/ Task / Protocol / Process / Project
Risk Assessment /

BEFORE COMMENCING, please see the REFERENCE page (page 3) for a description of the risk assessment process and the risk assessment matrix.

Cost Centre: / Area/Department: / Location (room #): / Project Supervisor:
4 / 4Medical Biochemistry / 4 / 4Briony Forbes
TITLE/DESCRIPTION: / 4PCR thermocycler / HazSubs RA cross-reference(s):
44444444444444
RISK ASSESSMENT NO: / SOP cross reference:
4 / Plant RA cross-reference(s):
44444444444
Assessed by: / Name(s) / Position(s) / Assessment Date / Review Date
4Carlie Delaine / 4RA / 430-9-2014 / 430-9-2019(when circumstances &/or information changes)
ADDITIONAL INFORMATION:
1.  / Does this project require any of the following documentation? (ý) If yes, STATUS: Please provide relevant approval/permit reference details/number & date
IBC/OGTR approval / -select-N/AApproval currentApproval pendingNot submitted / details4 date4
Animal ethics approval / -select-N/AApproval currentApproval pendingNot submitted / details4 date4
Human ethics approval / -select-N/AApproval currentApproval pendingNot submitted / details4 date4
AQIS permit / -select-N/AApproval currentApproval pendingNot submitted / details4 date4
Material Transfer Agreement (MTA) / -select-N/AApproval currentApproval pendingNot submitted / details4 date4
Other permits/certifications/licences / details4
Other mandatory documentation / details4
2.  / Have Safe Operating Procedures and/or Safe Work Procedures been developed for this project/task/protocol? / YES / NO
If YES, please enter document cross-reference details above.
If further action is required, to be completed by: / NAME: / 4 / POSITION: / 4 / DATE: / 4
SUMMARY OF RISK:
Complete the table (page 2), review the risk measured, and the controls, then please select the relevant risk summary statement:
A / The assessment reveals that the potential risk to health in the conduct of this protocol is not currently significant
B / The assessment reveals that the potential risk to health in the conduct of this protocol is significant, however controls are in place that reduce risk to acceptable levels
C / The assessment reveals that the potential risk to health in the conduct of this protocol is significant. Interim controls are in place to reduce risk to acceptable levels.
Project Supervisor: / 4 / 4 / 4
NAME / signature / date

Identified Hazards

/ Risk Assessment / Risk
Rating
(see matrix) / Required Controls
(consider control hierarchy) / Controls
implemented
Hazard Type / Hazard Description prompts / Comment / Specific Details / Consequence
? Fatality-may cause death or loss of facilityMajorInjury-severe injury, illness, facility lossMinorInjury-injury,illness- days off work FirstAid-first aid level treatmentNegligible-no medical treatment / Probability
? Very likely-expected to occur immediately or soonLikely-will probably occur in timePossible-could happen occasionallyUnlikely-Could eventually happen ~a yearHighly unlikely-potential to occur, probably won't / Yes / No
Physical / -Physical hazard prompts- Electrical exposureVehicle/vessel accidentManual handlingPressure vessels/systems-explosion/implosionPressure vessels/systems-hazardous subst exposureThermal-hot/cold burns-water,surfaces,fragmentsNoise/vibration due to mechanical actionEntanglement/entrapment by mechanical actionCutting/crushing/striking by mechanical actionCutting/striking-unexpected plant/material shiftSlipping/tripping/falling due to surfacesSlipping/tripping/falling due to structure/designAsphyxiation-fumes,vapours,poor ventilationMaintenance or housekeeping issuesMisuse by untrained/unauthorised person / 4electric shock. / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4Equipment serviced by Biomedical Engineering.
All electrical items are tested and tagged by Testel as required.
-Physical hazard prompts- Electrical exposureVehicle/vessel accidentManual handlingPressure vessels/systems-explosion/implosionPressure vessels/systems-hazardous subst exposureThermal-hot/cold burns-water,surfaces,fragmentsNoise/vibration due to mechanical actionEntanglement/entrapment by mechanical actionCutting/crushing/striking by mechanical actionCutting/striking-unexpected plant/material shiftSlipping/tripping/falling due to surfacesSlipping/tripping/falling due to structure/designAsphyxiation-fumes,vapours,poor ventilationMaintenance or housekeeping issuesMisuse by untrained/unauthorised person / 4 risk of burn / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4Trained people use only
Make sure the lid is kept closed.
-Physical hazard prompts- Electrical exposureVehicle/vessel accidentManual handlingPressure vessels/systems-explosion/implosionPressure vessels/systems-hazardous subst exposureThermal-hot/cold burns-water,surfaces,fragmentsNoise/vibration due to mechanical actionEntanglement/entrapment by mechanical actionCutting/crushing/striking by mechanical actionCutting/striking-unexpected plant/material shiftSlipping/tripping/falling due to surfacesSlipping/tripping/falling due to structure/designAsphyxiation-fumes,vapours,poor ventilationMaintenance or housekeeping issuesMisuse by untrained/unauthorised person / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
-Physical hazard prompts- Electrical exposureVehicle/vessel accidentManual handlingPressure vessels/systems-explosion/implosionPressure vessels/systems-hazardous subst exposureThermal-hot/cold burns-water,surfaces,fragmentsNoise/vibration due to mechanical actionEntanglement/entrapment by mechanical actionCutting/crushing/striking by mechanical actionCutting/striking-unexpected plant/material shiftSlipping/tripping/falling due to surfacesSlipping/tripping/falling due to structure/designAsphyxiation-fumes,vapours,poor ventilationMaintenance or housekeeping issuesMisuse by untrained/unauthorised person / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
-Physical hazard prompts- Electrical exposureVehicle/vessel accidentManual handlingPressure vessels/systems-explosion/implosionPressure vessels/systems-hazardous subst exposureThermal-hot/cold burns-water,surfaces,fragmentsNoise/vibration due to mechanical actionEntanglement/entrapment by mechanical actionCutting/crushing/striking by mechanical actionCutting/striking-unexpected plant/material shiftSlipping/tripping/falling due to surfacesSlipping/tripping/falling due to structure/designAsphyxiation-fumes,vapours,poor ventilationMaintenance or housekeeping issuesMisuse by untrained/unauthorised person / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
-Physical hazard prompts- Electrical exposureVehicle/vessel accidentManual handlingPressure vessels/systems-explosion/implosionPressure vessels/systems-hazardous subst exposureThermal-hot/cold burns-water,surfaces,fragmentsNoise/vibration due to mechanical actionEntanglement/entrapment by mechanical actionCutting/crushing/striking by mechanical actionCutting/striking-unexpected plant/material shiftSlipping/tripping/falling due to surfacesSlipping/tripping/falling due to structure/designAsphyxiation-fumes,vapours,poor ventilationMaintenance or housekeeping issuesMisuse by untrained/unauthorised person / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
Environment / -Environment hazard prompts- LightingNoiseVentilationTerrain (incl. water)Remote locationThermal-hot,coldSpace/positionSlip,trip,fall hazardOutdoor work-weather,sun exposure,lightOurdoor work-insect/animal bites/stingsWorking aloneWorking at heights-fallsWorking at heights-psychological injuryConfined spaces-entrapment/asphyxiationConfined spaces-psychological injuryMaintenance or housekeeping issues / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4.
-Environment hazard prompts- LightingNoiseVentilationTerrain (incl. water)Remote locationThermal-hot,coldSpace/positionSlip,trip,fall hazardOutdoor work-weather,sun exposure,lightOurdoor work-insect/animal bites/stingsWorking aloneWorking at heights-fallsWorking at heights-psychological injuryConfined spaces-entrapment/asphyxiationConfined spaces-psychological injuryMaintenance or housekeeping issues / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4.
-Environment hazard prompts- LightingNoiseVentilationTerrain (incl. water)Remote locationThermal-hot,coldSpace/positionSlip,trip,fall hazardOutdoor work-weather,sun exposure,lightOurdoor work-insect/animal bites/stingsWorking aloneWorking at heights-fallsWorking at heights-psychological injuryConfined spaces-entrapment/asphyxiationConfined spaces-psychological injuryMaintenance or housekeeping issues / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
-Environment hazard prompts- LightingNoiseVentilationTerrain (incl. water)Remote locationThermal-hot,coldSpace/positionSlip,trip,fall hazardOutdoor work-weather,sun exposure,lightOurdoor work-insect/animal bites/stingsWorking aloneWorking at heights-fallsWorking at heights-psychological injuryConfined spaces-entrapment/asphyxiationConfined spaces-psychological injuryMaintenance or housekeeping issues / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
-Environment hazard prompts- LightingNoiseVentilationTerrain (incl. water)Remote locationThermal-hot,coldSpace/positionSlip,trip,fall hazardOutdoor work-weather,sun exposure,lightOurdoor work-insect/animal bites/stingsWorking aloneWorking at heights-fallsWorking at heights-psychological injuryConfined spaces-entrapment/asphyxiationConfined spaces-psychological injuryMaintenance or housekeeping issues / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
Chemical / -Chemical hazard prompts- Hazardous substance-toxic/poisonHazardous substance-burns-corrosive/thermalHazardous gases/vapours/fumes/dustsControlled/security sensitive substanceStorage/disposal of hazardous substanceChemical, other / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4•
-Chemical hazard prompts- Hazardous substance-toxic/poisonHazardous substance-burns-corrosive/thermalHazardous gases/vapours/fumes/dustsControlled/security sensitive substanceStorage/disposal of hazardous substanceChemical, other / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4•
-Chemical hazard prompts- Hazardous substance-toxic/poisonHazardous substance-burns-corrosive/thermalHazardous gases/vapours/fumes/dustsControlled/security sensitive substanceStorage/disposal of hazardous substanceChemical, other / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
-Chemical hazard prompts- Hazardous substance-toxic/poisonHazardous substance-burns-corrosive/thermalHazardous gases/vapours/fumes/dustsControlled/security sensitive substanceStorage/disposal of hazardous substanceChemical, other / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
-Chemical hazard prompts- Hazardous substance-toxic/poisonHazardous substance-burns-corrosive/thermalHazardous gases/vapours/fumes/dustsControlled/security sensitive substanceStorage/disposal of hazardous substanceChemical, other / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
Biological / -Biological hazard prompts- Unintentional release / spillage of GMOsTransport of GMOsStorage of GMOsDisposal of GMOsTransport of GMO-contaminated wasteDisposal of GMO-contaminated wasteHandling/Storing/Disposing of infectious materialsExposure to pathogens/viruses/mouldsHandling/disposing of contaminated sharpsInsect/animal bites/stingsBiological, other / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
-Biological hazard prompts- Unintentional release / spillage of GMOsTransport of GMOsStorage of GMOsDisposal of GMOsTransport of GMO-contaminated wasteDisposal of GMO-contaminated wasteHandling/Storing/Disposing of infectious materialsExposure to pathogens/viruses/mouldsHandling/disposing of contaminated sharpsInsect/animal bites/stingsBiological, other / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
-Biological hazard prompts- Unintentional release / spillage of GMOsTransport of GMOsStorage of GMOsDisposal of GMOsTransport of GMO-contaminated wasteDisposal of GMO-contaminated wasteHandling/Storing/Disposing of infectious materialsExposure to pathogens/viruses/mouldsHandling/disposing of contaminated sharpsInsect/animal bites/stingsBiological, other / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
-Biological hazard prompts- Unintentional release / spillage of GMOsTransport of GMOsStorage of GMOsDisposal of GMOsTransport of GMO-contaminated wasteDisposal of GMO-contaminated wasteHandling/Storing/Disposing of infectious materialsExposure to pathogens/viruses/mouldsHandling/disposing of contaminated sharpsInsect/animal bites/stingsBiological, other / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
-Biological hazard prompts- Unintentional release / spillage of GMOsTransport of GMOsStorage of GMOsDisposal of GMOsTransport of GMO-contaminated wasteDisposal of GMO-contaminated wasteHandling/Storing/Disposing of infectious materialsExposure to pathogens/viruses/mouldsHandling/disposing of contaminated sharpsInsect/animal bites/stingsBiological, other / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
Radiation / -Radiation hazard prompts- X-rays/beta/gamma-ionising radiationUltraViolet-non-ionising radiationLaser-emitted radiationInfrared radiation / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
-Radiation hazard prompts- X-rays/beta/gamma-ionising radiationUltraViolet-non-ionising radiationLaser-emitted radiationInfrared radiation / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
Ergonomic / -Ergonomic hazard prompts- SeatingOperator postureRepetitive body movementWorkstation designMachinery design / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
-Ergonomic hazard prompts- SeatingOperator postureRepetitive body movementWorkstation designMachinery design / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
Psychosocial / -Psychosocial hazard prompts- Stress from task/time demandsStress from lack of instruction / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4
Other / 4 / 4 / -Select-FatalityMajor injuryMinor injuryFirst aidNegligible / -Select-Very likelyLikelyPossibleUnlikelyHighly unlikely / -Select-EXTREMEHIGHMEDIUMLOW / 4

1

Project RA Form adapted from Flinders OHS Unit RA form by Lyn Spencer updated February 2010

/ Task / Protocol / Process / Project
Risk Assessment /

1

Project RA Form adapted from Flinders OHS Unit RA form by Lyn Spencer updated February 2010

/ Task / Protocol / Process / Project
Risk Assessment REFERENCE PAGE /

Purpose of this RA:

to bring together the assessment of all risks associated with the conduct of a protocol or process that uses plant, &/or workplace substances &/or requires ethics, OGTR approval or other permits, and to identify the controls required to minimise those risks:

·  Consider the use of any workplace substances and plant/equipment in the procedures and the environment and manner in which it is conducted.

·  Cross reference all relevant Hazardous Workplace Substances or Plant Risk Assessments, and include approval/permit references where applicable.

Assessment Process:

Complete the information on page 2 to:

1. Identify the HAZARDS (see Identified Hazards section pg2 ) – CONSIDER: work systems, equipment/plant, substances, environment, transport, disposal.
2. Assess the RISK – the PROBABILITY (likelihood) of an occurrence / 3. And the CONSEQUENCE of the occurrence
Very Likely / Will probably occur immediately or within a short period of time / Fatality / May cause death or loss of facility
Likely / Will probably occur in time / Major / Severe injury or illness or major property damage
Possible / Could happen occasionally / Minor / Injury or illness requiring days off work or minor property damage
Unlikely / Could eventually happen (rare) / First Aid / First aid level treatment
Highly unlikely / Has potential to occur, but probably never will / Negligible / No medical treatment
4. Calculate the overall RISK RATING using the risk matrix:
Risk Matrix: / CONSEQUENCE / PROBABILITY / Risk Control Hierarchy
Very likely / Likely / Possible / Unlikely / Highly unlikely / MOST PREFERRED / Elimination / Is it necessary?
Fatality / Extreme / High / High / High / Medium / Substitution / Use a less hazardous alternative? Is it available ready to use?
Major injury / High / High / High / Medium / Medium / Isolation / Eg Can the plant/process be isolated or automated
Minor injury / High / Medium / Medium / Medium / Medium / Engineering / Eg Fume cupboard, use trolleys to move loads
First aid / Medium / Medium / Medium / Low / Low / Administration / Eg: MSDS, signage, training, SOP
Negligible / Medium / Medium / Low / Low / Low / LEAST PREFERRED / PPE-Personal Protective Equipment / Eg: Gloves, labcoat, safety glasses, closed-toe shoes
5. Identify the RISK CONTROLS (refer Risk Control Hierarchy) that are already in place or are required to reduce the risk to an acceptable level
6. Review in 5 years or when circumstances/information changes– is the process working effectively to identify hazards and control risk?

NB: please refer to the Flinders University OH&S website for further information: http://www.flinders.edu.au/ohsw/

1

Project RA Form adapted from Flinders OHS Unit RA form by Lyn Spencer updated February 2010