

 Once or twice a year  Less than yearly

What is the duration of the task:  8hrs/day  3 or 4 hours/day  1 or 2 hours/day  Less than an hour/day

IDENTIFIED HAZARDS
 Confined Space  Manual Handling  Other (please list details): _________________
 Combustible materials in area  Hazardous Substances ______________________________________
 Pressure  Electricity ______________________________________
 Moving parts/plant  Equipment Earthing ______________________________________
 Thermal/Heat  Atmospheric Contaminants ______________________________________

RISK MATRIX

Control Options (please list details below) Yes No

ELIMINATE: Can the hot work process be

eliminated?

SUBSTITUTE: Can the hot work process be

replaced with a safe one?

ISOLATE: Can the process or person be

isolated from the risk?

ENGINEER: Can the process be redesigned?

ADMINISTRATION: Can we limit the risk of

exposure through processes, training?

PPE: Can we use personal protective

equipment?

WH&S-FORM-2.3.1 Revision 2 – 05/2015

ACTIONS TO CONTROL RISK

Hierarchy of Control Action or Control Responsible Person

e.g. Eliminate Use bolts instead of welding Supervisor

Note: Please attach a separate sheet if more actions are required

HOT WORK RISK CONTROL OPTIONS (Please tick appropriate controls)

Please note: minimum mandatory PPE and fire fighting equipment is required as per Hot Work Procedure
PPE:  Safety Boots  Safety Glasses  Welding helmet  Face Shield  Apron
 Boot Covers  Goggles  Gloves  Other: _______________________________
FIRE PROTECTION:  Extinguisher  Sprinkler System  Alarm System  Other: ____________________
FIRST AID:  First Aid Kit  First Aid Officer  Other:___________________
ISOLATION:  Flash/Spark Shield/Screens  Barricade  Isolate by distance (<10m)  Other:____________
DOCUMENTATION:  Hot work permit  Incident response plan/ Emergency Procedures  WH&S procedures
 Confined space entry permit  Confined space risk assessment
 Other:__________________________________________________________________

HOT WORK APPROVAL

Hot Work is approved / not approved to be carried out (please circle). All required actions have been taken.
Name: Position:
Signature: Date: / /

This risk assessment should be revised whenever there is evidence to indicate that it is no longer valid.

WH&S-FORM-2.3.1 Revision 2 – 05/2015