RISK ASSESSMENT FORM / Doc# SS17
Cost Centre:
Fac. Health Sciences, School of Medicine / Department:
Support Services / Location:
School of Medicine / Area Supervisors:
Tadija Petronijevic and Angela Binns
Plant / Equipment / Procedure:
Photocopier / Compiled by:
Angela Binns / Date: 15.07.13
Probability - Risk Factors → / Consequence (cons) - Risk Factors → / Risk Assessment
Very Likely (V) / Probably occur immediately or within a short period of time / Fatality (F) / May cause death or loss of facility / Probability
V / L / U / H
Likely (L) / Probably occur in time / Major (M) / Severe injury or illness or major property damage / Cons. / Fatality / H / H / H / M
Major
(M) / H / H / M / M
Unlikely (U) / Could eventually happen / Minor (m) / Minor (usually reversible) injury or illness resulting in days off work or minor property damage / Minor
(m) / H / M / M / L
Negligible / M / M / L / L
Highly Unlikely (H) / Has potential to occur, but probably never will occur / Negligible (N) / Minor injury, possible first aid / Remember to Consider
Equipment / Plant
Environment
Worker Competency
Item / Hazard / P / C / RA / Control / Action by / Date
1 / Electrical Hazards / H / N / L / Ø  All electrical items are tested and tagged by Testel as required. / Environmental Services / 2006
2 / Paper cuts when loading photocopier / H / N / L / Ø  Use safe procedures and carefully load paper. / Office area / 2006
3 / Toner / H / N / L / Ø  Correct protocol used to load new toner ane discard old toner cartridge as per operators example.
Ø  Have SDS available for toners. / Office area / 2006
4
5
6
NOT REGULATED
FOR TRANSPORT OF DANGEROUS GOODS

/ Solid.
Does not mix with water.
Floats on water.


Chronic Health Effects:
Limited evidence of a carcinogenic effect*.
May possibly affect fertility*.
Cumulative effects may result following exposure*.
* (limited evidence).
/ / / / /
+ / + / + / + / + / +
X: Must not be stored together
O: May be stored together with specific preventions
+: May be stored together

Issue Date: 30/3/2006 Print Date: 28/2/2007
Copyright ChemWatch +613 9572 4700.
/

Engineering Controls:
General Exhaust Ventilation adequate.
Glasses:
Not normally required.
Gloves:
When handling larger quantities:
PVC chemical resistant type.
Respirator:
Particulate
Storage & Transport:
Store in cool, dry, protected area.
Fire/Explosion Hazard:
Toxic smoke/fumes in a fire.


FIRST AID
Swallowed:
Give water (if conscious). Seek medical advice.
Eye:
Wash with running water.
Skin:
Wash with water and soap.
Inhaled:
Fresh air. Rest, keep warm. If breathing shallow, give
oxygen. Medical attention.
Blow nose. Rinse mouth with water.
Advice to Doctor:
Treat symptomatically.
Spills & Disposal:
Avoid dust.
Sweep/shovel to safe place.