Laser Risk Assessment Form

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Laser Risk Assessment
a.
LRA1 Background Information
Background information
Date
Assessor
Describe
the
product
application
Describe the laser
and
Describe the beam delivery system
Describe the laser process
Describe the environment
Who uses the product or who could
affect its operation
Identify the parts of the life cycle
relevant to the risk assessment
Planning Design Manufacturing Testing Transport Installation Commissioning
Normal operation Maintenance Servicing Modification Decommissioning disposal
b.
LRA2
Risk Assessment
Assessment Number:
Assessment Date:
Assessed by:
Review Date:
STEP 1
STEP 2
List of significant hazards
List groups of
people who are at
risk
Activity/Facility Assessed:
STEP 3
Describe existing controls
Are these controls
adequate ?
What is the
residual risk
factor from these
hazards?
Actions Required
(See separate form LRA3)
The Laser:
Beam Delivery:
The Laser Process:
Environment & People:
Examples of hazards
People
Poor
training
instruction,
Noise
Fumes
Fire
Moving
parts
machinery
Inadequate
procedures
Lifting
objects
Unsuitable
equipment
Electricity
of
heavy
Explosion
Hot objects
Confined spaces
Optical
failure
Radiation hazards
Ozone
Poor lighting
High vacuum systems
Pressure systems
Electromagnetic
radiation / X-rays
Trailing leads
Chemicals
Dust
Falling objects
Inadequate
mounts
Inadequate
coolant
pipe connections
Biohazards
Slip, trip hazards
of
optics
components
c.
LRA3
Action tracking.
Significant Hazards Identified
(from form LRA2)
The Laser:
Beam Delivery:
The Laser Process:
Environment & People:
STEP 4
Actions Required
Date for Action
Completed by
(name / date)
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