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Document Number:
F24-01
Page 1 of 7
Hazardous Chemicals & Dangerous
Goods Risk Assessment
Approved by: Ruth Hampton
F24-01
Issue:
2
Issue Date:
6th December 2011
Review Date:
21st February 2016
Hazardous chemical means any substance, mixture or article that satisfies the criteria for a hazard class in the
Globally Harmonised System of Classification and Labelling of Chemicals (GHS) including a classification
referred to in Schedule 6 of the WHS Regulations
Section 1 – Risk Assessment Identifying Information
Trade Name of Chemical:
Date of Risk Assessment:
/
/
Names of Persons
Conducting Risk
Assessment:
Directly with those involved with the use of the chemical
Consultative Committee Forums
Other (Specify)
Worker Consultation:
HSR
Workplace:
Chemical use classification:
Date of issue of SDS:
(if older than 5 years replace with latest
version)
Is health monitoring required
for this chemical?
Used at the workplace (Complete ALL Sections)
Stored at the workplace only (Complete ALL Sections except 5)
/
/
Classification:
Yes
No
Non-hazardous/non-dangerous
Dangerous
Hazardous
Both
If “Yes” detail requirements below:
(refer Appendix E of Code of Practice for Managing Risks of hazardous Chemicals)
Section 2 – Assessment of Chemical Needs
Does the chemical need to be used or
stored at the workplace?
Yes
No
Can the chemical be replaced by a
non-hazardous / safer chemical?
Yes
No
If the answer to the first question is “no” or to the second question is “yes” remove chemical from workplace in accordance with the SDS
requirements and if necessary replace with a less hazardous or non-hazardous chemical. Only complete remainder of risk assessment if
actions cannot be implemented immediately
Corrective Action
Responsibility
Due Date
/
/
Section 3 – Assessment of Chemical Storage
Chemical Package Size:
grams / kgs / litres
(circle)
Maximum amount
stored at workplace:
grams / kgs / litres (circle)
Location where chemical is
stored:
Do workers have access to the SDS of the chemical at point of use / storage?
Control / Corrective Action
Risk Rating
VH
H
M
Yes
Responsibility
L
Due Date
/
Are measures in place to ensure access to chemicals is restricted to trained / authorised workers only?
Control / Corrective Action
Risk Rating
VH
H
M
Responsibility
L
/
Control / Corrective Action
H
M
L
Responsibility
/
Yes
No
Due Date
/
All printed documents are uncontrolled
No
Due Date
(refer Code of Practice for Labelling of Workplace Hazardous Chemicals)
VH
/
Yes
Are all containers (included containers used for decanting) appropriately labelled and legible?
Risk Rating
No
/
Document Number:
F24-01
Approved by: Ruth Hampton
Page 2 of 7
Hazardous Chemicals & Dangerous
Goods Risk Assessment
Issue:
Control / Corrective Action
VH
H
M
6th December 2011
Review Date:
21st February 2016
Yes
Responsibility
/
Is the chemical stored in accordance with the requirements of its SDS and is not stored with other
incompatible chemicals?
VH
H
Control / Corrective Action
M
No
Due Date
L
Risk Rating
2
Issue Date:
Are spill control kits and / or bunding (fixed or portable) and appropriate fire fighting equipment available
for controlling the chemical in the event of a spill or fire?
Risk Rating
F24-01
/
Yes
Responsibility
No
Due Date
L
/
/
Section 4 – Assessment of Placarding and Chemical Manifest Requirements
The following question is only applicable if the chemical is identified in Schedule 11 of the WHS Regulations and the
maximum amount stored on site is equal to or exceeds the amount detailed in Table 11.1 Column 4 of the Schedule
Is there placarding in place at entrance points to the site and in close proximity to where the chemical
is stored that is compliant with the requirements as detailed in Schedule 13 of the WHS Regulations?
Control / Corrective Action
Risk Rating
VH
H
M
Yes
Responsibility
No
N/A
Due Date
L
/
/
The following question is only applicable if the maximum amount of chemical stored on site is equal to or exceeds the
amount detailed in Schedule 11 Table 11.1 Column 5 of the WHS Regulations.
Is the chemical documented on both a Chemical Register and Manifest in accordance with Schedule
12 of the WHS Regulations?
Control / Corrective Action
Risk Rating
VH
H
M
Yes
Responsibility
No
/A
Due Date
L
/
/
Section 5 – Assessment of Hazards Associated With Chemical Use
Estimated quantity of
chemical per use:
Description of the use of chemical:
Frequency of use:
Workers exposed to chemical use:
grams / kgs / litres
(circle)
Daily
Weekly
0-15 min
16-59 min
Monthly
Yearly
Other
Duration of use:
1-4 hours
5-8 hours
(specify)
8+ hours
Workers using chemical
Workers in vicinity of chemical use
Workers in
contact with contaminated surfaces
Cleaners
Contractors
Visitors
Managers / supervisors
Who are the “at risk” workers as
identified on the SDS:
Pregnancy
Sensitisation
Potential route of entry of chemical
as identified on SDS:
Inhalation
Skin contact
Existing medical conditions
Ingestion
Not applicable
Eye contact
Are controls in place to minimise the amount of chemical that can be released into the atmosphere?
Control / Corrective Action
Risk Rating
VH
H
M
Responsibility
L
VH
H
Control / Corrective Action
M
Yes
No
L
Responsibility
Yes
/
No
N/A
Due Date
/
All printed documents are uncontrolled
N/A
Due Date
/
Are controls in place and are suitable to eliminate or minimise the potential for a person’s skin to come
into contact with the chemical?
Risk Rating
Injection
/
Document Number:
F24-01
Page 3 of 7
Hazardous Chemicals & Dangerous
Goods Risk Assessment
Approved by: Ruth Hampton
Issue:
Control / Corrective Action
VH
H
M
6th December 2011
Review Date:
21st February 2016
Responsibility
L
VH
H
Control / Corrective Action
M
Responsibility
Control / Corrective Action
H
M
No
L
/
No
N/A
Due Date
/
Is the chemical listed on the Workplace Exposure Standards for Airborne Contaminants (refer Hazardous
Substances Information System (HSIS) on the Safe Work Australia website)?
N/A
Due Date
Yes
Responsibility
N/A
/
/
Are controls (facilities) in place to eliminate or minimise the potential for the chemical to be
accidentally ingested after being handled?
VH
No
Due Date
Yes
L
Risk Rating
Yes
/
Are controls in place to eliminate or minimise the potential for the chemical to be injected under
pressure into the person’s body?
Risk Rating
2
Issue Date:
Are controls in place and suitable to eliminate or minimise the potential for a person’s eyes to come into
contact with the chemical?
Risk Rating
F24-01
/
Yes
No
If the chemical is NOT listed on the Workplace Exposure Standards for Airborne Contaminants proceed to Section 6 –
Assessment of Physiochemical Hazards
Is atmospheric monitoring undertaken on a regular basis to assess airborne concentration levels of the
chemical?
Control / Corrective Action
Risk Rating
VH
H
M
Responsibility
L
Yes
No
Due Date
/
Does the chemical have the letters “Sk” identified next to it on the Workplace Exposure Standards for
Airborne Contaminants?
/
Yes
No
If the chemical does NOT have the letters “Sk” identified proceed to Section 6 – Assessment of Physiochemical Hazards
Is biological monitoring undertaken on a regular basis to establish exposure concentration levels?
Control / Corrective Action
Risk Rating
VH
H
M
Yes
Responsibility
L
No
Due Date
/
Where monitoring has occurred, do airborne monitoring and / or biological monitoring measures
exceed the levels detailed for the chemical in the Workplace Exposure Standards for Airborne
Contaminants?
/
Yes
No
(consider whether ventilation / extraction / PPE controls are in place, appropriate and maintained for effectiveness)
Control / Corrective Action
Risk Rating
VH
H
M
Responsibility
L
Due Date
/
/
Section 6 – Assessment of Physiochemical Hazards
6.1 Fire and Explosion
Is the chemical classified as flammable or combustible?
(If the chemical is NOT classified as flammable or combustible proceed to Section 6.3 – Compressed Gasses)
What is the physical state of the flammable or combustible chemical?
All printed documents are uncontrolled
Solid
Yes
Liquid
No
Gas
Document Number:
F24-01
Approved by: Ruth Hampton
Page 4 of 7
Hazardous Chemicals & Dangerous
Goods Risk Assessment
F24-01
Issue:
2
Issue Date:
6th December 2011
Review Date:
21st February 2016
The following question is only applicable if the chemical has been identified as a liquid or gas.
Are controls in place to ensure the chemical can be contained in it’s liquid or gas form?
Control / Corrective Action
Risk Rating
VH
H
M
Yes
Responsibility
Are controls in place to ensure the chemical is not stored or used in close proximity to any of the
following applicable oxygen sources:
Oxygen and air cylinders in welding equipment
Chlorates
Reticulated gas supplies in a laboratory
Perchlorates
Air tanks in self-contained breathing apparatus (SCBA) equipment
Hydrogen peroxide
Nitric acid
Organic peroxides
Nitrates
Potassium permanganate
Nitrous oxide
None of the above
Sodium hypochlorite
Control / Corrective Action
VH
H
M
Responsibility
Are controls in place to ensure the chemical is not stored or used in close proximity to any of the
following potential ignition sources:
Welding flames
Telephones
Gas heaters
Static electricity including from friction sources
Pilot lights
Lightning
Welding arcs
Friction from drilling, grinding, scraping metal on concrete
Starters for fluorescent lighting
Hot surfaces (eg light bulbs, ovens, radiators / heaters, flue
Electric motors
pipes, vehicle engines & exhaust systems, pumps &
Electrical equipment like power
generators
points
Exothermic chemical reactions (those which generate heat)
Cigarette lighters
None of the above
Switches
Control / Corrective Action
Risk Rating
VH
H
M
Responsibility
L
VH
H
Control / Corrective Action
M
Responsibility
L
VH
H
Control / Corrective Action
M
Responsibility
L
Control / Corrective Action
VH
H
M
L
Responsibility
/
Yes
No
N/A
Due Date
Yes
/
No
N/A
Due Date
Yes
/
No
N/A
Due Date
Yes
/
No
N/A
Due Date
/
All printed documents are uncontrolled
N/A
Due Date
/
Are controls in place to ensure chemicals, if handled under pressure, do not result in the possibility of an
uncontrolled explosion?
Risk Rating
No
/
Are controls in place to ensure chemicals, if heated when used, do not result in the possibility of an
uncontrolled explosion?
Risk Rating
Yes
/
Are controls in place to ensure that the chemical does not have the potential to come into contact with
oxygen and an ignition source in a confined or contained environment (eg in a tank, duct or pipework)
where an explosion is likely?
Risk Rating
/
/
L
N/A
Due Date
/
L
Risk Rating
No
/
F24-01
Approved by: Ruth Hampton
Hazardous Chemicals & Dangerous
Goods Risk Assessment
Document Number:
Page 5 of 7
Control / Corrective Action
VH
H
M
Issue:
2
Issue Date:
6th December 2011
Review Date:
21st February 2016
Are controls in place to ensure any combustible dusts generated from the use of the chemical are
prevented from being released into the atmosphere and coming into contact with an ignition source?
Risk Rating
F24-01
Responsibility
L
Yes
No
Due Date
/
Is the chemical classified as an oxidiser?
N/A
/
Yes
No
The following question is only applicable if the chemical has been identified as an oxidiser.
Are controls in place to ensure the chemical is not stored or used in close proximity to any of the
following potential ignition sources:
Carbon based chemicals (eg
Organic material (e.g. wood, paper, cellulose products)
ethanol, mineral oils)
Hydrocarbon solvents (e.g. mineral turpentine, petrol, diesel)
None of the above
Control / Corrective Action
Risk Rating
VH
H
M
Responsibility
L
Yes
No
N/A
Due Date
/
/
6.2 Off-site Risks
Are controls in place to ensure flammable / combustible chemicals on adjacent / nearby premises
cannot be ignited by the use of the chemical?
Control / Corrective Action
Risk Rating
VH
H
M
Responsibility
L
VH
H
Control / Corrective Action
M
Responsibility
L
Control / Corrective Action
VH
H
M
Responsibility
L
Control / Corrective Action
Risk Rating
VH
H
M
Yes
/
No
Responsibility
L
N/A
Due Date
Yes
/
No
N/A
Due Date
/
Are controls in place that adequately address all foreseeable failures of plant, equipment, storage
systems as well as natural disasters and extreme weather events that can have the potential to
adversely impact on the safe storage / use of the chemical at the workplace?
N/A
Due Date
/
Are controls in place that address all relevant activities / installations / incompatible materials &
chemicals on neighbouring premises that can have the potential to adversely impact on the safe
storage / use of the chemical at the workplace?
Risk Rating
No
/
Are controls in place to ensure fire loads (e.g. pallets, paper, combustible liquids or other combustible
materials) on adjacent / nearby premises are minimised where possible?
Risk Rating
Yes
Yes
/
No
N/A
Due Date
/
/
6.3 Compressed Gases
Is the chemical a compressed or liquefied gas?
(If the chemical is NOT a compressed gas proceed to Section 6.4 – Corrosion)
Yes
No
Is there a system in place for maintaining and regularly checking cylinders, regulators, hoses and pipes
to cylinders to ensure that there are no leaks or dents?
Yes
No
Control / Corrective Action
Risk Rating
VH
H
M
L
Responsibility
Due Date
/
All printed documents are uncontrolled
/
F24-01
Approved by: Ruth Hampton
Hazardous Chemicals & Dangerous
Goods Risk Assessment
Document Number:
Page 6 of 7
Control / Corrective Action
VH
H
M
Issue:
2
Issue Date:
6th December 2011
Review Date:
21st February 2016
Is the compressed or liquefied gas stored, handled or used in a manner so as to prevent it from being
damaged and causing a fire, explosion, asphyxiation, or uncontrolled release under pressure?
Risk Rating
F24-01
Responsibility
L
Yes
No
Due Date
/
/
6.4 Corrosion
Is the chemical classified as a corrosive?
(If the chemical is NOT a corrosive proceed to Section 6.5 – Asphyxiation)
Yes
Are control measures in place to prevent the chemical coming into contact with acids and metals?
Control / Corrective Action
Risk Rating
VH
H
M
Responsibility
L
Yes
No
No
N/A
Due Date
/
/
6.5 Asphyxiation
Does the chemical have the potential to cause asphyxiation?
(If the chemical cannot cause asphyxiation proceed to Section 7 – Assessment of Environmental
Hazards)
Yes
Are controls in place to ensure the chemical does not have the potential to cause a reduction in oxygen
levels due to any of the following:
Burning, oxidation or rusting
Inhalation of the chemical which
Gas accumulation (eg accumulation of gases in low
affects the body’s ability to use oxygen
lying areas such as pits, wells, cellars and gases in high
None of the above
areas such as roof spaces and lofts)
Control / Corrective Action
Risk Rating
VH
H
M
Responsibility
L
Yes
No
No
N/A
Due Date
/
/
Section 7 – Assessment of Environmental Hazards
Does the chemical have the potential to cause any environmental hazards?
(If the chemical has no environmental hazards proceed to Section 8 – Sign Off)
Yes
No
Identify the environmental hazards:
Are control measures in place to address all the likely environmental issues identified from the use /
storage of the chemical?
Control / Corrective Action
Risk Rating
VH
H
M
Responsibility
L
Yes
No
N/A
Due Date
/
/
Section 8 – Sign Off
We the undersigned have conducted the risk assessment on this chemical:
Signature:
Position:
Date:
/
/
Signature:
Position:
Date:
/
/
Signature:
Position:
Date:
/
/
All printed documents are uncontrolled
Document Number:
F24-01
Approved by: Ruth Hampton
Page 7 of 7
Hazardous Chemicals & Dangerous
Goods Risk Assessment
F24-01
Issue:
2
Issue Date:
6th December 2011
Review Date:
21st February 2016
Risk Rating Matrix
Descriptor
Disastrous
Example
Descriptor
Example
Fatality
Very Likely
Almost Certain
Is expected to occur in most
circumstances (once per week)
Will probably occur in most
circumstances (once per month)
Critical
Extensive or Disabling injury, i.e.
amputation and or permanent
loss of bodily function.
Likely
Serious
An injury resulting in more than
1 week off normal duties
Possible
Might occur at some time
(once per year)
Significant
An injury resulting in less than 1
week off normal duties
Unlikely
Could occur at some time
(once in 10 years)
Minor
Minor Injuries / First Aid
May occur only in exceptional
circumstances (once in 100 yrs)
Rare
Consequence
Likelihood
Minor
Significant
Serious
Critical
Disastrous
11
16
20
23
25
Likely
7
12
17
21
24
Possible
4
8
13
18
22
Unlikely
2
5
9
14
19
Rare
1
3
6
10
15
Almost Certain
Risk Category
Score
Level of Risk
Response
18-25
Very High Risk
10-17
High Risk
6-9
Moderate Risk
1-5
Low Risk
Very High Risk; immediate action required.
High Risk; senior management attention needed
Moderate Risk; management responsibility must be specified.
Low Risk; manage by routine procedures.
Hierarchy of controls
You should attempt to control the risk in the following order:
1.
Eliminate
Eliminate the process method or equipment to eliminate the hazard completely
2.
Substitute
Replace the material, substance or process with a less hazardous one
3.
Isolation
Isolate the hazard from persons by safeguarding or by space or time
4.
Engineer
Redesign or modify the plant or work process to reduce or eliminate the risk
5.
Administrate
Adjust the time or conditions or the process by training, procedures, signage etc
6.
Personal Protective Equipment
Use appropriately designed and properly fitting equipment where other controls are
not practicable
All printed documents are uncontrolled