SCHOOL OF MATERIALS RISK ASSESSMENT FORM Assessors Unit : Building & Room of Task Task Title / Description of procedure: General use of Glassware and sharps (e.g. syringes, scalpels, safety razors, etc) Hazards and potential harm (Risks) involved in the task (What are the dangers and likely injuries?) Who might be harmed Actions to prevent or control harm (control measures) Risk assessment score (see below) (including training, maintenance, servicing) 1. Glass sharps – causing cuts to hands User, technician, cleaner 2. Cutting tools – causing cuts to hands User 3. Syringe needles – causing various injuries to hands, face and eyes 4. Chemicals – see Risk and COSHH assessments User User Does this procedure require an Out-of-Hours working permit? Reference Number: 1. Use sharps bin for disposal of sharps, use eye protection and protective gloves where potential for injury exists, e.g. when handling broken glassware, see SOM018 2. Avoid use of ‘open bladed’ tools, e.g. use scissors, Use correctly, make safe after use, e.g. scalpel and razor blades to be put in sharps bin after use, knives to be replaced into protective cover, use hand and eye protection if required 3. Blunt needles to be used, Use eye protection, training, SOM018 3x2=6 4. If any possibility of chemical contamination of sharp, additional precautions must be taken, An additional risk and COSHH assessments required for safety control measures see Risk &COSHH YES / NO Print name : Signature & email Date Supervisor Print name : Signature Review 1 - Signature Review 2 - Signature Date Seen also by 3x3=9 Is this procedure authorised for Lone working? Is this procedure authorised for Out-of-Hours working? Assessor Email : 3x2=6 YES / NO YES / NO Date Date : signature & date Seen by Safety Advisor Associated Safety Assessments Risk Assessment Number (signature & date) PROBABILITY 4….Probable / likely 3…..Possible 2…..Remote possibility 1…..Virtually impossible If Probability or Severity = 4 Stop work immediately, review control measures SEVERITY 4…..Fatal or injury causing long term or permanent absence from work 3…..Major injury greater than 3 days incapacity from work 2…..Minor injury causing up to 3 days incapacity from work 1…..Minor injury or illness, no absence from work Probability x Severity = Risk Assessment Score Risk Assessment Score Action 16………..Stop work immediately, review control measures, seek advice 12 or above…..Stop work review control measures to reduce risk, monitor regularly 8 or 9……...Review control measures to try to reduce risk less than 8…..Low priority, but still try to reduce risk Regulations, Standards, Codes of Practice and guidance notes can be found in the School Safety Policy and on the School web site www.materials.manchester.ac.uk ivan.easdon@manchester.ac.uk (School Senior Safety Advisor) room C15, Materials Science Building, Ext. 63596