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Write a risk assessment for Work Place safety

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Workplace Safety Risk Assessment Documentation ==============================================

Assessment Date: \[DATE]

Assessor: \[ASSESSOR NAME]

Department/Area: \[DEPARTMENT/AREA]

Review Date: \[REVIEW DATE]

1\. Assessment Scope


This risk assessment covers general workplace activities associated with hazard identification, risk evaluation, control implementation, safe work procedures, PPE selection and use, incident prevention, emergency response, and ongoing compliance with occupational health and safety requirements. It applies to routine and non-routine tasks performed by employees, supervisors, contractors, and visitors who may be exposed to workplace hazards. The assessment includes task-based hazards, site-wide hazards, and special circumstances that may increase risk, such as changes in equipment, materials, processes, or work conditions. It excludes detailed engineering design reviews, medical fitness-for-duty determinations, and regulatory interpretation beyond the practical safety controls described in this document.

2\. Risk Assessment Methodology


This assessment uses a job hazard analysis approach supported by a baseline workplace survey and task-by-task review. Each task is broken into steps, hazards are identified, and the likelihood and severity of harm are rated using a consistent 5x5-style qualitative scale: Likelihood levels are Rare, Unlikely, Possible, Likely, and Almost Certain; severity levels are Negligible, Minor, Moderate, Major, and Catastrophic. Overall risk is rated as Low, Medium, High, or Extreme. Controls are selected using the hierarchy of controls, with priority given to elimination, substitution, engineering controls, administrative controls, and PPE as the last line of defense. The assessment should be informed by SDSs, manufacturer instructions, job safety analyses, incident history, worker input, and workplace inspections.

3\. Risk Matrix Reference


The following matrix is used to evaluate risk levels based on likelihood and severity:

Likelihood

| Rare | Unlikely | Possible | Likely | Almost Certain | | Severity | Catastrophic | Low | Low | Low | Low | Medium | | Major | Low | Low | Low | Medium | Medium | | Moderate | Low | Low | Medium | High | High | | Minor | Low | Medium | High | High | Extreme | | Negligible | Medium | High | High | Extreme | Extreme |

4\. Hazard Identification and Risk Evaluation


1\. Contact with moving machinery parts, rotating tools, or pinch points during setup, operation, cleaning, adjustment, or maintenance.

Potential Consequences: Cuts, lacerations, amputations, crush injuries, entanglement, and permanent disability can occur if body parts enter the danger zone or if guards are bypassed.

Affected Persons: Operators, helpers, maintenance personnel, nearby workers, and contractors.

Initial Risk Assessment
LikelihoodSeverityRisk Rating
PossibleMajorHigh
Control Measures
  • Eliminate exposure by performing adjustments, cleaning, and clearing jams only when equipment is fully stopped.
  • Substitute safer methods or tools where feasible, such as automated feeding or remote adjustment.
  • Install and maintain fixed guards, interlocked guards, and emergency stop devices.
  • Use lockout/tagout or equivalent energy isolation before maintenance or servicing.
  • Develop and enforce safe work procedures, pre-start checks, and restricted access zones.
  • Provide task-specific PPE such as safety glasses, close-fitting clothing, and appropriate hand protection where it does not create entanglement risk.
Residual Risk Assessment
LikelihoodSeverityRisk Rating
UnlikelyMajorMedium

2\. Flying particles, chips, dust, or debris generated by cutting, grinding, drilling, sanding, or similar operations.

Potential Consequences: Eye injuries, facial cuts, skin irritation, respiratory irritation, and secondary injuries from startled reactions may occur.

Affected Persons: Operators, helpers, maintenance staff, visitors passing nearby, and cleaning personnel.

Initial Risk Assessment
LikelihoodSeverityRisk Rating
LikelyModerateHigh
Control Measures
  • Eliminate or reduce particle generation by using less hazardous processes or pre-cut materials where feasible.
  • Install machine guards, chip shields, local exhaust ventilation, and debris containment.
  • Use wet methods or dust extraction where appropriate to reduce airborne material.
  • Establish exclusion zones and housekeeping procedures to prevent accumulation and re-entrainment of debris.
  • Require suitable eye and face protection selected for the hazard, such as safety glasses with side shields, goggles, or face shields as needed.
  • Train workers to inspect guards and to stop work if visibility or containment is compromised.
Residual Risk Assessment
LikelihoodSeverityRisk Rating
PossibleMinorMedium

3\. Noise exposure from machinery, tools, compressors, or production processes.

Potential Consequences: Temporary or permanent hearing loss, communication failure, reduced situational awareness, and increased likelihood of incidents may result.

Affected Persons: Operators, maintenance workers, supervisors, and nearby personnel.

Initial Risk Assessment
LikelihoodSeverityRisk Rating
LikelyModerateHigh
Control Measures
  • Select quieter equipment or processes where feasible.
  • Install acoustic enclosures, dampening materials, and isolation mounts.
  • Maintain equipment to prevent excessive noise from wear, vibration, or misalignment.
  • Conduct noise monitoring to determine exposure levels and hearing protection needs.
  • Implement hearing conservation practices, posted hearing protection zones, and communication protocols.
  • Provide hearing protection with adequate attenuation and train workers in correct fit and use.
Residual Risk Assessment
LikelihoodSeverityRisk Rating
PossibleMinorMedium

4\. Manual handling of heavy, awkward, or unstable materials, tools, or equipment.

Potential Consequences: Sprains, strains, back injuries, crush injuries to hands or feet, dropped loads, and musculoskeletal disorders may occur.

Affected Persons: Workers handling materials, helpers, warehouse staff, and maintenance personnel.

Initial Risk Assessment
LikelihoodSeverityRisk Rating
LikelyModerateHigh
Control Measures
  • Eliminate unnecessary manual lifting by redesigning the task or changing the workflow.
  • Use mechanical aids such as hoists, carts, pallet jacks, lift tables, or conveyors.
  • Store materials at waist height where practical and reduce carry distances.
  • Use team lifts and weight limits for awkward or bulky items.
  • Train workers in safe lifting, carrying, pushing, and pulling techniques.
  • Require suitable footwear and gloves for grip and foot protection where appropriate.
Residual Risk Assessment
LikelihoodSeverityRisk Rating
PossibleMinorMedium

5\. Exposure to hazardous chemicals, including cleaning agents, coolants, lubricants, solvents, adhesives, or process chemicals.

Potential Consequences: Skin irritation, dermatitis, chemical burns, eye injury, respiratory irritation, poisoning, fire, or environmental contamination may occur.

Affected Persons: Operators, cleaners, maintenance staff, and anyone working near chemical use or storage areas.

Initial Risk Assessment
LikelihoodSeverityRisk Rating
PossibleMajorHigh
Control Measures
  • Substitute less hazardous or non-irritating products where feasible.
  • Use closed transfer systems, local exhaust ventilation, and spill containment.
  • Store, label, and segregate chemicals correctly and keep SDSs accessible.
  • Develop safe handling, mixing, and disposal procedures, including spill response steps.
  • Restrict access to chemical storage and use areas.
  • Provide chemical-resistant gloves, eye protection, face protection, aprons, or respiratory protection as required by the hazard assessment.
Residual Risk Assessment
LikelihoodSeverityRisk Rating
UnlikelyModerateMedium

6\. Slips, trips, and falls on the same level due to wet floors, clutter, uneven surfaces, poor housekeeping, or obstructed walkways.

Potential Consequences: Bruises, fractures, sprains, head injuries, and lost-time incidents may result.

Affected Persons: All workers, visitors, contractors, and delivery personnel.

Initial Risk Assessment
LikelihoodSeverityRisk Rating
LikelyModerateHigh
Control Measures
  • Eliminate trip hazards by removing unnecessary materials, cords, and waste from walkways.
  • Improve flooring, drainage, lighting, and surface condition where feasible.
  • Use spill control, prompt cleanup, and clearly marked pedestrian routes.
  • Implement housekeeping standards and inspection checklists.
  • Post warning signs and restrict access to wet or damaged areas.
  • Provide slip-resistant footwear where required by the task or area.
Residual Risk Assessment
LikelihoodSeverityRisk Rating
PossibleMinorMedium

7\. Work at height, including use of ladders, platforms, mezzanines, or elevated access points.

Potential Consequences: Falls can cause fractures, head trauma, spinal injury, or fatality.

Affected Persons: Maintenance workers, installers, cleaners, inspectors, and any worker accessing elevated areas.

Initial Risk Assessment
LikelihoodSeverityRisk Rating
PossibleCatastrophicExtreme
Control Measures
  • Eliminate the need to work at height by completing tasks from the ground where possible.
  • Use elevated work platforms or fixed access systems instead of ladders when appropriate.
  • Install guardrails, toe boards, and fall prevention systems on permanent access points.
  • Develop fall protection plans, permit requirements, and rescue procedures.
  • Inspect ladders, platforms, and fall protection equipment before use.
  • Provide and enforce appropriate fall protection PPE and training when exposure cannot be eliminated.
Residual Risk Assessment
LikelihoodSeverityRisk Rating
UnlikelyMajorHigh

8\. Electrical exposure from damaged cords, exposed conductors, faulty equipment, temporary power, or improper maintenance.

Potential Consequences: Electric shock, burns, arc flash injuries, fire, equipment damage, and fatality may occur.

Affected Persons: Electricians, maintenance staff, operators, and nearby workers.

Initial Risk Assessment
LikelihoodSeverityRisk Rating
UnlikelyCatastrophicHigh
Control Measures
  • Eliminate exposure by de-energizing equipment before work and verifying isolation.
  • Use qualified personnel for electrical work only.
  • Inspect cords, plugs, panels, and portable tools before use and remove defective items from service.
  • Use ground fault protection, covers, barriers, and proper enclosures.
  • Maintain clear labeling and restricted access to electrical rooms and panels.
  • Provide arc-rated and electrically appropriate PPE where energized work is unavoidable and authorized.
Residual Risk Assessment
LikelihoodSeverityRisk Rating
RareMajorMedium

9\. Ergonomic strain from repetitive motion, awkward postures, forceful exertion, or prolonged static positions.

Potential Consequences: Musculoskeletal disorders, tendon injuries, fatigue, reduced productivity, and cumulative trauma may occur.

Affected Persons: Production workers, assemblers, inspectors, office staff, and material handlers.

Initial Risk Assessment
LikelihoodSeverityRisk Rating
LikelyModerateHigh
Control Measures
  • Redesign tasks to reduce repetition, force, and awkward posture.
  • Use adjustable workstations, mechanical assists, and improved tool design.
  • Rotate tasks and schedule micro-breaks where appropriate.
  • Train workers to recognize early symptoms and report discomfort promptly.
  • Review work methods during changes in staffing, volume, or equipment.
  • Provide task-specific gloves or supports only where they do not increase ergonomic risk.
Residual Risk Assessment
LikelihoodSeverityRisk Rating
PossibleMinorMedium

5\. General Control Measures


  • Maintain a formal hazard identification process that includes baseline surveys, task observations, worker consultation, and review of SDSs, manuals, incident reports, and prior job safety analyses.

Use employee input and supervisor review to identify hazards in routine and non-routine work, and update the assessment whenever tasks, materials, or equipment change.

  • Apply the hierarchy of controls before relying on PPE.

Prioritize elimination, substitution, engineering controls, and administrative controls. Use PPE only when residual risk remains or when higher-level controls cannot fully remove the hazard.

  • Implement site-wide housekeeping, access control, and signage standards.

Keep walkways clear, store materials safely, mark restricted areas, and post warnings where hazards are present or where PPE is required.

  • Require pre-task briefings and safe work procedure review for non-routine, high-risk, or changed conditions.

Review the task steps, hazards, controls, emergency actions, and communication expectations before work begins and again if conditions change.

  • Maintain equipment in safe operating condition through inspection, preventive maintenance, and prompt removal from service of defective tools or PPE.

Document inspections, repair or replace damaged items promptly, and verify that guards, alarms, and safety devices remain functional.

6\. Emergency Preparedness


  • Establish clear emergency response procedures for serious injury, entrapment, electrical shock, chemical exposure, fire, and fall incidents. Workers must know how to stop work, isolate hazards if safe to do so, summon help, and provide the exact location of the incident. [3]
  • Provide spill response supplies and procedures for chemical releases, including immediate area isolation, ventilation if safe, cleanup by trained personnel, and disposal of contaminated materials according to site procedures and SDS guidance. [1]

[6]

  • Ensure rescue and first aid arrangements are available for falls, crush injuries, and other severe incidents, including access to first aid kits, trained responders, and emergency contact procedures. [3]
  • For electrical incidents, isolate power only if it can be done safely, keep unqualified persons away, and treat all shocks or arc-related injuries as medical emergencies requiring immediate escalation. [9]
  • After any incident, near miss, or significant change in conditions, suspend affected work if necessary and review controls before resuming operations. [2]

7\. Training Requirements


  • Hazard Recognition and Job Hazard Analysis: Workers and supervisors must be trained to identify hazards, break tasks into steps, recognize changing conditions, and participate in job hazard analysis reviews. Training should emphasize reporting new hazards, near misses, and unsafe conditions before work continues. [7]
    • How to identify task steps and hazard sources
    • How to escalate new or changing hazards
    • How to review and follow task-specific controls
  • PPE Selection, Use, Care, and Limitations: Employees must be trained on the correct selection, fit, use, inspection, cleaning, storage, and replacement of PPE. Training must explain that PPE is the last line of defense and must match the hazard to be effective. [8]

[8]

  • Correct donning and doffing
  • Inspection before use
  • When to replace damaged PPE
  • Limitations of PPE compared with higher-level controls
  • Safe Work Procedures and Equipment Operation: Workers must be trained on standard operating procedures, machine guarding, lockout/tagout principles where applicable, and the correct use of tools and equipment. Training should cover pre-use checks, prohibited actions, and stop-work authority when controls are missing or damaged. [1]

[9]

  • Pre-start inspection
  • Guarding and interlocks
  • Energy isolation
  • Stop-work expectations
  • Emergency Response and Incident Reporting: Employees must know emergency alarms, evacuation routes, spill response steps, first aid reporting, and how to summon emergency services. Training should include scenario-based practice for the most credible severe events identified in the assessment. [3]

[10]

  • Emergency contacts and reporting chain
  • Evacuation and muster procedures
  • Spill and exposure response
  • First aid and rescue coordination
  • Task-Specific Hazard Controls for High-Risk Work: Where tasks involve machinery, chemicals, noise, lifting, or work at height, workers must receive task-specific instruction on the controls required for that work. Training should be refreshed when equipment, materials, or procedures change. [8]

[4]

  • Machine-specific hazards
  • Chemical handling and SDS review
  • Manual handling and ergonomic controls
  • Fall prevention and rescue awareness

8\. Monitoring and Review


Review Frequency: Annually and after any incident, near miss, change in equipment, change in process, or significant change in work conditions.

Monitoring TypeFrequencyResponsible PartyDescription
Regular InspectionDaily or before use for equipment and work areasSupervisors and equipment operatorsInspect tools, machinery, guards, cords, PPE, walkways, and housekeeping conditions before work begins. Remove defective equipment from service immediately and correct unsafe conditions before continuing.
Workplace Hazard SurveyQuarterly and whenever conditions changeSafety representative or designated competent personConduct walk-through inspections to identify new hazards, verify control effectiveness, and confirm that changes in equipment, materials, staffing, or processes have not introduced additional risk. [4] [8] [8]
PPE Compliance CheckWeekly or as needed for high-risk tasksSupervisorsVerify that required PPE is available, correctly selected, properly worn, and maintained in sanitary and reliable condition. Replace damaged or worn PPE promptly and address non-compliance through coaching and enforcement.
Incident and Near-Miss ReviewAfter every incident, near miss, or unsafe condition reportSafety manager and line supervisionReview root causes, determine whether controls failed or were missing, and update procedures, training, and PPE requirements as needed before resuming similar work.
Program Review and AuditAnnuallyManagement and safety leadershipReview the full risk assessment, control effectiveness, training records, inspection findings, and incident trends to confirm the program remains current and effective.

9\. Special Circumstances


  • Weather conditions such as rain, ice, heat, wind, or poor visibility can increase slip, trip, fall, transportation, and heat-stress risks. Work plans should be adjusted, and outdoor or exposed tasks should be paused or rescheduled when conditions exceed safe limits. [7]
  • Night work or reduced-light conditions increase the likelihood of slips, trips, struck-by incidents, and communication failures. Additional lighting, supervision, and visibility controls should be implemented. [5]
  • Lone work increases response time in an emergency and may reduce the ability to summon help quickly. High-risk tasks should not be performed alone unless a specific lone-work procedure, communication check-in system, and rescue plan are in place. [7]
  • New workers, temporary workers, and workers unfamiliar with the task or workplace require additional orientation, supervision, and review of procedures before starting work. [1]

[1]

Approval and Sign-off


This risk assessment has been reviewed and approved by:

Assessor: _________________________ Date: __________

Manager/Supervisor: _________________________ Date: __________

Safety Representative: _________________________ Date: __________

This risk assessment must be reviewed annually and after any incident, near miss, change in equipment, change in process, or significant change in work conditions. or when significant changes occur.

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Sources used for this answer

[1] Job Hazard Analysis

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Open source document

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NEW YORK COMMITTEE FOR OCCUPATIONAL SAFETY AND HEALTH NYCOSH # Job Hazard Analysis Job hazard analysis is a procedure used to review a job, identify potential hazards, and design actions and procedures to eliminate or control the hazards. Job hazard analysis is also called job hazard assessment. ## OSHA 1910.132(d)(1) requires job hazard analysis: "The employer shall assess the workplace to determine if hazards are present, or are likely to be present, which necessitate the use of personal protective equipment (PPE).” A job hazard analysis has several steps: ● Select the job to be analyzed. • Break the job down into a sequence of steps. • Identify potential hazards. • Determine preventive measures ("fixes") to overcome these hazards. Issues to be considered in selecting jobs to be analyzed include: • How often injuries or illnesses occur or how severe they are. • The potential for severe injuries or illnesses. • New job tasks where due to hazards may not be evident or anticipated. • Modified jobs where new hazards may be associated with changes in job procedures. • Infrequently performed jobs where workers may be at greater risk when undertaking non-routine jobs. Methods for eliminating or controlling the hazards must follow the guidelines of the hierarchy of controls of hazards. These methods, in order of preference, are: 1. Eliminate the hazard. This is the most effective measure. These techniques should be used to eliminate the hazards: - Choose a different process. • Modify an existing process. • Substitute a less hazardous substance. • Improve the work environment (example: ventilation). • Modify or change equipment or tools. 2. Contain the hazard. If the hazard cannot be eliminated, risk might be reduced by using enclosures, machine guards, worker booths or similar devices. 3. Revise work procedures. Consideration might be given to modifying steps which are hazardous, changing the sequence of steps, or adding additional

[2] Personal Protective Equipment (PPE)

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WORK SAFE KENTUCKY Free safety resources provided by KEMI HOME SAFETY RESOURCES SAFETY TRAINING SAFETY BLOG ABOUT KEMI CONTACT US O # Personal Protective Equipment (PPE) ## Print a Sign-In Sheet | Spanish Version Proper use of PPE can be an employee's most important means of protection on the job. Employers and employees must work together to ensure the greatest possible protection from hazards in the workplace and maintain a safe and healthy work environment. Employers should: • Perform a hazard assessment of the workplace to identify areas requiring the use of PPE. • Identify and provide appropriate PPE for employees. • Train employees in the use and care of PPE. • Maintain PPE, including replacing worn or damaged PPE. • Periodically review, update, and evaluate the effectiveness of the PPE program. Employees should: • Properly wear PPE. • Attend training sessions on PPE. • Care for, clean, and maintain PPE. • Inform a supervisor of the need for repair or replacement of PPE. Search ## Safety Blog KEMI recognizes 27 Kentucky employers for workplace safety KY Organizations Recognized for Keeping Workers Safe KEMI Announces Destiny Award Winners for 2021 Remember to use a Sign-In Sheet to document your safety training. Follow us on Social Media Specific requirements for PPE are presented in many different Occupational Safety and Health Administration (OSHA) standards (published in 29 CFR). Please refer to OSHA regulations for more information. KEMI does not assume liability for the content of information contained herein. Safety and health remain your responsibility. This information is to be used for informational purposes only and not intended to be exhaustive or a substitute for proper training, supervision, or manufacturers' instructions/recommendations. KEMI, by publication of this information, does not assume liability for damage or injury arising from reliance upon it. Compliance with this information is not a guarantee or warranty

[3] Toolbox Talk: Job Hazard Analysis

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# JOB HAZARD ANALYSIS the ease e, plea e, our organ our a a Risk Assessment plea organ include Hazard Chemical Date Posted: 05/13/2025 # Job Hazard Analysis (JHA) A job hazard analysis (JHA) analyzes a task's associated hazards and risks and focuses on identifying and controlling hazards. Utilizing the JHA will provide a process for analyzing the work activities that will determine the tools, materials, and equipment needed to develop work methods and procedures for accomplishing the task. The process will identify existing and potential hazards, assess the risk, and identify ways to eliminate or protect against the hazard. ## STEPS FOR COMPLETING A JHA In accordance with WAC 296-800-[redacted postal code] - Hazard Assessment for PPE, a hazard assessment must be conducted to identify hazards or potential hazards and determine if PPE necessary on the job. Additionally, this hazard assessment must be documented according to WAC 296-800-[redacted postal code]. The steps required for completing a quality hazard assessment are as follows: is • Involve the Right People in the Process: Employees who do the job know the job best at the frontline level, and their knowledge is valuable in identifying hazards and coming up with solutions to mitigate hazards. - Define the core tasks and Break the Hazard Analysis into Steps: In the first step, separate each job into all the individual segments of the job. The simplest way to do it is observe the worker doing the task and list the individual steps. to - Observe the work: Watch employees perform the task in question. • Record steps: Break down tasks into a reasonable number of steps. • • - Review your findings: Review your task lists with the employees you observe. Are you missing any necessary steps? - Identify specific hazards in Each Step: With all the steps outlined, identify each hazard associated with each step. Some hazards will be obvious (risk of laceration, fall, struck by, caught in or between, etc.

[4] Personal Protective Equipment (PPE) Guide

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# SAMPLE PPE POLICIES # Procedures ## A. Hazard Assessment for PPE (Safety Person or designated person), in conjunction with Supervisors, will conduct a walk-through survey of each work area to identify sources of work hazards. Each survey will be documented using the Hazard Assessment Certification Form, which identifies the work area surveyed, the person conducting the survey, findings of potential hazards, and date of the survey. (Safety Person or designated person) will keep the forms in the (Specify exact location, e.g., your company's business files). (Safety Person or designated person) will conduct, review, and update the hazard assessment for PPE whenever • a job changes • new equipment or process is installed • there has been an accident - whenever a supervisor or employee requests it • or at least every year Any new PPE requirements that are developed will be added into (Name of your business)'s written accident prevention program. ## B. Selection of PPE Once the hazards of a workplace have been identified, (Safety Person or designated person) will determine if the hazards can first be eliminated or reduced by methods other than PPE, i.e., methods that do not rely on employee behavior, such as engineering controls (refer to Appendix B - Controlling Hazards). If such methods are not adequate or feasible, then (Safety Person or designated person) will determine the suitability of the PPE presently available; and as necessary, will select new or additional equipment which ensures a level of protection greater than the minimum required to protect our employees from the hazards (refer to Appendix C - Selection of PPE). Care will be taken to recognize the possibility of multiple and simultaneous exposure to a variety of hazards. Adequate protection against the highest level of each of the hazards will be recommended for purchase. All personal protective clothing and equipment will be of safe design and construction for the work to be performed an

[5] Personal Protective Equipment Hazard Assessment

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# What types of PPE may be necessary? Your hazard assessment should determine if your employees need any of the following types of PPE: - Eye and face protection ◆ Fall protection - Foot protection • Hand/general skin protection - Head protection • Hearing protection • Leg protection ● Personal floatation device • Respiratory protection • Torso/general body protection ## How to do a PPE hazard assessment ## Do a baseline survey to identify workplace hazards A baseline survey is a thorough evaluation of your entire workplace - including work processes, tasks, and equipment - that identifies safety and health hazards. A complete survey will tell you what the hazards are, where they are, and how severe a potential injury could be. ## Suggestions: Use safety data sheets (SDS) to identify chemical hazards. A safety data sheet has detailed information about a hazardous chemical's health effects, its physical and chemical characteristics, and safe handling practices. Review equipment owner and operator manuals to determine the manufacturer's safety warnings and recommended PPE. Conduct a job-hazard analysis (JHA) - a method of identifying, assessing, and controlling hazards associated with specific jobs. A JHA breaks down a job into tasks. You evaluate each task to determine if there is a safer way to do it. A job-hazard analysis works well for jobs with difficult-to-control hazards and jobs with histories of accidents or near misses. JHAS for complex jobs can take a considerable amount of time and expertise to develop. You may want to have a safety professional help you. Have an experienced safety professional survey your workplace with you. 4

[6] Personal Protective Equipment (PPE) Guide

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# Option 2 <table><tr><th></th><th></th><th colspan="5">Job Hazard Analysis Matrix</th></tr><tr><td colspan="2">Severity of Injury</td><td colspan="5">Probability of an Accident Occurring</td></tr><tr><td>Level</td><td>Description</td><td>A Frequent</td><td>B Several Times</td><td>C Occasional</td><td>D Possible</td><td>E Extremely Improbable</td></tr><tr><td>I</td><td>Fatal or Permanent Disability</td><td>1</td><td>1</td><td>1</td><td></td><td>3</td></tr><tr><td>||</td><td>Severe Illness or Injury</td><td>1</td><td>1</td><td>2</td><td>2233</td><td>3</td></tr><tr><td>III</td><td>Minor Injury or illness</td><td>2</td><td>2</td><td>2-3</td><td></td><td>3</td></tr><tr><td>IV</td><td>No Injury or Illness</td><td>3</td><td>3</td><td>3</td><td></td><td>3</td></tr></table> <table><tr><th colspan="3">Risk Priority</th></tr><tr><td>Code</td><td>Risk Level</td><td>Action Required</td></tr><tr><td>1</td><td>High</td><td>Work activities must be suspended immediately until hazard can be eliminated or controlled or reduced to a lower level.</td></tr><tr><td>2</td><td>Medium</td><td>Job hazards are unacceptable and must be controlled by engineering, administrative, or personal protective equipment methods as soon as possible.</td></tr><tr><td>3</td><td>Low</td><td>No real or significant hazard exists. Controls are not required but may increase the comfort level of employees.</td></tr></table> 3. Take action on the assessment. Depending on the assigned Risk Level/Code (or Risk priority), take the corresponding action according to the table above: • If Risk priority is LOW (3) for a task step → requires no further action. - Note: If you assign a risk code of 3, be sure that there isn't a WISHA standard that requires specific protection be provided. For example: WAC 296-24-[redacted postal code] requires personal protective equipment when using compressed air for cleaning. - If Risk priority is MEDIUM (2) → select and implement appropriate controls. • If Risk priori

[7] Personal Protective Equipment (PPE) Guide

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# Hazard Assessment For PPE (cont.) ## Instructions: (cont.) Option 1 # PPE Hazard Assessment Certification Form *Name of work place: <empty> *Work place address: <empty> *Required for certifying the hazard assessment. Work area(s): <empty> *Assessment conducted by: <empty> *Date of assessment: <empty> Job/Task(s): <empty> Use a separate sheet for each job/task or work area *Required for certifying the hazard assessment. Use a separate sheet for each job/task or work area EYES: Work activities, such as: [ ] abrasive blasting [ ] sanding [ ] chopping [ ] sawing [ ] cutting [ ] grinding [ ] drilling [ ] hammering [ ] welding [ ] punch press operations [ ] other: <empty> Work-related exposure to: [ ] airborne dust [ ] flying particles [ ] blood splashes [ ] hazardous liquid chemicals [ ] intense light [ ] other: <empty> Can hazard be eliminated without the use of PPE? Yes [ ] No [ ] If no, use: [ ] Safety glasses [ ] Side shields [ ] Safety goggles [ ] Dust-tight goggles [ ] Shading/Filter (#<empty>) [ ] Welding shield [ ] Other: <empty> FACE: Work activities, such as: [ ] cleaning [ ] foundry work [ ] welding [ ] siphoning [ ] mixing [ ] painting [ ] pouring molten metal [ ] dip tank operations [ ] other: <empty> Work-related exposure to: [ ] hazardous liquid chemicals [ ] extreme heat/cold [ ] potential irritants: <empty> [ ] other: <empty> Can hazard be eliminated without the use of PPE? Yes [ ] No [ ] If no, use: [ ] Face shield [ ] Shading/Filter (#<empty>) [ ] Welding shield [ ] Other: <empty> HEAD: Work activities, such as: [ ] building maintenance [ ] confined space operations [ ] construction [ ] electrical wiring [ ] walking/walking under catwalks [ ] walking/workng under conveyor belts [ ] walking/workng under crane loads [ ] utility work [ ] other: <empty> Work-related exposure to: [ ] beams [ ] pipes [ ] exposed electrical wiring or components [ ] falling objects [ ] machine parts [ ] other: <empty> Can hazard be eliminated without the us

[8] Personal Protective Equipment Hazard Assessment

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# Evaluate your employees' exposures to each hazard identified in the baseline survey (cont.) ## Document your hazard assessment For each job assessed, documentation must include the following information: - A heading saying the document is a "certification" of the hazard assessment • The name of the workplace evaluated - The name of the person certifying the hazard assessment was completed PPE hazard assessment certification Workplace evaluated: Person certifying the evaluation: Hazard assessment date: • The date of each hazard assessment Use the PPE hazard assessment and certification form on our website to conduct your own hazard assessment. Construction industry and agricultural employers do not have to document their hazard assessments, but must tell each exposed employee about their PPE selection decisions and meet other rule requirements. ## Do regular workplace inspections Regular inspections tell you whether you have eliminated or controlled existing hazards, and help you identify new hazards. Quarterly inspections by employees trained in hazard recognition are a good way to get the job done. Look for new hazards whenever you change equipment, materials, or work processes. Determine what hazards could result from the changes and how to control them. If your business works at multiple sites, you may need to do a hazard assessment at each site. 6

[9] Hazard and Risk - Hazard Identification

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# Hazard and Risk - Hazard Identification (cont.) ## How do I know what is a hazard? (cont.) Where # can I find more information about hazards? It may be necessary to research what could be a hazard as well as how much harm that hazard might cause. Sources of information include: - Safety Data Sheets (SDSs). - Manufacturer's operating instructions, manuals, etc. - Test or monitor for exposure (occupational hygiene testing such as chemical or noise exposure). - Results of any job safety analysis. - Experiences of other organizations similar to yours. - Trade or safety associations. - Information, publications, alerts, etc., published by reputable organizations, labour unions, or government agencies. - Subject matter experts, stakeholders, and workers. - Physical demands analysis, job demands analysis. - Past experiences, statistics, and incident reports. ## What if I am new to the task or the workplace? If you are new to that task or to your workplace, to learn about the hazards of your job, you can: - Ask your supervisor. - Ask a member of the health and safety committee or your health and safety representative. - Ask about standard operating procedures and precautions for your job. - Check product labels and safety data sheets. - Pay attention to signs and other warnings in your work. - Watch for posters or instructions at the entrance of a chemical storage room that warn of hazardous products. - Ask about operating instructions, safe work procedures, processes, etc. Ask to review the risk assessment and relevant procedures before starting work. Hazard and Risk - Hazard Identification CCOHS

[10] Hazard and Risk - Sample Risk Assessment Form

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# What is a sample risk assessment form? (cont.) ## Sample Risk Assessment Form (cont.) <table><tr><th>Step or task</th><th>Hazard</th><th>Consequences or harm</th><th>Risk</th><th>Priority</th><th>Hazard Controls</th></tr><tr><td>EXAMPLE: Working at heights while on a ladder</td><td>Safety hazard: falling from heights</td><td>Serious injury due to a fall</td><td>High risk</td><td>1</td><td>Follow the hierarchy of controls for working at heights Elimination: when possible, perform work from the ground. Engineering controls: use an elevating work platform when appropriate. Administrative controls:</td></tr><tr><td></td><td></td><td></td><td></td><td></td><td>development of fall protection plans, safe work procedures, emergency response plans for working at heights, and adequate training (including working heights and fall protection training, elevating work platform training, ladder safety, training on safe work procedures and emergency response, etc.). Personal protective equipment: fall arrest system and equipment, head protection, high-visibility. clothing, protective footwear, face and eye protection, emergency response equipment, and other appropriate equipment for the job.</td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr></table> Hazard and Risk - Sample Risk Assessment Form CCOHS

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