Chemical RA form version 4

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AS/NZS 4801
OHSAS 18001
OHS20309
SAI Global
RISK ASSESSMENT WORKSHEET
Risk Assessment Title:
Details of Process:
Risk Register:
Campus
Clayton
Faculty/Division
Building
Room No.
Risk Assessment Team
Name
Approval
Supervisor
Name:
Signed:
Chemical Engineering
Assessment Date
Signature
Hazard Categories applicable to this Risk Assessment
Animal/Insect/Vegetation
Biological
Chemical
Hazardous Areas
Risk Assessment Number:
Engineering
School/Department/Centre
Date
Name
Equipment/Machinery/Vehicles
Outdoor Hazards
Water/Gases/Liquids
Radiation
Date:
Signature
Date
Manual Handling/Ergonomics
Psychological/Social
Physical Hazards
Other
INSERT PHOTO or DIAGRAM
AS APPROPRIATE
Risk Control Program, v4
Date of first issue: October 2002
Responsible Officer: Manager, OH&S
Date of last review: December 2015
For the latest version of this document please go to: http://www.monash.edu.au/ohs/
Page 1 of 3
20/02/15
Hazard
Current Controls
2
1
Chemical exposure 
Likelihood
Consequences
Current Risk
3
4
5
Proposed
Controls
6
Responsible
Person
7
Likelihood
8
Consequence
s
9
Residu
al Risk
10
PPE(Laboratory coat, safety
glasses, enclosed shoes, long
hair tied back)

Wear a full face
shield when handle
strong acid
 Type of gloves should
be used to handle the
chemicals
 Wash hand before
and after handling the
chemicals
 Remove gloves using
the Glove removal
technique
 Working conditions :
such as work in the
fume cupboard
 Working Environment
should be avoid
 List of incompatible
chemicals should be
avoided / careful
when mixing
Storage conditions ( flammable
cabinet,, temperature…)
Risk Control Program, v4
Date of first issue: October 2002
Responsible Officer: Manager, OH&S
Date of last review: December 2015
For the latest version of this document please go to: http://www.monash.edu.au/ohs/
Page 2 of 3
20/02/15
Waste Disposal:


Risk Control Program, v4
Date of first issue: October 2002
Transfer the waste chemical
to a PE plastic container with
vented cap. Label the
container with the name of
chemicals, DG class sticker
label, the prepared date and
User name on the label.
Only compatible waste
chemicals are allowed to add
into this waste container.
Other incompatible
chemicals such
as …………..” should not be
added to this container.
 Send the surplus to
P2P hub for disposal
via Chemsal. For
solution, when the
container is ¾ full or 3
months old, take this
container to the P2P
hub in room G02
building 37 to dispose
off.
Responsible Officer: Manager, OH&S
Date of last review: December 2015
For the latest version of this document please go to: http://www.monash.edu.au/ohs/
Page 3 of 3
20/02/15
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