Professional Documents
Culture Documents
Form : FM-TR-MDYU-06
Revisi : 0
Tgl. Eff : 26 Maret 2019
S/N Work activity Hazard Possible Accident/ Ill Existing Risk Severity Likeli RPN* Additional Risk Severity Likeli RPN* Follow up by Remarks
health to persons, fire or Control hood Control Measures hood (name) & date
property loss
*RPN - Risk Prioritization Number
Risk Assessment Matrix
Risk Prioritisation Number = Severity x Likelihood
Severity Table
Pt Severity level Workplace Safety Workplace Health Environment Fire Damage Downtime Incurred
Fatality, Acute Poisoning, More Than $10 More than 1 year for
Failure of Major Spills to Outside Campus
single or multiple million damages full re-instatement
Bodily Functions
5 Critical
Permanent Body
Injury or Loss of Use Infection with No Infection - outside
Known Cure Campus area
for more than 30 days
Mild exposure,
Injury requiring 10 days Reversible injury to Spills to Outside More Than $100k More than 1 month for
of hospitalisation Bodily Functions with Laboratory/Room damages full re-instatement
and/or medical leave less than 30 days
recovery
3 Serious
No Infection or infection
No or superficial injury No Exposure with no effects within
workplace
Likelihood Table
Pt Likelihood level Likelihood of Occurrence / Exposure Criteria
SEVERITY
Critical Very Serious Serious Marginal Negligible
(5) (4) (3) (2) (1)
Frequent 25 20 15 10 5
(5) Operation not Operation not High priority Review at Risk acceptable
permissible permissible appropriate time
Moderate 20 16 12 8 4
(4) Operation not Operation not High priority Review at Risk acceptable
permissible permissible appropriate time
LIKELIHOOD
Occasional 15 12 9 6 3
Review at appropriate
(3) High priority High priority time Risk acceptable Risk acceptable
Remote 10 8 6 4 2
Review at Review at
(2) appropriate time appropriate time Risk acceptable Risk acceptable Risk acceptable
Unlikely 5 4 3 2 1
(1) Risk acceptable Risk acceptable Risk acceptable Risk acceptable Risk 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.
Action Table
Colour Score Risks Action
Column 1d 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.
Column 2a 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
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 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
Column 2c 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
Column 3a 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
Column 3b S=Severity
S may reduce upon introduction of additional control measures
Column 3c L=Likelihood
L may reduce upon introduction of additional
control measures
Column 3e Enter the name of the person appointed to oversee the implementation of the additional
control measures. Enter the follow-up date.
Risk Assessment Team (Name/s): Johnny (Team Leader), Alice, Roland, Kenny Approved By Supervisor / Reporting Officer:
(Name, Date & Signature)
Prof Tan (Project Supervisor), 16th March 2012
Date Conducted: 11th March 2012 Next Review Date: 10th March 2013
S/N Work activity Hazard Possible Accident/ Existing Risk Control Severity Likelihood RPN* Additional Risk Severity Likelihood RPN* Follow up by Remarks
Ill health to Control Measures (name) &
persons, fire or date
property loss
1 Operation of Femtosecond Physical Hazard Severe Eye Injuries Beam blocks and beam 3 2 6 NA NA NA NA NA NA
Laser Systems dumps used to blocked
off laser beams.
Only authorised users
are allowed to operate
the system.
Users are equipped with
laser goggles
Electrical Hazard Electrocution due Warning signs are 4 3 12 Regular servicing 4 1 4 (Johnny) 13th NA
to high voltage displayed beside system and maintenance March 2012
to warn users of high of laser system by
voltage vendor
Only authorised
users are allow to
operate the
system
*RPN - Risk Prioritization Number
RISK ASSESSMENT FORM
School / Department & Exact Location Of The Work Performed: Project / Work Description: Chemical works
(Example: SPMS -CBC - Lab K)
S/N Work activity Hazard Possible Accident/ Existing Risk Severity Likelihood RPN* Additional Severity Likelihood RPN* Follow up Remarks
Ill health to Control Risk Control by (name) &
persons, fire or Measures date
property loss
S/N Work activity Hazard Possible Existing Risk Severity Likelihood RPN* Additional Severity Likelihood RPN* Follow up by Remarks
Accident/ Ill Control Risk Control (name) & date
health to Measures
persons, fire or
property loss
1 Sorting of Contact with Cuts and Handle files and 1 4 4 Provide finger 1 3 3 Office Staff NA
documents / Use of sharp edges lacerations to documents with cots to staff to (April 2012)
paper (from paper hand and fingers care, avoiding lift paper
edges and bent fingers running
plaster dividers along the edge of
papers.
Discard bend
plastic folders.
Punching holes for Strike by moving Fingers may get Proper usage of 1 3 3 NA NA NA NA NA NA
document to be parts or caught injured (crush) hole punch
between moving during punching Do not overload
filed parts paper for
punching
Maintenance of
hole puncher
Ergonomic Muscular starins Staff to adopt 3 1 3 NA NA NA NA NA NA
hazard (repetive good ergonomice
similar action) practice e.g. table
height. Job
rotations; avoid
prolong repetitive
punching
operation.
Brief staff on
proper usage of
hole punch.