Safety Form
RISK ASSESSMENT FORM OHS-0-0-1
REFERRING TO GUIDELINE OHS 0-0-1 (EDMS NO. 1114042)
Objective: The purpose of this document is to evaluate all the risks to the safety and health of workers from
HiRadMat test table installation team and define control measures related to these risks according to the
Safety Regulation SR-OHS – Occupational Health and Safety.
Frame: The HiRadmat movable table will carry a contained test objet to the HiRadMat experimental area
test stand. Table and test object (a.k.a. test table) remain in that position during beam test and are
subsequently stored in the downstream storage area and, at a later date, brought back to the TJ7 gallery.
Any other transport will see the movable table used as a support and not as a lifting device.
DESCRIPTION OF HANDLING OF MOVABLE TABLE WITH TEST OBJECT
Start date: 29/08/2011
Completion date: [Click here to enter a date]
Location: TJ7-TNC
Department: EN
DSO: John Pedersen - 163382
TSO: Dino De Paoli - 164953
Activity leader: Sebastien Evrard - 164821
Participant(s) in the risk assessment:
 Engineer in charge of experimental area – Ans
Pardons - 163457
 Designer and coordinator of installation – Michael
Lazzaroni - 162407
Persons working on the activity:
[type name] - [type phone number]
[type name] - [type phone number]
[type name] - [type phone number]
[type name] - [type phone number]
Operating mode analyzed: Normal mode
Description of the activity:
The activity consists of transporting the movable table (with test object attached) remotely with the
overhead crane using the lifting hoops. A full trajectory takes place at discrete points during a ~6 months
period and includes:
- Transport from TJ7 to test zone in TNC (installation on test stand)
- Transport from test zone to downstream cool-down area (after test beam)
- Transport from downstream cool-down area back to TJ7 (after cool-down period)
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Template EDMS No.: 1114759
Step 1: Movable table with test object transported from TJ7 to TNC test stand
The TNC overhead crane takes the movable table with test object (aka test table) from its trailer in TJ7 and,
remotely controlled, transports the test table assembly to the test stand in TNC. Still remotely, the test
table is placed on the base table of the test stand. At this stage the test table is non-radioactive and has not
yet been irradiated.
- INPUTS -
- OUTPUTS -
I1: test table on
trailer in TJ7
I2: overhead crane
operational and
equipped with lifting
hooks in TJ7
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[
O1: test table
installed on base
table of experimental
area
Template EDMS No.: 1114759
Step 2: Movable table with test object transported from TNC test stand to TNC cool-down area
In remote operation, the TNC overhead crane takes the movable table with test object (aka test table) from
test stand in TNC and transports it to the cool-down area downstream. Still remotely, the test table is
placed on the cool-down support. At this stage the test table is irradiated and therefore a highly radioactive
object.
- INPUTS -
I1: test table installed
on base table of
experimental area
I2: beam test
completed
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- OUTPUTS -
O1: test table
installed on support
of cool-down area
Template EDMS No.: 1114759
Step 3: Movable table with test object transported from TNC cool-down area to trailer in TJ7
In remote operation, the TNC overhead crane takes the movable table with test object (aka test table) from
its support in the cool-down area and transports it upstream to TJ7 to place it on the transport trailer Still
At this stage the test table has submitted a cool-down period and therefore a medium radioactive object.
- INPUTS -
I1: test table installed
on support of cooldown area
I2: cool-down time
completed
- OUTPUTS -
O1: test table placed
on transport trailer
in TJ7
I3: trailer ready in TJ7
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Template EDMS No.: 1114759
HAZARD IDENTIFICATION OF [TYPE ACTIVITY NAME]
Please mark with a cross one or more of the risks identified below:
HAZARDS
STEP 1
STEP 2
STEP 3
HAZARD Description
x
x
Carrying a radioactive but
sealed object that, in case of
fall, will need personnel
intervening to recuperate the
object
x
x
Being attached by hooks to a
moving overhead crane, moving
in an environment with possible
Chemicals
Asbestos
Agents dangerous for the
environment
Asphyxiant agents
Corrosive, Irritant agents
Explosive agents
Flammable agents
Harmful, Toxic, CMR agents
Oxidizing agents
Electrical and Electromagnetic
Batteries
Capacitors
Electrical and equipment installations
Lightning
Magnetic field
Static electricity
Ionizing radiation
Ionizing radiation source (opened,
sealed)
Non ionizing radiation
Laser (class to be specified)
Microwaves (300 MHz-30 GHz)
Radio frequency (1MHz-300MHz)
UV Light
Mechanical
Machinery (moving parts)
Means of transport (forklift, pallet
truck, etc.)
Mechanical properties (sharp, rough,
slippery)
Rotating elements
Stability
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x
Template EDMS No.: 1114759
impact points
Vehicles
Vibration
Physical
Access to high workplaces
Confined spaces
Falling objects
x
x
x
Being attached by hooks to a
moving overhead crane, moving
in an environment with possible
impact points
Height from the ground (fall on same
level)
Slippery ground
Obstruction in passageways
Work at height
Thermodynamic and fluid
Cryogenic fluid
Hot work (welding, flame cutting,
brazing, sparks, etc.)
Pressure equipment
Radiation from heat sources
Temperature (high, low)
Vacuum
Ergonomic
Access
Effort
Local lighting
Mental overload
Posture
Repetitive activity
VDU work (VDU - Visual Display Unit)
Work environment
ATEX hazardous area (ATEX –
Explosive Atmosphere)
Dust
Lack of oxygen
Noise
Pollution
Temperature (hot, cold)
Others
Blood products (firefighters, medical
service)
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Template EDMS No.: 1114759
Co-activity
Lone working
RISK ASSESSMENT OF [TYPE ACTIVITY NAME]
Please use the excel sheet Safety Form OHS-0-0-2 (EDMS No. 1114759) to record the risk assessment.
ACTION PLAN
ACTION DESCRIPTION
[Type a description of the additional control
measure required]
RESPONSIBLE
[Click here
to enter a
date]
[Click here
to enter a
date]
[Click here
to enter a
date]
[Click here
to enter a
date]
[Click here
to enter a
date]
[type name]
[Type a description of the additional control
measure required]
[type name]
[Type a description of the additional control
measure required]
[type name]
[Type a description of the additional control
measure required]
[type name]
[Type a description of the additional control
measure required]
WHEN?
[type name]
PROGRESS
[Choose an
item]
[Choose an
item]
[Choose an
item]
[Choose an
item]
[Choose an
item]
CLOSING
DATE
[Click here
to enter a
date]
[Click here
to enter a
date]
[Click here
to enter a
date]
[Click here
to enter a
date]
[Click here
to enter a
date]
TRACEABILITY
EDMS No.: [EDMS No]
The assessor signs to certify that hazards to health are adequately controlled with all control measures in
place.
Assessed by: [type name]
Date: [Click here to enter a date]
Verified by: [type name]
Date: [Click here to enter a date]
Approved by: [type name]
Date: [Click here to enter a date]
Reviewed on1: [Click here to enter a date]
No change
Changes (give ref. or ver. No. of new assessment)
Distribution list: [Organic Unit, HSE Unit, DSO, TSO]
A copy of this assessment shall be kept in a known and readily accessible location.
1
The risk assessment must be regularly reviewed and updated when necessary.
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Template EDMS No.: 1114759