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Hazard Identification, Risk Assessment & Risk Control (HIRARC) Training
BYOCCUPATIONAL SAFETY AND HEALTH ENVIRONMENT (OSHE)
TABLE OF CONTENTS
1. Objective2. What is HIRARC?3. Purpose of HIRARC4. Process of HIRARC5. Hazard Identification6. Risk Assessment7. Risk Control8. Practical Workshop
1. Explore the elements of an effective hazard identification and control program.
2. Discuss the steps in the hazard identification and control process.
3. Be able to perform the Hazard Identification and Risk Assessment Form by their own with 3 simple steps to ensure a safe & healthy workplace.
OBJECTIVES:
1.Memastikan keselamatan dan kesihatan pekerja di tempat kerja.
2.Melindungi keselamatan orang lain selain dari pekerja di tempat kerja tersebut.
3.Menggalakkan persekitaran yang sesuai (dari segi fisiologi dan psikologi)
4.Membolehkan penggantian secara berperingkat perundangan berkaitan dengan Peraturan dan Kod Amalan yang diluluskan
FALSAFAH
“KEWAJIPAN BAGI MEMASTIKAN KESELAMATAN DAN KESIHATAN DI TEMPAT KERJA TERLETAK PADA MEREKA YANG MEWUJUDKAN RISIKODAN MEREKA YANG BEKERJA DENGAN RISIKOTERSEBUT”
1. Mengada dan menyenggara loji dansistem kerja selamat
2. Membuat perkiraan untuk menjaminkeselamatan dalam penggunaan, pengendalian, penanganan (handling), penyimpanan dan pengangkutan loji danbahan
KEWAJIPAN AM MAJIKAN DAN ORANG YANG BEKERJA SENDIRI (SEKSYEN 15, AKKP 1994)
HIRARC
3. Mengadakan maklumat, arahan, latihan dan penyeliaan berkaitan keselamatan dan kesihatan pekerjaan
i. Maklumat
iii. Latihan iv. Penyeliaan
ii. Arahan
KEWAJIPAN AM MAJIKAN DAN ORANG YANG BEKERJA SENDIRI (SEKSYEN 15, AKKP 1994)
4. Memastikan laluan keluar dan masuk ke tempat kerja yang selamat
5. Menyediakan persekitaran kerja yang selamat dan sihat serta kemudahan kebajikan pekerja
PENALTI KEPADA MAJIKAN
1. RM 50,000 atau
2. 2 tahun penjara atau
3. kedua-duanya sekali
KEWAJIPAN AM MAJIKAN DAN ORANG YANG BEKERJA SENDIRI (SEKSYEN 15, AKKP 1994)
•OHSAS 18001 Occupational Health &
Safety Management System standard
•This standard was established in
1999 (rev. 2007)
•Widely used and certifiable
•ILO OSH management system standard
•This standard was published in 2001
•This is a guidance standard
presented to the governments of the
world for adoption
Occupational
safety and
health
management
system
standards:
Continualimprovement
OH&S
policy
Planning
Implementation
and operation
Checking and
corrective action
Management
review
OH&S Management System
HIRARC
HIRARC
OHSAS 18001 MILESTONE CHART
TNB KUALA LUMPUR TOWARDS OHSAS 18001 CERTIFICATION
HIRARC
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Doc No.
Prepared by Revision No :
JOB TITLE Working in Clinic Verified by Date :
No
HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL
Activities / Equipment/
FacilitesR/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Recommended Control
Measures
PIC (Due Date /
Status)
9
Receive & treat patient
R
9.1 a) Exposure to
known & unknown
bacteria, fungal &
viruses
9.1 a) Sick
9.1 b) Fatality
9.1 a) Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
10
Clearing medical waste
R
10 a) Contact with sharp
object
10.1 a) Sick
10.1 b) Fatality
10.1 a)Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
11
Using X-ray machine
R
11 a) Exposure to
radioactive and radiation
11.1 a) Cancer
11.1 b) Fatality
11a) Competency & Proper
PPE to be worn
11b) Safe work distance,
allowable exposure limit &
2 2 4 (L) NIL NIL
12Release Contamination /
Hospital treated wasteR 12 a) Scheduled waste
12 a) Pollution to
atmosphere, sanitary
sewer, ground water, fresh
water, soil
12a) Competency & Proper
PPE to be worn
2 2 4 (L) NIL NIL
*R-Routine, NR - Non Routine
LIKELIHOOD SEVERITY
Most Likely (5) The most likely result of the hazard / event being realised Catastropic (5) Numerous fatalities
Possible (4) Has a good change of occuring and is not unusual (1-5 years) Fatal (4) Approximately one single fatality
Conceivable (3) Might be occur at sometime in future (5-10 years) Serious (3) Non-fatal injury, permanent disability or > 4 days MC
Remote (2) Has not been known to occur after many years (10 yrs) Minor (2) Disabling but not permanent injury or 1-4 days MC
Inconceivable (1) Is practically impossible and has never occurred Negligible (1) Minor abrasions, bruises, cut, first aid type injury
RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 MEDIUM 1 - 4 : LOW RISK
Hazard Identification, Risk Assessment & Risk Control(HIRARC) Form
1 2 3
Guidelines for Hazard Identification, Risk Assessment and Risk Control
Published by Department of Occupational Safety and Health (DOSH) 2008.
REFERENCE:
DIFINITION:
1. Hazard :
Source or situation with potential for harm in term of human injury or ill health, damage to property, damage to the workplace environment or a combination of these.
2. Hazard Identification :
Process of recognizing that a hazard exists and defining its characteristics
3. Risk :
Combination of likelihood and consequence of a specified hazardous event occurring
DIFINITION:
4. Risk Assessment :
Overall process of estimating the magnitude of Risk and deciding whether or not risk is tolerable
5. Tolerable Risk :
Risk that have been reduced to a level that can be accepted by the organization
• Eg. A tiger is a source Tiger attack is a hazard. Becoz has potential for harm
• A cage is the control.
• Therefore, a tiger in cage is less risk as compared to a tiger out of cage. Furthermore, a tiger in cage is less dangerous than a tiger out of cage since the hazard is already controlled.
HAZARD IDENTIFICATION
RISK ASSESSMENT
RISK CONTROL
Identify hazard source or situation
Estimate level of risk and determine tolerability
Reduce or eliminate risk
WHAT IS HIRARC?
Enable organization to identify, evaluate and control its OSH risk on an ongoing basis
To reduce accidents at workplaces
HIRARC to cover for all existing and new processes
Purpose of Hazard Identification, Risk
Assessment and Risk Control (HIRARC):
METHODOLOGY FOR HIRARC
1. Document review – policy, legal document, record of accident, NCR, audit result, O&M Manual.
2. Site Assessment – observation, interview
3. Brainstorming – discussion to identify hazard.
Classify work activities
Identify hazards
• Likelihood of occurrence,
and
• Severity of hazards
Conduct risk assessment, by
calculating or estimating
Decide if risk is tolerable and
apply control measures (if
necessary)
Process of HIRARC
Taking into account all
activities at the
workplace.
•Routine and non-routine
activities (incl. emergencies)
•Activities at workplace (incl.
contractors and visitors)
• Infrastructure, equipment
and materials at the
workplace.
CLASSIFY WORK ACTIVITIES
Physical
area
Stage in
production
line or
process
Not too
big
Not too
small
Defined
task
CLASSIFY WORK ACTIVITIES
1. Handling patients, contaminated objects, body secretions, tissue or fluids
2. Using X-ray machine
3. Handling patients & moving objects
4. Dealing with angry and stressed patients and their families.
Working in Clinic
Category Examples
PHYSICAL noise, radiation, ventilation, heat stress,
lighting, electrical
CHEMICAL pesticides, solvents and heavy metals
BIOLOGICAL dangerous creatures, virus, bacteria and
parasite
ERGONOMIC human and machine interface, work
position or work posture
PSYCHOSOCIAL work stress, employees interaction
within organisation, long hours work,
shift work
CATEGORIES OF HAZARDS
Example Hazards map : Grocery Store
SPOT THE HAZARD
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Doc No.
Prepared by Revision No :
JOB TITLE Working in Clinic Verified by Date :
No
HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL
Activities / Equipment/
FacilitesR/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Recommended Control
Measures
PIC (Due Date /
Status)
9
Receive & treat patient
R
9.1 a) Exposure to
known & unknown
bacteria, fungal &
viruses
9.1 a) Sick
9.1 b) Fatality
9.1 a) Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
10
Clearing medical waste
R
10 a) Contact with sharp
object
10.1 a) Sick
10.1 b) Fatality
10.1 a)Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
11
Using X-ray machine
R
11 a) Exposure to
radioactive and radiation
11.1 a) Cancer
11.1 b) Fatality
11a) Competency & Proper
PPE to be worn
11b) Safe work distance,
allowable exposure limit &
2 2 4 (L) NIL NIL
12Release Contamination /
Hospital treated wasteR 12 a) Scheduled waste
12 a) Pollution to
atmosphere, sanitary
sewer, ground water, fresh
water, soil
12a) Competency & Proper
PPE to be worn
2 2 4 (L) NIL NIL
*R-Routine, NR - Non Routine
LIKELIHOOD SEVERITY
Most Likely (5) The most likely result of the hazard / event being realised Catastropic (5) Numerous fatalities
Possible (4) Has a good change of occuring and is not unusual (1-5 years) Fatal (4) Approximately one single fatality
Conceivable (3) Might be occur at sometime in future (5-10 years) Serious (3) Non-fatal injury, permanent disability or > 4 days MC
Remote (2) Has not been known to occur after many years (10 yrs) Minor (2) Disabling but not permanent injury or 1-4 days MC
Inconceivable (1) Is practically impossible and has never occurred Negligible (1) Minor abrasions, bruises, cut, first aid type injury
RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 MEDIUM 1 - 4 : LOW RISK
Hazard Identification, Risk Assessment & Risk Control(HIRARC) Form
1 2 3
HAZARD IDENTIFICATION
No Activities / Equipment/ Faculties
R/NR*
Hazard Consequences
1 handling patients, contaminated objects, body secretions, tissue or fluids
R Infectious Diseases Hepatitis B, Hepatitis C and Human Immunodeficiency Virus (HIV) can be spread
2 Using X-ray machineR
Exposure to radioactive and radiation
Cancer Fatality
3 Handling patients & moving objects R
Heavy lifting and frequent bending or twisting when moving objects or patients
Back injuries
4 Dealing with angry and stressed patients and their families.
R
Health care workers are at risk from violence
Workplace violence can result in loss of sleep, fear or depression, post traumatic stress disorder
*R-Routine, NR - Non Routine
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
JOB TITLE : Working in Clinic
Human behaviour, capabilities and other
human factors.
Hazard from the vicinity of the workplace.
Hazard from outside workplace.
HAZARD IDENTIFICATION
•Human behaviour, unsafe acts
Man
•Installation, layout and design of equipment
Machinery
•Substances such as chemicals and gases use in the workplace
Materials
•The way people carry out their work
Method
•Workplace condition i.e. air quality, ventilation, lighting, noise, vibration etc.
Media
HAZARD IDENTIFICATION
5M
1
2
3
4
5
Accident/incident
investigation reportInjury records
Workplace health
program
Result of workplace
inspection/audit
Complaint and
comments
Report from
regulatory bodies
Record of hazardous
substances (CSDS)
HAZARD IDENTIFICATION TECHNIQUES
1
63
5
4
2
7
HAZARD IDENTIFICATION
No Activities / Equipment/ Faculties
R/NR*
Hazard Consequences
1 handling patients, contaminated objects, body secretions, tissue or fluids
R Infectious Diseases Hepatitis B, Hepatitis C and Human Immunodeficiency Virus (HIV) can be spread
2 Using X-ray machineR
Exposure to radioactive and radiation
Cancer Fatality
3 Handling patients & moving objects R
Heavy lifting and frequent bending or twisting when moving objects or patients
Back injuries
4 Dealing with angry and stressed patients and their families.
R
Health care workers are at risk from violence
Workplace violence can result in loss of sleep, fear or depression, post traumatic stress disorder
*R-Routine, NR - Non Routine
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
JOB TITLE : Working in Clinic
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Doc No.
Prepared by Revision No :
JOB TITLE Working in Clinic Verified by Date :
No
HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL
Activities / Equipment/
FacilitesR/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Recommended Control
Measures
PIC (Due Date /
Status)
9
Receive & treat patient
R
9.1 a) Exposure to
known & unknown
bacteria, fungal &
viruses
9.1 a) Sick
9.1 b) Fatality
9.1 a) Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
10
Clearing medical waste
R
10 a) Contact with sharp
object
10.1 a) Sick
10.1 b) Fatality
10.1 a)Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
11
Using X-ray machine
R
11 a) Exposure to
radioactive and radiation
11.1 a) Cancer
11.1 b) Fatality
11a) Competency & Proper
PPE to be worn
11b) Safe work distance,
allowable exposure limit &
2 2 4 (L) NIL NIL
12Release Contamination /
Hospital treated wasteR 12 a) Scheduled waste
12 a) Pollution to
atmosphere, sanitary
sewer, ground water, fresh
water, soil
12a) Competency & Proper
PPE to be worn
2 2 4 (L) NIL NIL
*R-Routine, NR - Non Routine
LIKELIHOOD SEVERITY
Most Likely (5) The most likely result of the hazard / event being realised Catastropic (5) Numerous fatalities
Possible (4) Has a good change of occuring and is not unusual (1-5 years) Fatal (4) Approximately one single fatality
Conceivable (3) Might be occur at sometime in future (5-10 years) Serious (3) Non-fatal injury, permanent disability or > 4 days MC
Remote (2) Has not been known to occur after many years (10 yrs) Minor (2) Disabling but not permanent injury or 1-4 days MC
Inconceivable (1) Is practically impossible and has never occurred Negligible (1) Minor abrasions, bruises, cut, first aid type injury
RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 MEDIUM 1 - 4 : LOW RISK
Hazard Identification, Risk Assessment & Risk Control(HIRARC) Form
1 2 3
RISK ASSESSMENT
Current Risk Control Likelihood Severity Risk Level
Wash hands frequently (proper hand washing is the best way to prevent communicable diseases)
3 3 9 (M)
Competency & Proper PPE to be wornSafe work distance, allowable exposure limit 2 2 4 (L)
Use proper lifting technique 3 3 9 (M)
Follow policies and intervention guidelines 3 3 9 (M)
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
LIKELIHOOD SEVERITYMost Likely (5) The most likely result of the hazard /
event being realizedCatastrophic (5) Numerous fatalities
Possible (4) Has a good change of occurring and is not unusual (1-5 years)
Fatal (4) Approximately one single fatality
Conceivable (3) Might be occur at sometime in future(5-10 years)
Serious (3) Non-fatal injury, permanent disability or > 4 days MC
Remote (2) Has not been known to occur after many years (10 yrs)
Minor (2) Disabling but not permanent injury or 1-4 days MC
Inconceivable (1) Is practically impossible and has never occurred
Negligible (1) Minor abrasions, bruises, cut, first aid type injury
RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 : MEDIUM RISK
1 - 4 : LOW RISK
RISK
Likelihood x Severity
Likelihood – is an event likely to occur within specific
time period or in specified circumstance,
Severity – is outcome from an event such as severity of
injury or health to people
RISK ASSESSMENT
•The most likely result of the hazard / event
being realized Most likely (5)
•Has good chance of occurring and is not
unusual (1-5 years)Possible (4)
•Might be occur in future (5-10 years)Conceivable (3)
•Has not be known to occur after many years
(after 10 years)Remote (2)
• Is practically impossible and has never
occurred.Inconceivable (1)
LIKELIHOOD
•Numerous fatality, irrecoverable property
damage and productivity.Catastrophic (5)
•Approximately one single fatality, major
property damages.Fatal (4)
•Non-fatal injury, permanent disability or
LTI > 4 days MC.Serious (3)
•Disabling but not permanent injury or LTI
1-4 days MCMinor (2)
•Minor abrasions, bruises, cut, first aid
type injury.Negligible (1)
SEVERITY
HIGH (15-25)
•Requires
immediate action
to control the
hazard. Action
must be
documented on
the risk
assessment form
including date for
completion.
MEDIUM (5-12)
•Requires a planned
approach to
control the hazard
and applies
temporary
measure if
required. Action
must be
documented on
the risk
assessment form
including date of
completion.
LOW (1-4)
•Acceptable and
further reduction
may not be
necessary.
Risk = Likelihood x Severity
RISK ASSESSMENT
Current Risk Control Likelihood Severity Risk Level
Wash hands frequently (proper hand washing is the best way to prevent communicable diseases)
3 3 9 (M)
Competency & Proper PPE to be wornSafe work distance, allowable exposure limit 2 2 4 (L)
Use proper lifting technique 3 3 9 (M)
Follow policies and intervention guidelines 3 3 9 (M)
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
LIKELIHOOD SEVERITYMost Likely (5) The most likely result of the hazard /
event being realizedCatastrophic (5) Numerous fatalities
Possible (4) Has a good change of occurring and is not unusual (1-5 years)
Fatal (4) Approximately one single fatality
Conceivable (3) Might be occur at sometime in future(5-10 years)
Serious (3) Non-fatal injury, permanent disability or > 4 days MC
Remote (2) Has not been known to occur after many years (10 yrs)
Minor (2) Disabling but not permanent injury or 1-4 days MC
Inconceivable (1) Is practically impossible and has never occurred
Negligible (1) Minor abrasions, bruises, cut, first aid type injury
RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 : MEDIUM RISK
1 - 4 : LOW RISK
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Doc No.
Prepared by Revision No :
JOB TITLE Working in Clinic Verified by Date :
No
HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL
Activities / Equipment/
FacilitesR/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Recommended Control
Measures
PIC (Due Date /
Status)
9
Receive & treat patient
R
9.1 a) Exposure to
known & unknown
bacteria, fungal &
viruses
9.1 a) Sick
9.1 b) Fatality
9.1 a) Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
10
Clearing medical waste
R
10 a) Contact with sharp
object
10.1 a) Sick
10.1 b) Fatality
10.1 a)Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
11
Using X-ray machine
R
11 a) Exposure to
radioactive and radiation
11.1 a) Cancer
11.1 b) Fatality
11a) Competency & Proper
PPE to be worn
11b) Safe work distance,
allowable exposure limit &
2 2 4 (L) NIL NIL
12Release Contamination /
Hospital treated wasteR 12 a) Scheduled waste
12 a) Pollution to
atmosphere, sanitary
sewer, ground water, fresh
water, soil
12a) Competency & Proper
PPE to be worn
2 2 4 (L) NIL NIL
*R-Routine, NR - Non Routine
LIKELIHOOD SEVERITY
Most Likely (5) The most likely result of the hazard / event being realised Catastropic (5) Numerous fatalities
Possible (4) Has a good change of occuring and is not unusual (1-5 years) Fatal (4) Approximately one single fatality
Conceivable (3) Might be occur at sometime in future (5-10 years) Serious (3) Non-fatal injury, permanent disability or > 4 days MC
Remote (2) Has not been known to occur after many years (10 yrs) Minor (2) Disabling but not permanent injury or 1-4 days MC
Inconceivable (1) Is practically impossible and has never occurred Negligible (1) Minor abrasions, bruises, cut, first aid type injury
RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 MEDIUM 1 - 4 : LOW RISK
Hazard Identification, Risk Assessment & Risk Control(HIRARC) Form
1 2 3
RISK CONTROL
Type of Control Recommended Control Measures
PIC (Due Date / Status)
Administrative Ensure availability of gloves and other protective equipment and cleansing agents
Mr. A (30/12/2012)
NIL NIL
Administrative Train staff on proper lifting techniques
Mr. B (30/12/2012)
Administrative Train staff on diffusing situations and intervention procedures
Mr. C (30/12/2012)
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Tolerable Risk
Risk that has been reduce to a level that can be accepted by the
organisation having regard to its legal obligations and its own OH&S
policy.
Safety
freedom from unacceptable risk of harm
Hazard Identification, Risk Assessment & Risk Control
(HIRARC)
Substitution
PPE
Administrative control
Engineering control
Isolation
Elimination
HIERARCHY OF CONTROL
1. ELIMINATION
•Remove hazard from workplace
•Get rid the hazardous job, tools, process,
equipment, machines or substances
HIERARCHY OF CONTROL
2. SUBSTITUTION
•Doing the same work in less hazardous way.
•Replace of substances with a less hazardous
substances.
HIERARCHY OF CONTROL
3. ISOLATION
•Keep hazard away from workers
• Install guard, barrier
•Lockout system
•Safe clearance
HIERARCHY OF CONTROL
4. ENGINEERING CONTROL
•Modification
•Redesign
•Local exhaust ventilation
HIERARCHY OF CONTROL
5. ADMINISTRATIVE CONTROL
• Implement policies, procedures and training.
•Signages
•Supervision
• Inspection
HIERARCHY OF CONTROL
6. PPE
Safety helmet, mask, safety shoe, apron, rubber mat,
gloves, ear muff etc.
HIERARCHY OF CONTROL
RISK CONTROL
Type of Control Recommended Control Measures
PIC (Due Date / Status)
Administrative Ensure availability of gloves and other protective equipment and cleansing agents
Mr. A (30/12/2012)
NIL NIL
Administrative Train staff on proper lifting techniques
Mr. B (30/12/2012)
Administrative Train staff on diffusing situations and intervention procedures
Mr. C (30/12/2012)
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
SUMMARY
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Doc No.
Prepared by Revision No :
JOB TITLE Working in Clinic Verified by Date :
No
HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL
Activities / Equipment/
FacilitesR/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Recommended Control
Measures
PIC (Due Date /
Status)
9
Receive & treat patient
R
9.1 a) Exposure to
known & unknown
bacteria, fungal &
viruses
9.1 a) Sick
9.1 b) Fatality
9.1 a) Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
10
Clearing medical waste
R
10 a) Contact with sharp
object
10.1 a) Sick
10.1 b) Fatality
10.1 a)Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
11
Using X-ray machine
R
11 a) Exposure to
radioactive and radiation
11.1 a) Cancer
11.1 b) Fatality
11a) Competency & Proper
PPE to be worn
11b) Safe work distance,
allowable exposure limit &
2 2 4 (L) NIL NIL
12Release Contamination /
Hospital treated wasteR 12 a) Scheduled waste
12 a) Pollution to
atmosphere, sanitary
sewer, ground water, fresh
water, soil
12a) Competency & Proper
PPE to be worn
2 2 4 (L) NIL NIL
*R-Routine, NR - Non Routine
LIKELIHOOD SEVERITY
Most Likely (5) The most likely result of the hazard / event being realised Catastropic (5) Numerous fatalities
Possible (4) Has a good change of occuring and is not unusual (1-5 years) Fatal (4) Approximately one single fatality
Conceivable (3) Might be occur at sometime in future (5-10 years) Serious (3) Non-fatal injury, permanent disability or > 4 days MC
Remote (2) Has not been known to occur after many years (10 yrs) Minor (2) Disabling but not permanent injury or 1-4 days MC
Inconceivable (1) Is practically impossible and has never occurred Negligible (1) Minor abrasions, bruises, cut, first aid type injury
RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 MEDIUM 1 - 4 : LOW RISK
Hazard Identification, Risk Assessment & Risk Control(HIRARC) Form
1 2 3
HAZARD IDENTIFICATION
No Activities / Equipment/ Faculties
R/NR*
Hazard Consequences
1 handling patients, contaminated objects, body secretions, tissue or fluids
R Infectious Diseases Hepatitis B, Hepatitis C and Human Immunodeficiency Virus (HIV) can be spread
2 Using X-ray machineR
Exposure to radioactive and radiation
Cancer Fatality
3 Handling patients & moving objects R
Heavy lifting and frequent bending or twisting when moving objects or patients
Back injuries
4 Dealing with angry and stressed patients and their families.
R
Health care workers are at risk from violence
Workplace violence can result in loss of sleep, fear or depression, post traumatic stress disorder
*R-Routine, NR - Non Routine
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
JOB TITLE : Working in Clinic1
RISK ASSESSMENT
Current Risk Control Likelihood Severity Risk Level
Wash hands frequently (proper hand washing is the best way to prevent communicable diseases)
3 3 9 (M)
Competency & Proper PPE to be wornSafe work distance, allowable exposure limit 2 2 4 (L)
Use proper lifting technique 3 3 9 (M)
Follow policies and intervention guidelines 3 3 9 (M)
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
LIKELIHOOD SEVERITYMost Likely (5) The most likely result of the hazard /
event being realizedCatastrophic (5) Numerous fatalities
Possible (4) Has a good change of occurring and is not unusual (1-5 years)
Fatal (4) Approximately one single fatality
Conceivable (3) Might be occur at sometime in future(5-10 years)
Serious (3) Non-fatal injury, permanent disability or > 4 days MC
Remote (2) Has not been known to occur after many years (10 yrs)
Minor (2) Disabling but not permanent injury or 1-4 days MC
Inconceivable (1) Is practically impossible and has never occurred
Negligible (1) Minor abrasions, bruises, cut, first aid type injury
RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 : MEDIUM RISK
1 - 4 : LOW RISK
2
RISK CONTROL
Type of Control Recommended Control Measures
PIC (Due Date / Status)
Administrative Ensure availability of gloves and other protective equipment and cleansing agents
Mr. A (30/12/2012)
NIL NIL
Administrative Train staff on proper lifting techniques
Mr. B (30/12/2012)
Administrative Train staff on diffusing situations and intervention procedures
Mr. C (30/12/2012)
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
3
Set a Process to review OHS Hazards & Risk
Output/ results can be used to review :
Standard Operating Procedures (SOP)
Training Materials
Internal Audit
Management Review/ Continuous Improvement
Justification for Budget allocations
SUMMARY