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Worksheet

Item / Activity

Room Type

Room

Building

Campus

Discipline/Unit

School/Branch

Faculty/Division

Entity

Date:

Assessor:

Tasks - GeneralAssessment Checklist:

TasksAssessment Type:

OHSMaster Category:

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there potential for a person to be contaminated or infected from contact with animals?

Animal handling

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there potential for a person to receive physical injury from animals? e.g. sea lion capture and

tagging

Animal handling

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be caught between moving parts of a machine? e.g. entrapment,pinch points, potential crush zones

Caught between moving machinery parts

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be caught between two moving objects (not machinery parts)?

Caught between moving objects

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there potential for a person to be caught on rotating parts?

Caught on rotating parts

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to come into contact with chemicals or gas? e.g. fumes from

chemicals, dry ice, machine oils, Liquid N2

Contact with chemicals, fumes or gas

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to come into contact with a cold object? e.g. ice, dry ice, liquid N2,frozen materials

Contact with cold object

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to come into contact with live electricity or receive an electric shock?

e.g. Overhead or underground power lines, exposed wires, water near equipment, leads/switch inpoor condition

Contact with electricity or potential for electric shock

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to come into contact with an object which is hotter than 50 degreesCelsius? e.g. steam, naked flame, laser beams, heating block

Contact with hot object or friction burn

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there potential for bites or stings from contact with an animal or insect? e.g. snake, rat, tick, bee,

wasp

Contact with insect/ animal

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be struck by lightening?

Contact with lightning

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be cut, stabbed or punctured by a sharp object? e.g. knife, sharp

or pointy edge objects, flying or moving objects

Contact with sharp object

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to run or bump into a stationary object? e.g. knock their hand on awall when pushing a trolley

Contact with stationary object

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be in contact with a vibrating object? e.g. holding onto a vibrating

item for a period of time

Contact with vibration

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be entangled on moving parts of a machine? e.g. hair, jewellery,clothing, cleaning aids, gloves

Entangled on moving machinery

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there a possibility of generating significant environmental hazards? e.g. energy/water consumption,

hazardous waste/emissions

Environmental hazards

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there a potential for a person to be injured by an explosion or fire? e.g. ignition of surrounding area,using naked flame, gas, vapour, grain silos, chemical incompatibility, shock sensitive chemicals,chemical stability

Explosion / Fire hazards

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be exposed to biological hazards? e.g. human or animal body

fluids, infectious waste, cultures of micro-organisms

Exposure to biological hazards

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be exposed to a cold environment? e.g. freezer, blast chillers,fridge

Exposure to cold environment

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be working within a confined space? A confined space is defined

by AS2865 and is not necessarily a small or restricted space.

Exposure to confined spaces

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be exposed to gas causing oxygen displacement? e.g. dieselemissions, liquid N, dry ice

Exposure to gas (asphyxiants)

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be exposed to hot or humid environments? e.g. harvesting,

remote areas

Exposure to hot environment

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be exposed to ionising radiation? e.g. sealed sources,radionuclides

Exposure to ionising radiation

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be exposed to mental stress? e.g. bullying, harassment, verbal

abuse at events or service centres

Exposure to mental stress

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be exposed to noise? e.g. exceed an 8 hour noise equivalent of85dB(A) or peak noise levels of more than 140dB(C)

Exposure to noise

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there potential for a person to be exposed to non-ionising radiation? e.g. RF Transmissions,

working outdoors, UV transilluminator, laser beam

Exposure to non-ionising radiation

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be working near a pressure vessel? e.g. autoclave, boiler

Exposure to pressure vessels

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be exposed to a violent situation? E.g. at venues or service

centres or counters

Exposure to violence

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

A tC l

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to fall from a height (greater than 2 metres)?

Fall from heights

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Are there any other hazards associated with this item/activity?

Other

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

A tC l

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be exposed to ergonomic injury? e.g. poor lighting, insufficientspace, seating design, animal handling

Overstress - manual handling and ergonomics

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be exposed to manual handling injury through reaching, bending,

twisting, lifting, pulling, pushing or repetitive motions?

Overstress - manual handling and ergonomics

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

AssessmentComply

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to slip, trip or fall? e.g. slippery, uneven or cluttered work surfaces,plant location, lack of safe guards such as rails

Slips, trips or falls

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be struck by an object falling from above? e.g. item falling from

racking, item falling from a hi lift vehicle to the ground below

Struck by falling objects

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

AssessmentComply

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Likelihood ConsequenceYHazard

HazardDescription/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be struck by a moving object? (This excludes vehicles)

Struck by moving object

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?

Likelihood ConsequenceYHazard

Hazard

Description/Nature of Risk

How can this hazard/threat cause anincident/adverse event?:

__________ __________

N

Is there the potential for a person to be struck by a vehicle? e.g. a car, a truck, a tug, a forklift

Struck by vehicle

Assessment

N/A

Comply

Risk Assessment Keywords

What controls are currently in place?