UTP 05

15th MALAYSIA CHEM-E-CAR COMPETITION 2020

RISK ASSESSMENT FOR LABORATORY WORK

Name of university/institution
Team Advisor
Team Name
Team Leader
Email
Room No* Laboratory* Date 21-22/4/2020
*Room No and Laboratory will be assigned later

Description of Task

Type of Experiment: Research / Teaching / Competition

Name of experiment: …………………………………………………………………………
Services Used:  Water  Power  Compressed Air  Gases
Operating Temperature: ……………oC
Operating Pressure: …………………bar
Brief Experimental Procedures:

Hazard Identification – Chemicals//Materials (Please tick appropriate hazards)

Flammable

Corrosive

Oxidising

Name of Chemicals/Materials Outcome of Hazard

Harmful

Irritant
Toxic

Identified
 Hazard Identification – Equipment Used (Please tick appropriate hazards if applicable)
Equipment Outcome of Hazard

Mechanical
Identified

Electrical

Vibration
Pressure
Thermal

Controls Adopted for Risk Minimisation Motion

Chemical Chemical Toxicity Body Contact Other Control
Flammability (Please add if any)
Volume  Use in Fume hood  Safety Goggles  Equipment
 Small (<50mL)  Proper Storage  Gloves Guard/Barrier
 Med (50-500mL)  Ear Muff/Ear Plug  Ventilation System
 Large (>500mL) (Snorkel)
 Lab Coat
 MSDS
 Use in Fume hood  Full covered &
Non-slippery  Manual/SOP
 No Ignition Source
Shoes  Housekeeping
 Proper Storage



 Fire Extinguisher  Face mask  Safety Shower 

 Respirator  Eye Wash Station 

CONCLUSION OF RISK ASSESSMENT CONSEQUENCE

P E A R
VERY No No No No
No Significant Risk or Significant Risk but adequate controls in place LOW injury Effect Damage Impact
Slight Slight Slight Slight
Significant Risk WITHOUT adequate controls in place LOW injury Effect Damage Impact
Minor Minor Minor Limited
LOW injury Effect Damage Impact
Note: If you categorised the risk under the second criteria, FURTHER
Major Localized Localized Considerable
ASSESSMENT may be needed, and the experiment should NOT proceed. MED injury Effect Damage Impact
Kindly provide the MSDS along with the JSA Risk Assessment Form. Single Major Major National
HIGH fatality Effect Damage Impact
Approved By ……………………………………………. Date ………………. Multiple Massive Extensive International
HIGH fatality Effect Damage Impact
(Advisor)
Name .……………………………………………….

Staff ID …………………………………………………

University/Institution ……………………………………