ChemEng HSE-subcommittee, UTP

RISK ASSESSMENT FOR LABORATORY WORK

Prepared By
1 2 . . . . . . . Student ID . Student ID . Student ID . Student ID . Student ID . Student ID . Student ID .

3 4
5 6 7

Room No DESCRIPTION OF TASK

Laboratory ..

a) PRELIMINARY RISK ASSESSMENT Title of research project: Types of experiments to be performed:

b) EXPERIMENTAL RISK ASSESSMENT Name of experiment: Brief Procedure of Experiment:

Doc: Risk Assessment Form_RA001 Created: 15/7/2004

Custodian: ChemEng HSE-Sub-committee Last Review: July 2004

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ChemEng HSE-subcommittee, UTP

DANGEROUS PROPERTIES OF CHEMICALS/MATERIALS (Please tick appropriate properties) Flammable Corrosive Oxidising Harmful Name of Chemicals/Materials Other
(Please detail)

CHEMICAL/MATERIAL RISKS IDENTIFICATION & RATINGS

Risk Without Control Measures Worst-case outcome Probability of outcome Control Measures With Control Measures Worstcase outcome Probability of outcome

Doc: Risk Assessment Form_RA001 Created: 15/7/2004

Custodian: ChemEng HSE-Sub-committee Last Review: July 2004

Irritant

Toxic

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ChemEng HSE-subcommittee, UTP

PHYSICAL RISKS IDENTIFICATION & RATINGS

Risk Without Control Measures Worst-case outcome Probability of outcome Control Measures With Control Measures Worstcase outcome Probability of outcome

WASTE DISPOSAL Chemical Waste Scheduled/ Non-Scheduled Disposal Method

Doc: Risk Assessment Form_RA001 Created: 15/7/2004

Custodian: ChemEng HSE-Sub-committee Last Review: July 2004

Page 3 of 4 Next Review:

ChemEng HSE-subcommittee, UTP

CONCLUSION OF RISK ASSESSMENT

No Significant Risk

Significant risk but adequate controls in place

Note: If you could not categorise the risk according to the above criteria, FURTHER ASSESSMENT may be needed and the experiment should NOT proceed.

Experiment Approved By . (Supervisor/Lab Demonstrator) Name ...

Date ..

Staff ID

Doc: Risk Assessment Form_RA001 Created: 15/7/2004

Custodian: ChemEng HSE-Sub-committee Last Review: July 2004

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