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Workplace Assessment Sheet: Hazardous Substances and Substances With Health Risks
Workplace Assessment Sheet: Hazardous Substances and Substances With Health Risks
ATTACH
New Substance MSDS
Upgraded MSDS MSDS Review or generic review sheet
Chemical Hazard JSA/SWMS
HAZARDOUS SUBSTANCES AND SUBSTANCES WITH HEALTH RISKS Label
Product ID Dangerous Goods (if applicable)
Observations, Recommendations and Actions form (ORA) (and Relative Level of Risk) to be used Dangerous Goods Risk Assessment
to record and prioritise risk control actions (if applicable)
SUBSTANCE/S: DATE:
WHAT ACTIVITY AND WHAT EXPOSURE ROUTE? WHAT ACTIVITY AND WHAT EXPOSURE ROUTE?
1. Opening Containers / Hooking up Hoses / Oral Eye 2. Passive Exposure Welding Fumes / Oral Eye
Decanting / Dosing Aerosols from processes (sewage) / dusts /
Skin Inhalation particulates Skin Inhalation
What Substances What Substances?
Frequent Infrequent Frequent Infrequent
exposure exposure exposure exposure
3. Surface coating using hand held sprays Oral Eye 4. Surface coating using Aerosols Oral Eye
5. Surface coating (Brush) Oral Eye 6. Transporting - Spills / Ruptures Oral Eye
7. Storing and Handling - Spills / Ruptures Oral Eye 8. Mixing / Testing / Blending Oral Eye
Is earthing and bonding in place for static electricity controls for Is specific guidance and spill control media available for emergency
decanting of Class 3 flammable liquids? spill or rupture?
Comments: Comments:
Is any equipment in hazardous zones (where Class 3 are stored or Has appropriate training been provided and recorded in the HR
handled) inspected, tested and maintained? system (including this assessment?
Comments: Comments:
Other Other
Comments: Comments:
ASSESSMENT TEAM:
CONTROLS
NO OR UNSURE
ABOUT RISK CONTROLS, RAISE ORA AND CALCULATE RELATIVE LEVEL OF RISK FOR MANAGEMENT
IF BY WHOM: DATE:
RESPONSE