DEPARTMENT OF PHYSICS RISK ASSESSMENT AND STANDARD OPERATING PROCEDURE PERSON CARRYING OUT ASSESSMENT eg Supervisor, technician, academic, safety officer, PG student, UG student etc Name Position Date Click here to enter a date. 1. PERSON CARRYING OUT THE WORK eg technician, academic, PG student, UG student etc Name Position Who is their supervisor? 2. DESCRIPTION OF ACTIVITY / TITLE OF EXPERIMENT (include storage, transport and disposal if relevant) 3. LOCATION Campus Choose an item. Building 4. HAZARD – indicate all that apply and give further details Room See guidance: http://www3.imperial.ac.uk/safety/subjects The following have specific risk assessment requirements and have either a College and/or a department approval process (ie Line manager/Academic Supervisor, Safety officer, Department Laser Safety Officer, Area Supervisor) Yes, Radioactivity or X-Rays Isotope or source 1. Check with Dept Radiation Protection Supervisor (DRPS) that this work is already approved and attend training. If NOT already approved, you or your supervisor will need to conduct a RADIATION risk assessment which will need approval (via your DRPS). See guidance, complete form you find on this link: http://www3.imperial.ac.uk/safety/formsandchecklists/raforms1 before completing this form. Do not begin work until you have received approval from the College Radiation Protection Team. 2. I have attended the relevant training (local and College) 3. This work is approved and I attach the existing risk assessment Yes, Lasers Class of laser 1. Check with Department Laser Safety Officer (DLSO) that this work is already approved and attend training. If NOT already approved, you or your supervisor will need to conduct a LASER risk assessment which will need approval from the DLSO. See guidance, complete form you find on this link: http://www3.imperial.ac.uk/safety/formsandchecklists/raforms1 before completing this form. Do not begin work until you have received approval from the DLSO. 2. I have attended the relevant training (local and College) 3. This work is approved and I attach the existing risk assessment Yes, Biological (ie soil, human/animal tissues, plants) Type of material Solvents Dusts Chemical Resins Fumes Other Flammable/ explosive substances Yes, Gases / Cryogenic substances or give project reference number: 1. Check with Department Safety Officer that this work is already approved and attend training. If NOT already approved, you or your supervisor will need to conduct a BIOLOGICAL risk assessment and you may need immunisation. See guidance and use the form you find on this link, instead of the one you are currently completing http://www3.imperial.ac.uk/safety/formsandchecklists/raforms1 2. I have attended the relevant training (local and College) 3. This work is approved and I attach the existing risk assessment Yes, Hazardous Substances ie or give project reference number: Material/Chemical name(s) where known or give project reference number: You will need to conduct a COSHH/DSEAR risk assessment http://www3.imperial.ac.uk/safety/formsandchecklists/raforms1 I have conducted / there is an existing risk assessment attached Substance name(s) You will need to conduct a GAS / Cryogenics risk assessment http://www3.imperial.ac.uk/safety/formsandchecklists/raforms1 I have conducted / there is an existing risk assessment attached Yes, Machinery / mechanical Equipment name / type Yes, Manual handling/heavy lifting Will the work involve slings/hoists? You will need to conduct a MACHINERY risk assessment and will require training in its use http://www3.imperial.ac.uk/safety/formsandchecklists/raforms1 I have conducted / there is an existing risk assessment attached You will need to conduct a MANUAL HANDLING or LOLER risk assessment and may require training. http://www3.imperial.ac.uk/OCCHEALTH/formsandchecklists and obtain advice/approval from the Department Safety Officer. I have conducted / there is an existing risk assessment attached Yes, Work will be conducted away the department Will the work be done in the field or hosted institution? You may also need to conduct an OFFSITE risk assessment http://www3.imperial.ac.uk/safety/formsandchecklists/raforms1 Please obtain guidance/approval from the Department Safety Officer. The following hazards have general risk assessment and local approval requirements (ie Line manager/Academic Supervisor, Safety officer, Area Supervisor) Vacuum systems Structural Failure Pressurised equipment Trip hazards RA/SOP Safety Dept FoNS MAY2011 Page 1 of 5 Electrical Working at height Extreme temperatures Falling objects Fire / radiant heat source Work in confined spaces Noise Heavy lifting Water Hand tools Other (give details) 5. How does harm occur and who or what might be affected? [Eg staff could suffer severe burns due to contact with heat source, students could suffer eye damage from exposure to laser beam, equipment could be damaged by flooding/explosion/mis-use etc] Tick all which apply: 1. Staff / students Support staff Cleaners, engineers Equipment Building Environment 2. 3. 4. 6. What would be the severity of the worst injury or harm if no controls in place? (See Severity table on matrix) Minor (score 1) Serious (Score 2) Major (Score 3) Fatality (Score 4) 7. How frequently is the process being carried out? Several times a day Daily Once a week Once a month Every 6 months Annually Other - give details 8. What is the probability of injury or harm occurring? Use the probability table on matrix and consider any risk increasing factors (including frequency) Very unlikely (score 1) Unlikely (Score 2) Possible (Score 3) Likely (Score 4) 9. Brief description of the procedure What could go wrong? What controls are in place? Is risk very high, high, medium or low? [Include setting up if relevant] [Include the hazards identified above]. [Are they effective and sufficient or are more required? Give details of how they are monitored / tested.] Multiply severity by probability (See matrix) Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose RA/SOP Safety Dept FoNS MAY2011 Page 2 of 5 an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. 10. If High or Medium, what extra precautions are needed? If not please tick box and move onto next section If yes, please describe Who has been asked to do this? By what date? 11. RESIDUAL RISKS - Once your additional control measures are in place, what are the overall residual risk levels? The overall residual risk to persons is: The overall residual risk to equipment /area is: The overall residual risk to the environment is: Choose an item. Choose an item. Choose an item. If high or medium, give details: If high or medium, give details: If high or medium, give details: 12. EMERGENCY ACTIONS - if control measures fail or there is an unforeseen incident For Campus emergency contact numbers, see http://www3.imperial.ac.uk/facilitiesmanagement/security/contacts/emergencycontacts 13. MONITOR AND REVIEW Controls should be monitored: daily weekly I will review this risk assessment at least every 6 months or incident or accident. monthly 6 monthly every 12 months annually other or immediately in the event of process / location change Continue to Approval Section RA/SOP Safety Dept FoNS MAY2011 Page 3 of 5 APPROVALS SECTION 14. IS “LONE WORKING” outside department hours intended? Yes No If lone working is intended you must: Obtain appropriate permission from your HoD or line manager Introduce further controls to reduce the risk to one acceptable by your HoD/line manager - ie a buddy system, CCTV, web cam Once installed, check the further controls are effective Complete a lone working form and keep it with you in the department Read the lone working policy on the Physics Department H&S web page. You must not: Start work until written approval has been given by the HOD or line manager via the lone working form Work outside the agreed limits of the work SUPERVISOR / LINE MANAGER SIGN-OFF I have read this risk assessment and agree that once all controls and emergency procedures are in place and operating correctly, the overall residual risk to: Personnel from this activity is LOW MEDIUM HIGH Equipment from this activity is LOW MEDIUM HIGH Environment from this activity is LOW MEDIUM HIGH Lone working is intended and I am satisfied that extra controls outlined in (14) to reduce this risk to LOW are in place Lone Work is permitted between the following dates: until: Lone working is forbidden I have taken due consideration of foreseeable risks, and so far as reasonably practical have put appropriate controls in place. Work outside the agreed time scale. (7-8am and 6-11pm weekdays and 7am-11pm weekends) My name................................................. Even if lone working is not intended you must: Obtain approval for this assessment from line manager / Faculty Safety Manager Signature................................................. Date......./......../......... Line Manager/Supervisor name............................................................... Signature................................................. Date......./......../......... Safety Officer/Assessor name...................................................................... Signature.................................................... Date......./......../........... HOD SIGN-OFF FOR HIGH RISK LONE WORK I understand that the risk from this work is: HIGH and lone working outside normal hours is intended I am satisfied that extra controls outlined in (14) to reduce this risk to LOW are in place HoD’s signature ……………………………………………… Print name ………………………………………… Date 14. TRAINING RECORD – use this section to record the names and date of any persons you are training in this risk assessment and associated procedures Trainer Name Date Trainee - Name Date 15. IMPORTANT NOTES Note: http://www3.imperial.ac.uk/physics/safety for Physics safety information and Physics Risk Assessment forms http://www3.imperial.ac.uk/safety/formsandchecklists/raforms1 for specific risk assessment forms and guidance http://www3.imperial.ac.uk/safety/subjects on gases, biological agents, chemicals, radiation, offsite work etc After completing this form please make a copy and keep it with you during your experiments. The original must be kept with your group safety records. RA/SOP Safety Dept FoNS MAY2011 Page 4 of 5 RA/SOP Safety Dept FoNS MAY2011 Page 5 of 5