OHS 019 – Safe Work Method Statements (Risk Assessments) for Hazardous Chemicals – 3.0 April 2016
Doc No: OHS 019 Effective Date: 04/04/16
Safe Work Method Statement (Risk Assessment) for Hazardous Chemical
Notes: All information needed to complete this risk assessment will be available in the relevant SDS. Complete a SWMS (Risk Assessment) for each Hazardous Chemical. Copy this page if additional copies are
required. Attach the relevant SDS. Include the name of the Hazardous Chemical in your Hazardous Chemical register.
(Place an X in appropriate boxes)
Product Name:
Diesel
Supplier Name:
Caltex Australia
Form:
Solid,
liquid,
Date of
Assessment:
Supplier Phone No:
gas,
fine dust,
coarse dust,
paste,
SDS Date:
other
1 March 2016
02 9250 5000
19 February 2013
Description of
Route of entry:
Inhalation, Ingestion, Absorption
Fuel
use:
Fire and
Water
Carbon dioxide(CO2)
Foam
Dry powder
Spill Kit
Remedial:
RISK CONTROLS
Containers stored away from work area when not in use
Containers stored in well ventilated / suitable containers
Isolation
Containers kept closed when not in use
No ignition sources / no smoking
Ventilation
Ensure natural ventilation
Use of mechanical ventilation
Use of extraction devices
Training in safe use
Job rotation to reduce exposure
Avoid contact with skin and eyes
Use of barrier creams
Good personal hygiene – wash hands before eating, drinking, smoking, toilet
Other Controls
PERSONAL PROTECTIVE EQUIPMENT
Additional PPE:
LEVEL OF RISK
Risks not significant and are not likely to increase in future
Risks are significant and not effectively controlled
Risks are significant but effectively controlled (but could increase in the future)
Uncertain about the risks
MONITORING
Is Atmospheric Monitoring required?
Assessment performed by:
Name:
Yes
No
Rui Lopes
Is Health Surveillance required?
Signature:
© All rights reserved Integrated Safety Solutions Pty Ltd 2006-2016
Yes
No
Date:
1 March 2016
Page 1 of 5
OHS 019 – Safe Work Method Statements (Risk Assessments) for Hazardous Chemicals – 3.0 April 2016
Doc No: OHS 019 Effective Date: 04/04/16
Safe Work Method Statement (Risk Assessment) for Hazardous Chemical
Notes: All information needed to complete this risk assessment will be available in the relevant SDS. Complete a SWMS (Risk Assessment) for each Hazardous Chemical. Copy this page if additional copies are
required. Attach the relevant SDS. Include the name of the Hazardous Chemical in your Hazardous Chemical register.
(Place an X in appropriate boxes)
Product Name:
Hydraulic Oil
Supplier Name:
Caltex Australia
Form:
Solid,
liquid,
Date of
Assessment:
Supplier Phone No:
gas,
fine dust,
coarse dust,
paste,
SDS Date:
other
1 March 2016
02 9250 5000
18 April 2012
Description of
Route of entry:
Lubricant oil
Inhalation, Ingestion, Absorption
use:
Fire and
Water
Carbon dioxide(CO2)
Foam
Dry powder
Spill Kit
Remedial:
RISK CONTROLS
Containers stored away from work area when not in use
Containers stored in well ventilated / suitable containers
Isolation
Containers kept closed when not in use
No ignition sources / no smoking
Ventilation
Ensure natural ventilation
Use of mechanical ventilation
Use of extraction devices
Training in safe use
Job rotation to reduce exposure
Avoid contact with skin and eyes
Use of barrier creams
Good personal hygiene – wash hands before eating, drinking, smoking, toilet
Other Controls
PERSONAL PROTECTIVE EQUIPMENT
Additional PPE:
LEVEL OF RISK
Risks not significant and are not likely to increase in future
Risks are significant and not effectively controlled
Risks are significant but effectively controlled (but could increase in the future)
Uncertain about the risks
MONITORING
Is Atmospheric Monitoring required?
Assessment performed by:
Name:
Yes
No
Rui Lopes
Is Health Surveillance required?
Signature:
© All rights reserved Integrated Safety Solutions Pty Ltd 2006-2016
Yes
No
Date:
1 March 2016
Page 2 of 5
OHS 019 – Safe Work Method Statements (Risk Assessments) for Hazardous Chemicals – 3.0 April 2016
Doc No: OHS 019 Effective Date: 04/04/16
Safe Work Method Statement (Risk Assessment) for Hazardous Chemical
Notes: All information needed to complete this risk assessment will be available in the relevant SDS. Complete a SWMS (Risk Assessment) for each Hazardous Chemical. Copy this page if additional copies are
required. Attach the relevant SDS. Include the name of the Hazardous Chemical in your Hazardous Chemical register.
(Place an X in appropriate boxes)
Product Name:
Engine oil
Supplier Name:
Caltex Australia
Form:
Solid,
liquid,
Date of
Assessment:
Supplier Phone No:
gas,
fine dust,
coarse dust,
paste,
SDS Date:
other
1 March 2016
02 9250 5000
29 June 2012
Description of
Route of entry:
Lubricant
Inhalation, Ingestion, Absorption
use:
Fire and
Water
Carbon dioxide(CO2)
Foam
Dry powder
Spill Kit
Remedial:
RISK CONTROLS
Containers stored away from work area when not in use
Containers stored in well ventilated / suitable containers
Isolation
Containers kept closed when not in use
No ignition sources / no smoking
Ventilation
Ensure natural ventilation
Use of mechanical ventilation
Use of extraction devices
Training in safe use
Job rotation to reduce exposure
Avoid contact with skin and eyes
Use of barrier creams
Good personal hygiene – wash hands before eating, drinking, smoking, toilet
Other Controls
PERSONAL PROTECTIVE EQUIPMENT
Additional PPE:
LEVEL OF RISK
Risks not significant and are not likely to increase in future
Risks are significant and not effectively controlled
Risks are significant but effectively controlled (but could increase in the future)
Uncertain about the risks
MONITORING
Is Atmospheric Monitoring required?
Assessment performed by:
Name:
Yes
No
Rui Lopes
Is Health Surveillance required?
Signature:
© All rights reserved Integrated Safety Solutions Pty Ltd 2006-2016
Yes
No
Date:
1 March 2016
Page 3 of 5
OHS 019 – Safe Work Method Statements (Risk Assessments) for Hazardous Chemicals – 3.0 April 2016
Doc No: OHS 019 Effective Date: 04/04/16
Safe Work Method Statement (Risk Assessment) for Hazardous Chemical
Notes: All information needed to complete this risk assessment will be available in the relevant SDS. Complete a SWMS (Risk Assessment) for each Hazardous Chemical. Copy this page if additional copies are
required. Attach the relevant SDS. Include the name of the Hazardous Chemical in your Hazardous Chemical register.
(Place an X in appropriate boxes)
Product Name:
Grease
Supplier Name:
Caltex Australia
Form:
Solid,
liquid,
Date of
Assessment:
Supplier Phone No:
gas,
fine dust,
coarse dust,
paste,
SDS Date:
other
1 March 2016
02 9250 5000
30 January 2013
Description of
Route of entry:
Anti seize grease
Inhalation, Ingestion, Absorption
use:
Fire and
Water
Carbon dioxide(CO2)
Foam
Dry powder
Spill Kit
Remedial:
RISK CONTROLS
Containers stored away from work area when not in use
Containers stored in well ventilated / suitable containers
Isolation
Containers kept closed when not in use
No ignition sources / no smoking
Ventilation
Ensure natural ventilation
Use of mechanical ventilation
Use of extraction devices
Training in safe use
Job rotation to reduce exposure
Avoid contact with skin and eyes
Use of barrier creams
Good personal hygiene – wash hands before eating, drinking, smoking, toilet
Other Controls
PERSONAL PROTECTIVE EQUIPMENT
Additional PPE:
LEVEL OF RISK
Risks not significant and are not likely to increase in future
Risks are significant and not effectively controlled
Risks are significant but effectively controlled (but could increase in the future)
Uncertain about the risks
MONITORING
Is Atmospheric Monitoring required?
Assessment performed by:
Name:
Yes
No
Rui Lopes
Is Health Surveillance required?
Signature:
© All rights reserved Integrated Safety Solutions Pty Ltd 2006-2016
Yes
No
Date:
1 March 2016
Page 4 of 5
OHS 019 – Safe Work Method Statements (Risk Assessments) for Hazardous Chemicals – 3.0 April 2016
Doc No: OHS 019 Effective Date: 04/04/16
Safe Work Method Statement (Risk Assessment) for Hazardous Chemical
Notes: All information needed to complete this risk assessment will be available in the relevant SDS. Complete a SWMS (Risk Assessment) for each Hazardous Chemical. Copy this page if additional copies are
required. Attach the relevant SDS to the back of this OHSE Management Plan. Include the name of the Hazardous Chemical in your Hazardous Chemical register.
(Place an X in appropriate boxes)
Date of
Assessment:
Supplier Phone No:
Product Name:
Supplier Name:
Form:
Description of
use:
Fire and
Remedial:
RISK CONTROLS
Isolation
Ventilation
Other Controls
Solid,
liquid,
gas,
fine dust,
coarse dust,
paste,
SDS Date:
other
Route of entry:
Water
Carbon dioxide(CO2)
Foam
Dry powder
Inhalation,
Ingestion,
Absorption
Spill Kit
Containers stored away from work area when not in use
Containers kept closed when not in use
Ensure natural ventilation
Use of mechanical ventilation
Training in safe use
Job rotation to reduce exposure
Good personal hygiene – wash hands before eating, drinking, smoking, toilet
Containers stored in well ventilated / suitable containers
No ignition sources / no smoking
Use of extraction devices
Avoid contact with skin and eyes
Use of barrier creams
PERSONAL PROTECTIVE EQUIPMENT
Additional PPE:
LEVEL OF RISK
Risks not significant and are not likely to increase in future
Risks are significant and not effectively controlled
Risks are significant but effectively controlled (but could increase in the future)
Uncertain about the risks
MONITORING
Is Atmospheric Monitoring required?
Assessment performed by:
Name:
Yes
No
Rui Lopes
Is Health Surveillance required?
Signature:
© All rights reserved Integrated Safety Solutions Pty Ltd 2006-2016
Yes
No
Date:
Page 5 of 5