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    Sitxwhs006 - Appendix A

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    Chemistry Sonia
    This document provides a WHS hazard identification and risk assessment form. It includes sections to document an assessment task, identified hazards and affected activities/personnel, potential risks and risk scores, and risk control measures based on the hierarchy of controls. A risk analysis matrix defines risk levels from high to low. It also explains the hierarchy of risk controls from elimination to personal protective equipment as a last resort.

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    Sitxwhs006 - Appendix A

    Uploaded by

    Chemistry Sonia
    51 views4 pages
    This document provides a WHS hazard identification and risk assessment form. It includes sections to document an assessment task, identified hazards and affected activities/personnel, potential risks and risk scores, and risk control measures based on the hierarchy of controls. A risk analysis matrix defines risk levels from high to low. It also explains the hierarchy of risk controls from elimination to personal protective equipment as a last resort.

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    Sitxwhs006 - Appendix a (1)

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    This document provides a WHS hazard identification and risk assessment form. It includes sections to document an assessment task, identified hazards and affected activities/personnel, potential risks and risk scores, and risk control measures based on the hierarchy of controls. A risk analysis matrix defines risk levels from high to low. It also explains the hierarchy of risk controls from elimination to personal protective equipment as a last resort.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    51 views4 pages

    Sitxwhs006 - Appendix A

    Uploaded by

    Chemistry Sonia
    This document provides a WHS hazard identification and risk assessment form. It includes sections to document an assessment task, identified hazards and affected activities/personnel, potential risks and risk scores, and risk control measures based on the hierarchy of controls. A risk analysis matrix defines risk levels from high to low. It also explains the hierarchy of risk controls from elimination to personal protective equipment as a last resort.

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    SITXWHS006

    Appendix A – WHS Hazard Identification and Risk Assessment Form

    Risk Assessment completed by:

    Date:

    Assessment task:

    Implementation
    Activity/ Person
    Hazards
    Affected Potential risks
    (describe the hazard and location) Risk Risk control measure
    (work activity or job (describe consequences and
    Score (based on Hierarchy of Controls) Action by Due Date
    role associated with impacts of the risk)
    hazard)

    Version: 1.0 – Sep 2022 Gen Institute Pty Ltd © Page 1 of 4


    SITXWHS006

    Implementation
    Activity/ Person
    Hazards
    Affected Potential risks
    (describe the hazard and location) Risk Risk control measure
    (work activity or job (describe consequences and
    Score (based on Hierarchy of Controls) Action by Due Date
    role associated with impacts of the risk)
    hazard)

    Risk Analysis Matrix – Level of Risk

    Version: 1.0 – Sep 2022 Gen Institute Pty Ltd © Page 2 of 4


    SITXWHS006

    Risk Assessment Risk Score Action required -


    Identified Hazards Risk Level
    Likelihood Consequence Hierarchy of Controls
    (L x C)
    (L) (C)

    Likelihood
    Severity The numbers 1 to 6 in the chart indicate the level
    Very likely Likely Unlikely Very unlikely of risk.
    Fatal 1 1 2 3 1 to 2 = High (take action immediately)
    3 to 4 = Medium (take action as soon as
    Critical 1 1 2 3 possible)
    5 to 6 = Low (may not need to take action)
    Major 1 2 3 4
    Minor 2 3 4 5
    Negligible 3 4 5 6

    Version: 1.0 – Sep 2022 Gen Institute Pty Ltd © Page 3 of 4


    SITXWHS006

    Hierarchy of Risk Controls


    Elimination is a permanent solution and should be attempted in the first instance.
    Substitution involves replacing the hazard or environmental aspect by one of lower risk.
    Engineering controls involve physical barriers or structural changes to the environment or process.
    Administrative controls reduce hazard by altering procedures and providing instructions.
    Personal protective equipment last resort or temporary control.

    Version: 1.0 – Sep 2022 Gen Institute Pty Ltd © Page 4 of 4

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