RISK ASSESSMENT FORM

Project / Work Description:

Risk Assessment Team (Name/s):

Date Conducted: Next Review Date:

Hazard Identification Risk Evaluation Risk Control

1a. 1b 1c. 1d. 2a. 2b. 2c. 2d. 3a 3b 3c 3d 3e 3f

S/N Work activity Hazard Severity Likelihood RPN* Severity Likelihood RPN* Remarks

*RPN - Risk Prioritization Number

School / Department & Exact Location Of The Work Performed:

Approved By Supervisor / Reporting Officer: (Name, Date & Signature)

Possible Accident/ Ill health to persons, fire or

property loss

Existing Risk Control

Additional Risk Control Measures

Follow up by (name) & date

Instructions for using the Risk Assessment form

Header

Column 1b

Column 1c

Column 1d

Column 2a

Fill up all sections in the header of the RA form. Note 1: Discuss with your supervisor/reporting officer on the next review date for the RA. Normally the next review date is up to 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 individual submission for RA

Describe the work activity to be carried out. Note: Please do not fill in names of machines/equipment to be used. Therefore, a computer is not an activity, but working on a computer is

Identify hazard(s) associated with the activity to be carried out. Examples of hazards include chemical, biological, electrical, mechanical, physical, ergonomics, psychosocial, slip & fall etc.

Identify possible accidents/ill health associated with each identified hazard. Examples of possible accidents/ill health include fires, explosions, cuts, burns, frost bites, fractures etc.

Indicate risk control measures that are already in place to eliminate or minimise risks. Methods to control risks may be analysed according to the Hierarchy of Controls: Elimination, Substitution, Engineering Controls, Administrative Controls and Personal Protective Equipment (PPE). Elimination of the hazard should take first 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 Administrative Controls Example: Work instructions. Good laboratory practices. Training on proper use of chemicals PPE Example: Use of safety eyewear plus respiratory protection, use of gloves

Column 2b

Column 2c

Column 2d

Column 3a

Column 3b

Column 3c

Column 3d

Column 3e

Column 3f Enter any remarks

S=Severity Severity is the degree or extent of injury or harm caused by the hazards, or as a result of an accident. Choose the most likely severity from a value between 1 and 5, rather than the most extreme. Refer to the Risk Matrix tab for the severity table

L=Likelihood Likelihood of occurance of an accident, incident or ill health is defined as the probability that the said accident, incident or ill health will happen. Choose the likelihood from a value between 1 and 5. Consider the records of such events happening in the past when deciding on the likelihood. Refer to the Risk Matrix tab for the likelihood table

RPN=Risk Prioritisation Number RPN=Severity X Likelihood All RPNs should not be more than 6

Additional risk control measures are required when the RPN indicated in column 2d exceeds 6. If the RPN is 6 or less, enter "NA" in the column

S=Severity S may reduce upon introduction of additional control measures

L=Likelihood L may reduce upon introduction of additional control measures

RPN=Risk Prioritisation Number RPN will reduce upon introduction of additional control measures

Enter the name of the person appointed to oversee the implementation of the additional control measures. Enter the follow-up date.

Fill up all sections in the header of the RA form. Note 1: Discuss with your supervisor/reporting officer on the next review date for the RA. Normally the next review date is up to one year ahead. The RA is also reviewed: (1) When there are changes in work processes/activities (2) After any accidents/incidents

Check your Division rules about team or individual

Describe the work activity to be carried out. Note: Please do not fill in names of machines/equipment to be used. Therefore, a computer is not an

Identify hazard(s) associated with the activity to be carried out. Examples of hazards include chemical, biological, electrical, mechanical, physical, ergonomics, psychosocial, slip & fall etc.

Identify possible accidents/ill health associated with each identified hazard. Examples of possible accidents/ill health include fires, explosions, cuts, burns, frost bites, fractures etc.

Indicate risk control measures that are already in place to eliminate or minimise risks. Methods to control risks may be analysed according to the Hierarchy of Controls: Elimination, Substitution, Engineering Controls, Administrative Controls and Personal Protective Equipment (PPE). Elimination of the hazard should take first priority while PPE should be the last line of defence.

Example: Use water based solvents instead of organic based solvents

Example: Use a less toxic solvent

Example: Use of fume cupboard or gloves boxes Administrative

Example: Work instructions. Good laboratory practices. Training on proper use of chemicals PPE Example: Use of safety

Enter any remarks

S=Severity Severity is the degree or extent of injury or harm caused by the hazards, or as a result of an accident. Choose the most likely severity from a value between 1 and 5, rather than the most extreme. Refer to the Risk Matrix tab for the

L=Likelihood Likelihood of occurance of an accident, incident or ill health is defined as the probability that the said accident, incident or ill health will happen. Choose the likelihood from a value between 1 and 5. Consider the records of such events happening in the past when deciding on the likelihood. Refer to the Risk Matrix tab for the likelihood table

RPN=Risk Prioritisation Number RPN=Severity X Likelihood All RPNs should not be more

Additional risk control measures are required when the RPN indicated in column 2d exceeds 6. If the RPN is 6 or

S=Severity S may reduce

L=Likelihood

RPN=Risk Prioritisation Number RPN will reduce upon introduction of additional control measures

Enter the name of the person appointed to oversee the implementation of the additional control measures. Enter the

Risk Assessment Matrix

Risk Prioritisation Number = Severity x Likelihood

Severity Table

Pt Severity level Workplace Safety Workplace Health Environment Fire Damage Downtime Incurred

5 Critical

Spills to Outside Campus

4 Very Serious

Spills to Outside Building

3 Serious

2 Marginal

1 Negligible

First aid treatment only

No or superficial injury No Exposure

Likelihood Table

Pt Likelihood level Likelihood of Occurrence / Exposure Criteria

5 Frequent Likely to occur many times per year

4 Moderate Likely to occur once per year

3 Occasional Might occur once in three years

2 Remote Might occur once in five years

Fatality, single or multiple

Acute Poisoning, Failure of Major Bodily Functions

More Than $10 million damages

More than 1 year for full re-instatement

Permanent Body Injury or Loss of Use for more than 30 days

Infection with No Known Cure

Infection - outside Campus area

Injury requiring 30 days of hospitalisation

and/or medical leave

Moderate exposure, Reversible injury to Bodily Functions on

prolong recovery

More Than $1 million damages

More than 3 months for full re-instatement

Temporary Body Injury or Loss of Use for more

than 10 days but not exceeding 30 days

Infection with Known Cure but

extensive treatment

Infection - outside Building area but within

Campus

Injury requiring 10 days of hospitalisation

and/or medical leave

Mild exposure, Reversible injury to

Bodily Functions with less than 30 days

recovery

Spills to Outside Laboratory/Room

More Than $100k damages

More than 1 month for full re-instatement

Temporary Body Injury or Loss of Use

for up to 10 days

Infection with Known Cure but

extensive treatment

Infection - outside Laboratory area but

within building

Injury requiring maximum of 3 days of

medical leave only

Very Mild exposure, Reversible injury to

Bodily Functions with less than 3 days

recovery

Spills to Outside Workplace but within

laboratoryMore Than $10k

damagesMore than 5 days for

full re-instatement

Temporary Body Injury or Loss of Use

for 3 days or less

Infection with Known Cure but

treatment needed

Infection - outside workplace but within

Laboratory

Very Mild exposure, Reversible injury to

Bodily Functions with less than 3 days

recovery

Spills within Workplace only

Less than $5k damages

No significant downtime

No Infection or infection with no effects within

workplace

1 Unlikely Might occur once in ten years

Risk level Determination - 5 x 5 Matrix

SEVERITY

LIKE

LIH

OO

D

Action TableColour Score Risks Action

16 - 25 High

12 - 15 Warning

8 -10 Medium

Critical(5)

Very Serious(4)

Serious(3)

Marginal (2)

Negligible(1)

Frequent(5)

25Operation not

permissible

20Operation not

permissible15

High priority10

Review at appropriate time

5Risk acceptable

Moderate(4)

20Operation not

permissible

16Operation not

permissible12

High priority8

Review at appropriate time

4Risk acceptable

Occasional (3)

15High priority

12High priority

9Review at appropriate

time6

Risk acceptable3

Risk acceptable

Remote(2)

10Review at

appropriate time

8Review at

appropriate time6

Risk acceptable4

Risk acceptable2

Risk acceptable

Unlikely(1)

5Risk acceptable

4Risk acceptable

3Risk acceptable

2Risk acceptable

1Risk 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.

Operation not Permissible

Stop operation & review controls. If necessary abort experimentation.

High priority remedial action

Proceed with extreme caution with PI present at all times. Implement additional (secondary) controls immediately. Review

within 7 days. Emergency control measures shall be in place.

Take remedial action at appropriate time

Proceed with care. Additional control is advised. Review shall be implemented within 30 days.

1 - 6 Warning

Risk acceptable: Residual risk

If possible, risk reduction should be further considered, particularly severity.

There are no imminent dangers. Frequent review shall be in place especially changes in procedures, materials or environment.

RISK ASSESSMENT FORM

Project / Work Description: Working with Femtosecond Laser Systems

Risk Assessment Team (Name/s): Johnny (Team Leader), Alice, Roland, Kenny

Date Conducted: 11th March 2012 Next Review Date: 10th March 2013

Hazard Identification Risk Evaluation Risk Control

1a. 1b 1c. 1d. 2a. 2b. 2c. 2d. 3a 3b 3c 3d

S/N Work activity Hazard Severity Likelihood RPN* Severity Likelihood RPN*

1 Physical Hazard Severe Eye Injuries 3 2 6 NA NA NA NA

Electrical Hazard 4 3 12 4 1 4

School / Department & Exact Location Of The Work Performed:(Example: SPMS -PAP - Lab A)

Approved By Supervisor / Reporting Officer: (Name, Date & Signature)Prof Tan (Project Supervisor), 16th March 2012

Possible Accident/ Ill health to persons, fire or

property loss

Existing Risk Control

Additional Risk Control Measures

Operation of Femtosecond Laser Systems

Beam blocks and beam dumps used to blocked off laser beams. Only authorised users are allowed to operate the system. Users are equipped with laser goggles

Electrocution due to high voltage

Warning signs are displayed beside system to warn users of high voltage

Regular servicing and maintenance of laser system by vendor Only authorised users are allow to operate the system

*RPN - Risk Prioritization Number

RISK ASSESSMENT FORM

Project / Work Description: Working with Femtosecond Laser Systems

Risk Control

3e 3f

Remarks

NA NA

NA

Follow up by (name) & date

(Johnny) 13th March 2012

*RPN - Risk Prioritization Number

RISK ASSESSMENT FORM

Risk Assessment Team (Name/s): Benny

Date Conducted: 11th March 2012 Next Review Date: 10th March 2013

Hazard Identification Risk Evaluation

1a. 1b 1c. 1d. 2a. 2b.

S/N Work activity Hazard Severity

1 Irritant Chemicals 1

2 3

School / Department & Exact Location Of The Work Performed:(Example: SPMS -CBC - Lab K)

Possible Accident/ Ill health to persons, fire or

property loss

Existing Risk Control

Weighing chemicals for the synthesis work

Irritation when come in contact with skin and eyes

Handle under fumehood. Put on required PPE - safety glasses, lab coat, long pants, gloves, covered shoes.

Prepare glassware and add chemical into chemical reactor

Glass breakage due to overpressure

(chemical reaction)

Cuts on skin/eye due to flying particles

Inspect glassware before use. Put on required PPE - safety glasses, lab coat, long pants, gloves, covered shoes.

*RPN - Risk Prioritization Number

RISK ASSESSMENT FORM

Project / Work Description: Chemical works

Risk Evaluation Risk Control

2c. 2d. 3a 3b 3c 3d 3e 3f

Likelihood RPN* Severity Likelihood RPN* Remarks

3 3 NA NA NA NA NA NA

3 9 3 1 3 (Benny) Ongoing NA

Approved By Supervisor / Reporting Officer: (Name, Date & Signature)Prof Xiao (Project Supervisor), 16th March 2012

Additional Risk Control Measures

Follow up by (name) & date

Install pressure control / relief valves Supervisor to brief group to pull down fumehood sash

*RPN - Risk Prioritization Number

RISK ASSESSMENT FORM

Risk Assessment Team (Name/s): Joey

Date Conducted: 11th March 2012 Next Review Date: 10th March 2013

Hazard Identification Risk Evaluation

1a. 1b 1c. 1d. 2a. 2b.

S/N Work activity Hazard Severity

1 Sorting of documents / Use of paper 1

1

School / Department & Exact Location Of The Work Performed:(Example: Office)

Possible Accident/ Ill health to persons, fire or

property loss

Existing Risk Control

Contact with sharp edges (from paper edges and bent plaster dividers

Cuts and lacerations to hand and fingers

Handle files and documents with care, avoiding fingers running along the edge of papers. Discard bend plastic folders.

Punching holes for document to be filed

Strike by moving parts or caught between moving parts

Fingers may get injured (crush) during punching

Proper usage of hole punch Do not overload paper for punching Maintenance of hole puncher

Muscular starins 3

*RPN - Risk Prioritization Number

Punching holes for document to be filed

Ergonomic hazard (repetive similar action)

Staff to adopt good ergonomice practice e.g. table height. Job rotations; avoid prolong repetitive punching operation. Brief staff on proper usage of hole punch.

RISK ASSESSMENT FORM

Project / Work Description: General Office Activities

Risk Evaluation Risk Control

2c. 2d. 3a 3b 3c 3d 3e 3f

Likelihood RPN* Severity Likelihood RPN* Remarks

4 4 1 3 3 Office Staff (April 2012) NA

3 3 NA NA NA NA NA NA

Approved By Supervisor / Reporting Officer: (Name, Date & Signature)Mr Lim (Manager), 16th March 2012

Additional Risk Control Measures

Follow up by (name) & date

Provide finger cots to staff to lift paper

1 3 NA NA NA NA NA NA

*RPN - Risk Prioritization Number