Professional Documents
Culture Documents
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Principle Investigator/Area Supervisor: Brief Description of Laboratory Activities/Project: Date of Assessment:
Department:
Assessor(s)/Team:
Building: Positions affected by area (lab personnel/students/faculty/staff/visitors):
Room Number: Lab Operation Hours (if operational hours impact the Risk Assessment):
Exposure to
Carcinogens
Exposure to Irritants
Exposure to Sensitizers
How could you be Given the exposure, what is Consequences (Outcome)
Existing Control
Hazard/Exposure Category exposed to this hazard? negative outcome? (briefly What is the Value Measure In Place
(briefly describe) describe) expected harm? 0 to 5
Unstable (reactive) /
Polymerizable Material
Combustible Liquid /
Flammables
Exposure to
Biohazards/Bloodborne Pathogens
Combustible Dust
How could you be Given the exposure, what is Consequences (Outcome)
Existing Control
Hazard/Exposure Category exposed to this hazard? negative outcome? (briefly What is the Value Measure In Place
(briefly describe) describe) expected harm? 0 to 5
Oxidizer
Pyrophoric Material
Exposure to Compressed
Gases
(including cryogenic
material)
Exposure to heat/cold
Exposure to Noise
Walking/Working Surfaces
Pressure vessels
Material Handling of
Chemicals (Bulk)
Physical Hazards -
Exposure to Rotating
Equipment & Points of
Operation
Welding/Cutting Hazards
Eye Hazards
Unattended Operations
Working Alone
How could you be Given the exposure, what is Consequences (Outcome)
Existing Control
Hazard/Exposure Category exposed to this hazard? negative outcome? (briefly What is the Value Measure In Place
(briefly describe) describe) expected harm? 0 to 5
0
Probability Risk
Value 0 to Rating
5 Number
0
Probability Risk
Value 0 to Rating
5 Number
0
Probability Risk
Value 0 to Rating
5 Number
0
Probability Risk
Value 0 to Rating
5 Number
0
Risk Hazard Matrix
Consequences Probability
Probably
Will occur
will occur Frequent/
Possible under
under Regular /
Unlikely to occur current
routine Continuous
over time condition
condition Occurrence
s
People s
1 2 3 4 5
Fatality(s) / Chronic Illness with no recovery 5
High Risk
Injury/Illness requiring medical treatment by a medical
professional beyond first aid / no time off work required 3 Medium Risk
Low Risk
Minimal - no medical treatment or assistance
needed. 1