Hazard Identification & Risk Assessment Electronic Form (Risk Register)

Form 001764A Revision 02

Site:

Activity:

Control measure Was the product Is the preventive /

validated against the Does the Emergency Periodic corrective measured
Likelihood category Reduction Is any risk of fire or review Action
Department or Assessment type Activity Type Hazard Classification Severity Initial Risk Residual Risk BT Controlled Response Plan need to Assessment Assessment Preventive or Corrective Measures effective?
Number Activity name Activity Description Hazard Description (select from Control measure description Consider only the Factor explosion generated? (based on initial risk Required Responsible Target Date Completion Date Verified by Date verified
Cell (select from menu) (select from menu) (select from menu) (select from menu) (automatic feed) reduction factor of the (automatic feed) Substances Standard? be revised? Date team Description (1 to 6 months after
menu) highest control measure (automatic feed) (select from menu) & initial severity) (select from menu)
(select from menu)
(GRP-20.20 15-000014) (select from menu) (automatic feed) implementation)
(select from menu) (select from menu)

001764A
 Risk Evaluation Matrix
10 - 20
Severity

Catastrophic Critical Marginal Negligible

8-9
Certain 20 15 10 5
Likelihood

Very
16 12 8 4
Possible 3-7
Possible 12 9 6 3
Unlikely 8 6 4 2
Very 1-2
4 3 2 1
Unlikely

Likelihood Severity Table

Likely to occur often in the life of the

Certain 5 project, with a probability of occurrence Catastrophic 4
of 1 or more event every working shift

Will occur several times in the life of the

Very
4 project, with a probability of occurrence Critical 3
Possible
of at least 1 event every week

Likely to occur sometime in the life of

the project, with a probability of
Possible 3 Marginal 2
occurrence of at least 1 event every
month

Unlikely but possible to occur in the life

of the project, with a probability of
Unlikely 2 Negligible 1
occurrence of at least 1 event every
year

So unlikely, it can be assumed

Very occurrence may not be experienced,
1
Unlikely with a probability of occurrence of less
than 1 event every 5 years
 Unacceptable

Undesirable

Allowable

Acceptable

Severity Table

Death, mass exposure or

property or equipment loss

Severe injury, severe

occupational illness, disease or
major system damage

Minor injury, minor occupational

illness, disease or minor system
damage

Less than minor injury, minor

occupational illness, disease or
minor system damage
Control measures

Reduction
Control measures Definition
Factor

Remove the hazard from the

1. Elimination 0 workplace

Consists in substituting less

hazardous methods,
2. Substitution 0.1
materials, or processes for
that which is more hazardous

Methods that are built into

the design of a plant,
3. Engineering Controls 0.25
equipment or process to
minimize the hazard

Methods that improve

4. Warning Systems 0.4 workers’ ability to detect a
hazard
 Methods that improve the
workers’ ability to safely
5. Administrative interact with a product,
0.5
Controls process or service when
hazards are likely to be
present.

Anything designed to be
6. Personal Protective worn, held, or carried by an
0.75
Equipment individual for protection
against one or more hazards
Examples

If hazards are eliminated in the design and redesign processes, risks that derive from those hazards are also eliminated
Elimination of the hazard shall include the use of elements that result in an intrinsically or inherently safe product, process, or
or redesign of the workplace or the task throughout the lifecycle of the product, process, or service

Methods that illustrate substitution include

- Using automated material handling equipment rather than manual material handling;
- Providing an automatic feed system to reduce machine hazards;
- Using a less hazardous chemical product (or using the same chemical product but in a different form: pellets or crystals inste
- Reducing speed, force, amperage;
- Reducing temperature, pressure;
- Replacing an ancient steam heating system and its boiler explosion hazards with a hot air system.

Engineering safety devices are intended to prevent access by workers to the hazard. They are used to separate the hazardous
Engineering controls can reduce risk by: Preventing or limiting access to a hazard; Preventing or limiting exposure to a hazard;
alternative means of interacting with a hazard.
Examples of engineering controls include:
- Use automation; - Machine guards; - Interlock systems;
- Circuit breakers; - Presence sensing devices; - Safety nets;
- Ventilation systems; - Sound enclosures; - Fall prevention systems
- Lift tables, conveyors, and balancers; - Mechanical hard stops; - Barriers;
- Safety mats; - Light curtains; - Two-hand controls;
- Work station design; - Tool selection; - Process modification.

Examples of warning systems include:

- Technological (including software) and warning systems to warn of existing or impeding hazards and/or hazardous situations
- Lights, beacons, and strobes and/or audible alarms (beepers, horns, backup alarms, etc.) that are intended to raise awarenes
- Warning signs that effectively inform workers of potential hazards and/or hazardous situations; and
- Indicators, labels that raise awareness of the workers’ proximity to hazards;
- Smoke detectors;
- Chemical detection systems;
- Restricted space painted on the floor;
- Access restrictions to work areas;
- Alerts in operating procedures or manuals.
Administrative controls are used to communicate actions necessary to reduce exposure to hazards.
Examples of administrative controls include:
- Safety rules, procedures, protocols, policies, instructions, etc.;
- Training programs (documented with practical application);
- Job rotation/enlargement, pacing,, scheduled rest periods, etc.;
- Personnel selection; - Supervision; - Motivation, behavior modification;
- Maintenance; - Management of change; - Investigations;
- Inspections; - Lockout/tagout.

They are direct barriers worn by the employee. Examples of PPE include:
- Hard hats, bump caps; - Gloves and mitts; - Respirators;
- Safety glasses and goggles; - Face shields; - Welding screens;
- Safety shoes; - Hearing protection; - Fall protection devices;
- Protective clothing, aprons; - Skin protection.
Assessment type Activity type Hazard Classification Likelihood Severity
BIOLOGICAL - Blood,
New risk assessment Routine Bodily Fluid 5 4
BIOLOGICAL - Bacteria
Review of Risk Assessment Non-Routine 4 3
Accident Incident Investigation BIOLOGICAL - Viruses 3 2
BIOLOGICAL - Mold,
Fungi 2 1
BIOLOGICAL - Insects,
Animal 1
BIOLOGICAL - Other
CHEMICAL - Dusts,
Fibers
CHEMICAL - Fumes
CHEMICAL - Mists,
Aerosols, Vapors
CHEMICAL - Gas
CHEMICAL -
Flammables,
Combustibles
CHEMICAL - Corrosives

CHEMICAL - Designated
Substances

CHEMICAL - Other
PHYSICAL - Noise
PHYSICAL - Vibration
PHYSICAL - Lighting

PHYSICAL - Temperature
(Hot, Cold)

PHYSICAL - Radiation,
Lasers
PHYSICAL - Confined
Space

PHYSICAL - Sharp Edges

PHYSICAL - Other
MECHANICAL AND
ELECTRICAL - Electrical,
Arch Flash

MECHANICAL AND
ELECTRICAL - High
Voltage Electrical

MECHANICAL AND
ELECTRICAL - Working at
Heights
MECHANICAL AND
ELECTRICAL - Slips, Trips,
Falls

MECHANICAL AND
ELECTRICAL - Pinch Point

MECHANICAL AND
ELECTRICAL - Moving
Machinery, Tool

MECHANICAL AND
ELECTRICAL - Falling,
Flying Object

MECHANICAL AND
ELECTRICAL - Vehicle,
Equip. Movement
MECHANICAL AND
ELECTRICAL - Other:

ERGONOMIC AND
PHYCHOSOCIAL -
Equipment, Tool Design

ERGONOMIC AND
PHYCHOSOCIAL - Work
Organization

ERGONOMIC AND
PHYCHOSOCIAL - Work
Pace, Workload

ERGONOMIC AND
PHYCHOSOCIAL -
Excessive Force or Grip

ERGONOMIC AND
PHYCHOSOCIAL -
Weights

ERGONOMIC AND
PHYCHOSOCIAL - Lifting

ERGONOMIC AND
PHYCHOSOCIAL -
Posture

ERGONOMIC AND
PHYCHOSOCIAL -
Repetitive Movement

ERGONOMIC AND
PHYCHOSOCIAL -
Restrictive Movement

ERGONOMIC AND
PHYCHOSOCIAL - Shift
Work
ERGONOMIC AND
PHYCHOSOCIAL -
Working Alone

ERGONOMIC AND
PHYCHOSOCIAL -
Workplace Violence

ERGONOMIC AND
PHYCHOSOCIAL - Other
 Legal & Other Action Periodic
Control Measure Category Reduction Factors requirements Required review

Substitution 0.1 Yes Yes 3 years

Engineering Control 0.25 No No 2 years

Warning Systems 0.4 Not applicable Annual

Administrative Controls 0.5

PPE 0.75
None 1