Laboratory Risk Assessment Form

Laboratory Risk Assessment (LRA) September 2016

WESTERN SYDNEY UNIVERSITY

LABORATORY RISK ASSESSMENT FORM

To complete this form refer to LRA Guidance Notes & University Hazard Identification, Risk Assessment and Control Procedures
PROJECT/EXPERIMENTAL DATA
Staff/Researcher/Student:
Supervisor/s (name and qual):
College/School/Centre:
Unit No./Course No.:
Location (Campus, Room No.):
Project Title:
Briefly outline the procedure for this project/experiment:
LEGAL OBLIGATIONS
The NSW WHS Act 2011 and WHS Regulation 2011 require the identification of all reasonably foreseeable hazards in the workplace that could give rise to health and safety risks. These risks must be managed through elimination as far as reasonably practicable, and if it is not reasonably practicable to do so, by minimising those risks by implementing the hierarchy of control measures.

SUMMARY OF RISK ASSESSMENT

Physical Hazards - Yes No
Electrical Hazards - Yes No
Chemical Hazards - Yes No
Biological Hazards - Yes No
Radiation Hazards - Yes No
If yes to any of the above complete the appropriate risk assessment attached.
If work involves ‘physical activity’ (e.g. exercise and sports assessment) of staff/students complete “pre-screening questionnaire” prior to commencement.

DISSEMINATION OF RISK ASSESSMENT

It is imperative that copies of this form be distributed to relevant personnel, such as technical staff involved in the project, laboratory supervisors and casual staff for undergraduate units.
Has a copy of this form been disseminated to all relevant personnel? Yes No
DECLARATION
We the undersigned declare that this Laboratory Risk Assessment is a true record of the Risk Assessment undertaken. We agree to monitor the effectiveness of control measures and review this Risk Assessment in line with the requirements of the WHS Regulation 2011. Approved by:
Student/Staff Researcher: Date:
Supervisor/s: Date:
Head of School/ Director equivalent: Date:
Provided the procedure and location does not change this Risk Assessment is valid for FIVE years from approval date.
THIS RISK ASSESSMENT EXPIRES ON:

1 of 12

Signature: Date: Review Date4:

Laboratory Risk Assessment (LRA) September 2016

RISK ASSESSMENT FOR PHYSICAL HAZARDS

Physical hazards relate to the equipment and processes that you use and include heat, cold, noise, dust, machinery, manual handling, power tools, working at heights, electrical equipment, vacuum and pressure equipment, ignition sources, projectiles, fire/explosion etc.

Are Standard Operating Procedures (SOP) available for any of the identified physical hazards? Yes No
If ‘Yes’, please specify where SOP are located

Physical Hazard

Identify the hazards / Risk (Harm)
Determine the risks associated with the hazard / Risk Rating
(R)1 /

Risk Control Measures

Determine control measures required to eliminate or minimise the risk using ‘hierarchy of control measures’. / Risk Rating
(R)2 / Trained in
Control
Measure 3

AC

/ /

RISK ASSESSMENT FOR ELECTRICAL HAZARDS

Electrical equipment used in hostile environments[1] must be inspected and tested in accordance with the requirements of the WHS Regulation 2011 and the recommendations of AS/NZS 3760 and ‘Managing Electrical Risks in the Workplace’ (Safe Work Australia).
· Plug-in electrical equipment, leads and outlets must be regularly visually inspected and always before use
· Plug-in electrical equipment in hostile environments is tested and tagged at least every 12 months
Equipment must be compliant and have a current valid dated tag. Prior to using the equipment the Supervisor/Technical officer or Researcher MUST check the equipment prior to use to ensure its safe operation.
DO NOT USE equipment if it is faulty, requires maintenance and has not been tested and tagged by an authorised person.
Contact your supervisor if necessary.

Equipment Description what it is used for:

/ Brand / Model number or name

RISK ASSESSMENT FOR CHEMICAL HAZARDS

Has SDS* for each chemical been read, understood and made readily accessible? Yes No
If ‘Yes’, specify location of SDS (room/building no.)
Are adequate transport and storage facilities available? Yes No
Are appropriate chemical waste disposal systems available? Yes No
Are appropriate procedures in place in the event of a spill, leak or emergency? Yes No
Is health surveillance and/or monitoring required for any chemical? Yes+ No

+ If ‘Yes’, contact WHS Technical Coordinator before commencing use of chemical.

*Safety Data Sheet

Chemical Hazard

/ Qty and Conc. / Specific procedure for spill, leak or emergency5
(Specify) / Risk (Harm)
Refer to SDS*
(see risk statements) / Risk Rating (R)1 / Risk Control MeasuresRefer to MSDS* / Risk Rating (R)2 / Trained in
Control
Measure3
Specify if Hazardous Chemical or Dangerous Good /

/ /

/
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