HIRAC FORM Grup Hazman
HIRAC FORM Grup Hazman
HIRAC FORM Grup Hazman
School / Department & Exact Location Of The Work Performed: Project / Work Description:
S/N Work activity Hazard Possible Accident/ Ill Existing Risk Severity Likelihood RPN* Additional Risk Control Severity Likelihood RPN* Follow up by (name) &
health to persons, fire or Control Measures date
property loss 1. Elimination
2. Substitution
3. Engineering Control
4 .Administrative Control
5 .PPE
Remarks
RISK ASSESSMENT FORM
School / Department & Exact Location Of The Work Performed: Project / Work Description:
S/N Work activity Hazard Possible Accident/ Ill Existing Risk Severity Likelihood RPN* Additional Risk Control Severity Likelihood RPN* Follow up by (name) &
health to persons, fire or Control Measures date
property loss 1. Elimination
2. Substitution
3. Engineering Control
4 .Administrative
Control
5 .PPE
Remarks
Instructions for using the Risk Assessment form
Header Fill up all sections in the header of the RA form. No
with your supervisor/reporting officer on the next review date for the RA. Normally the next review d
one year ahead. The RA is also reviewed
(1) When there are changes in work
processes/activities (2) After any accidents/incidents
Note 2: Check your Division rules about team or individ
submission for RA
Column 1d Identify possible accidents/ill health associated with each identified hazard. Ex
possible accidents/ill health include fires, explosions, cuts, burns, frost bites, fractures etc.
Column 2a Indicate risk control measures that are already in place to eliminate or minimise risks. Me
control risks may be analysed according to the Hierarchy of Controls: Elimination, Substitution, Engineering Con
Administrative Controls and Personal Protective Equipment (PPE). Elimination of the hazard sho
priority while PPE should be the last line of defence.
Elimination
Example: Use water based solvents instead of organic based solvents
Substitution
Example: Use a less toxic solvent
Engineering Controls
Example: Use of fume cupboard or gloves boxes Ad
Controls Example:
instructions. Good laboratory practices. Training on proper use of chemicals PPE
Example: Use o
eyewear plus respiratory protection, use of gloves
Column 2b S=Severity Severity i
or extent of injury or harm caused by the hazards, or as a result of an accident. Choose the most likely
from a value between 1 and 5, rather than the most extreme. Refer to the Risk Matrix tab fo
severity table
Column 3a Additional risk control measures are required when the RPN indicated in column 2d exceeds 6. If the R
less, enter "NA" in the column
Column 3b S=Severity Sm
upon introduction of additional control measures
Column 3c L=Likelihood
L may reduce upon introduction of additional control measures
Column 3e Enter the name of the person appointed to oversee the implementation of the additional control measures. En
follow-up date.
Note: Please do
Therefore, a computer is not an
Examples of
cs, psychosocial, slip & fall etc.
Examples of
actures etc.
e risks. Methods to
n, Substitution, Engineering Controls,
Elimination of the hazard should take first
vents
Administrative
Example: Work
PPE
Example: Use of safety
Severity is the degree
ident. Choose the most likely severity
efer to the Risk Matrix tab for the
Likelihood of occurance
said accident, incident or ill health will
he records of such events happening in
Risk Matrix tab for the likelihood table
RPN=Severity X
All RPNs should not be more
S may reduce
Severity Table
Pt Severity level Workplace Safety Workplace Health Environment Fire Damage Downtime Incurred
Acute Poisoning,
Fatality, More Than $10 More than 1 year for
single or multiple Failure of Major Spills to Outside Campus million damages full re-instatement
Bodily Functions
5 Critical
Permanent Body Infection with No Infection - outside
Injury or Loss of Use
for more than 30 days Known Cure Campus area
Mild exposure,
Injury requiring 10 days Reversible injury to Spills to Outside More Than $100k More than 1 month for
of hospitalisation Bodily Functions Laboratory/Room damages full re-instatement
and/or medical leave with less than 30
days recovery
3 Serious
No Infection or infection
No or superficial injury No Exposure with no effects within
workplace
Likelihood Table
Pt Likelihood level Likelihood of Occurrence / Exposure Criteria
SEVERITY
Critical Very Serious Serious Marginal Negligible
(5) (4) (3) (2) (1)
Frequent 25 20 15 10 5
(5) Operation not Operation not High priority Review at Risk acceptable
permissible permissible appropriate time
Moderate 20 16 12 8 4
(4) Operation not Operation not High priority Review at Risk acceptable
permissible permissible appropriate time
LIKELIHOOD
Occasional 15 12 9 6 3
Review at appropriate
(3) High priority High priority time Risk acceptable Risk acceptable
Remote 10 8 6 4 2
Review at Review at
(2) appropriate time appropriate time Risk acceptable Risk acceptable Risk acceptable
Unlikely 5 4 3 2 1
(1) Risk acceptable Risk acceptable Risk acceptable Risk acceptable Risk acceptable
Review the risk assessment records every year or whenever there are changes in processes, work activities or upon
any incident occurrence, whichever is earlier.
Action Table
Colour Score Risks Action
Risk Assessment Team (Name/s): Hazman(Team Leader), Sayuti, Hazim, Aflah, Hakimi. Approved By Supervisor / Reporting Officer:
(Name, Date & Signature)
Dr wan Emry Bin Wan Abdul Rahman (Project Supervisor), 6th November 2017.
Date Conducted: 6th November 2017. Next Review Date: 13th November 2017
S/N Work activity Hazard Possible Accident/ Ill Existing Risk Severity Likelihood RPN* Additional Risk Control Severity Likelihood RPN*
health to persons, fire or Control Measures
property loss 1. Elimination
2. Substitution
3. Engineering Control
4 .Administrative Control
5 .PPE
2 inproper management of wire when Electrical Hazard Electrocution due to high Warning signs are 4 3 12 Regular servicing and 4 1 4
machine is turned on voltage displayed beside maintenance of lathe
system to warn machine to avoid
users of high malfuction and failure
voltage -manage happen
proper wire
system of the
machine and
avoid the exposed
to life wire
3 oil or lubricant was not channel Biological Hazard stagnant oil split & The waste oil and 3 2 6 NA NA NA NA
properly contaminate coolen must
environment dispose to the
proper place
4 Operate machine on own way Physical Hazard Injury, fatal and machine Operate machine 4 1 4 NA NA NA NA
breakdown using the right
SOP
5 Closing movement between the slide- Physical Hazard Hand crushing Avoid any bare 3 2 6 NA NA NA NA
waste and fixed parts (tail stock) hand contact
while operating
the machine
6 Contact with cutting fluids, oil and Chemical hazard Irritate skin Avoid touching 3 4 12 Wear Personal Protective 1 5 5
grease any cutting fluids, Equipment like safety glove
oil and grease and gogle to avoid the
with bare skin waste product splattered
into the eye
8 Switching off machine with wet hand Electrical Hazard Electric shock Make sure hands 5 1 5 NA NA NA NA
are completely
dry before
touching the
switch
9 Playing around the machine Psycho-social Hazard Injury or fatal Follow the rules 3 3 9 Creating a gap or provide a 3 2 6
distance between the users
with the lathe machine.
10 Operate the machine in pressure Psycho-social Hazard Injury or fatal Do not operate 2 2 4 NA NA NA NA
condition machine in high
pressure
condition
11
*RPN - Risk Prioritization Number
mber 2017.
ntrol
3e 3f
NA NA
NA NA
NA NA
NA NA
NA NA
NA NA
NA NA
NA NA
NA NA
RISK ASSESSMENT FORM
School / Department & Exact Location Of The Work Performed:
(Example: SPMS -CBC - Lab K)
Date Conducted: 11th March 2012 Next Review Date: 10th March 2013
S/N Work activity Hazard Possible Accident/ Ill Existing Risk Severity
health to persons, fire or Control
property loss
1 Weighing chemicals for the synthesis Irritant Chemicals Irritation when come in Handle under 1
work contact with skin and fumehood.
eyes Put on required
PPE - safety
glasses, lab coat,
long pants, gloves,
covered shoes.
2 Prepare glassware and add Glass breakage due Cuts on skin/eye due to Inspect glassware 3
to overpressure
chemical into chemical reactor (chemical flying particles before use.
reaction) Put on required
PPE - safety
glasses, lab coat,
long pants, gloves,
covered shoes.
*RPN - Risk Prioritization Number
ISK ASSESSMENT FORM
Project / Work Description: Chemical works
Likelihood RPN* Additional Risk Control Severity Likelihood RPN* Follow up by (name) & Remarks
Measures date
1. Elimination
2. Substitution
3. Engineering Control
4 .Administrative
Control
5 .PPE
3 3 NA NA NA NA NA NA
Date Conducted: 11th March 2012 Next Review Date: 10th March 2013
S/N Work activity Hazard Possible Accident/ Ill Existing Risk Severity
health to persons, fire or Control
property loss
1 Sorting of documents / Use of paper Contact with sharp Cuts and lacerations to Handle files and 1
edges (from paper hand and fingers documents with
edges and bent care, avoiding
plaster dividers fingers running
along the edge of
papers.
Discard bend
plastic folders.
Punching holes for document Strike by moving Fingers may get injured Proper usage of 1
to be filed parts or caught (crush) during punching hole punch
between moving Do not overload
parts paper for
punching
Maintenance of
hole puncher
Ergonomic hazard Muscular starins Staff to adopt 3
(repetive similar good ergonomice
action) practice e.g. table
height. Job
rotations; avoid
prolong repetitive
punching
operation.
Brief staff on
proper usage of
hole punch.
Likelihood RPN* Additional Risk Control Severity Likelihood RPN* Follow up by (name) &
Measures date
1. Elimination
2. Substitution
3. Engineering Control
4 .Administrative Control
5 .PPE
3 3 NA NA NA NA NA
1 3 NA NA NA NA NA
3f
Remarks
NA
NA
NA