Chemical Risk Assessment

Worksheet
INTRODUCTION
The questions in this Worksheet are designed to prompt you to think about the risks you face when
using chemicals and whether you believe the current controls will adequately protect you. You should
not proceed with the use of a product if you believe it is unsafe.
There are two elements to the Risk Assessment: You will need a Safety Data Sheet (SDS) for the
product (obtained from Chem Alert or from the supplier); and you will need to consider circumstances
of use in your area. Complete the Risk Assessment in consultation with your supervisor.
SECTION 1: SUMMARY (from SDS)
Chemical / Product Name Storage Location
HYDROGEN PEROXIDE Building: 205 Room:
Manufacturer / Supplier Lab for Intended Use
ELITE SURFACE TECHNOLOGIES Building: 205 Room: 001
Safety Data Sheet Hazardous and Dangerous Goods
Is a current SDS Available? (You must obtain it) Is the chemical classified as Hazardous?
Yes No Yes No
Assessment Date: Is the chemical classified as Dangerous Goods?
16/4/2016 Yes No (if applicable)
Class: Sub Class:
Assessor Supervisor
Rohan Pandit Dr Tushar Sen
SECTION 2: USE
Task Description: Handling: Before use carefully read the product label. Use of
(Including any storage or disposal requirements) safe work practices are recommended to avoid eye or skin
contact and inhalation. Observe good personal hygiene,
including washing hands before eating. Prohibit eating,
drinking and smoking in contaminated areas.
Storage: Store in a cool, dry, well ventilated area, removed
from incompatible substances and foodstuffs. Ensure
containers are adequately labelled, protected from physical
damage and sealed when not in use. Large storage areas
should have appropriate ventilation systems. Store below
24°C.

Concentration: 100 Quantity: Duration 2 days Frequency twice

(%) (including units) of Use: of Use:
Note: Substances that are not classified as a Hazardous Substance or Dangerous Good require
no further assessment (i.e. you do not need to compete the remaining sections).
SECTION 3: HOW CAN EXPOSURE OCCUR?
Dermal (Skin): Eyes: Inhalation: Ingestion: Injection:
Solid Dust Vapour Dust Pressure
Aerosol Aerosol Aerosols Aerosols Sharp objects
Liquid Liquid Gas Liquid Open wounds
Dust Hygiene

Worksheet Page 1 of 4 Health and Safety

Chemical Risk Assessment Form Rev 2.0 issued: 21 April 2016
Uncontrolled document when printed Review: 13 February 2015
Who is potentially exposed? : Students, Lab Staff
(e.g. Students, Lab Staff, Researchers, Others)
SECTION 4: POTENTIAL HEALTH EFFECTS
Acute (Immediate) Effects Chronic (Delayed) Effects
Eye and skin Irritant / Corrosion Sensitising Agent (Skin/Inhalation)
Central Nervous System Carcinogenic
Asphyxiant (Inhalation) Liver/Kidney Disease
Respiratory Tract Irritant Brain/Nerve Disease
Toxic by Skin Exposure Respiratory Disease
Toxic by Ingestion Reproductive System Disease
Other (Specify): Other (Specify):

SECTION 5: RISK RANKING WITH EXISTING CONTROLS IN PLACE

Risk Matrix

LIKELIHOOD DESCRIPTION
The event may Not expected The event The event will The event is expected
LIKELIHOOD occur only in but the event could occur probably occur to occur or has
exceptional may occur at at some time in most occurred and is
circumstances some time circumstances continuing to impact
IMPACTS Likelihood Level

Health and Safety Rare Unlikely Possible Likely Almost Certain

Fatality
Critical
Permanent Total Extreme
Disability
CONSEQUENCE DESCRIPTION

Significant/extensive
injury or illness.
Major
Permanent Partial
High
Consequence Level

Disability

Serious injury or
illness.
Moderate
Lost time injury >10
Medium
days

Injury or illness
requiring medical
treatment Minor
Low
Lost time injury <10
days

Injury or illness
requiring First Aid
treatment Insignificant
No lost time injury
days

Worksheet Page 2 of 4 Health and Safety

Chemical Risk Assessment Rev 2.0 issued: 21 April 2016
Uncontrolled document when printed Review: 13 February 2015
So the questions are: based on the above matrix:
What could be the consequences? Corrosive. This product has the potential to cause adverse
health effects. Use safe work practices to avoid eye or skin
contact and inhalation. Over exposure may result in severe
and permanent eye, skin and respiratory damage. Upon
dilution, the potential for corrosive effects may be reduced..

Eye Irritant - Corrosive. Contact may result in irritation,

lacrimation, pain, redness, corneal burns and possible
permanent damage.

Inhalation- Corrosive - toxic. Over exposure may result in

mucous membrane irritation of the respiratory tract, coughing
and possible burns. High level exposure may result in
ulceration of the respiratory tract, breathing difficulties,
chemical pneumonitis and pulmonary oedema.

Skin – Corrosive Irritant. Contact may result in irritation,

redness, pain, rash, dermatitis and possible burns.

Ingestion - Harmful. Ingestion of large quantities may result in

vomiting, acidosis, bloody diarrhoea and shock. In some
cases, necrosis and haemorrhage of the gastrointestinal tract,
liver damage and death may occur. Scarring of the
gastrointestinal tract may occur in non-fatal cases.

What is the likelihood of that happening? rare

What is the risk rating? high

Note: If the rating is above LOW,
Risk Management action is required.

Worksheet Page 3 of 4 Health and Safety

Chemical Risk Assessment Rev 2.0 issued: 21 April 2016
Uncontrolled document when printed Review: 13 February 2015
Risk Management Action
Risk Level Response
Immediate action required to reduce exposure. A detailed mitigation plan must be developed,
Extreme implemented and monitored by senior management to reduce the risk to as low as reasonably
practicable.
A mitigation plan shall be developed and authorised by area manager or supervisor to reduce the
High risk to as low as reasonably practicable. The effectiveness of risk control strategies shall be
monitored and reported to management and relevant committee.
A mitigation plan shall be developed. Control strategies are implemented and periodically
Medium
monitored.
Manage by documented routine processes and procedures. Monitor periodically to determine
Low
situation changes which may affect the risk.

SECTION 6: REQUIRED CONTROL MEASURES TO REDUCE RISK

Control Example Intention to apply
1. Elimination Eliminate materials or elements of the process that carry
significant risk.
2. Substitution Substitute a safer chemical or safer process.
3. Isolation Barriers, enclosures, remote operation.
4. Engineering Local exhaust ventilation, dilution ventilation.
5. Administrative Supervision, use of safe work procedures, housekeeping,
organisation of work to limit contact, standards, training,
signage.
6. PPE Face shields, safety glasses, goggles, gloves, aprons.
SECTION 7: SPECIFIC ACTIONS TO REDUCE RISK
List specific actions that will be carried out for each of the controls you nominated in Section 6.
Control Action
1. Elimination
2. Substitution
3. Isolation
4. Engineering Making sure the work is carried out in a well ventilated area
5. Administrative Making sure all safe practices are followed
6. PPE All PPE will be worn at all times.
Note: If after the implementation of all of the controls above, the risks of using the assessed
chemical remain MODERATE or higher (based on the Risk Matrix in Section 5); expert
advice must be obtained so as to reduce risk before proceeding.

The Occupational Health and Safety Regulations (1996) require that Risk Assessments are retained.
Risk Assessments must be revised if procedures change and are to be reviewed every 5 years. Save a
copy of this Risk Assessment, to be retained in your area. Give it a unique name (eg CRA + product
name + your name). Send a copy to Health and Safety. Any queries should be directed to the Curtin
Health and Safety Ext. 4900.

Worksheet Page 4 of 4 Health and Safety

Chemical Risk Assessment Rev 2.0 issued: 21 April 2016
Uncontrolled document when printed Review: 13 February 2015