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ZAINORIN ALI MSc (Occupational Safety & Health Management) Hazard Identification, Risk Assessment & Risk Control (HIRARC) Training

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Page 1: HIRARC

ZAINORIN ALIMSc (Occupational Safety & Health

Management)

Hazard Identification, Risk Assessment & Risk Control (HIRARC) Training

Page 2: HIRARC

TABLE OF CONTENTS

1. Objective2. What is HIRARC?3. Purpose of HIRARC4. Process of HIRARC5. Hazard Identification6. Risk Assessment7. Risk Control8. Practical Workshop 9. Examination

Page 3: HIRARC

1. Explore the elements of an effective hazard identification and control program.

2. Discuss the steps in the hazard identification and control process.

3. Be able to perform the Hazard Identification and Risk Assessment Form by their own with 3 simple steps to ensure a safe & healthy workplace.

OBJECTIVES:

Page 4: HIRARC

1. Memastikan keselamatan dan kesihatan pekerja di tempat kerja.

2. Melindungi keselamatan orang lain selain dari pekerja di tempat kerja tersebut.

3. Menggalakkan persekitaran yang sesuai (dari segi fisiologi dan psikologi)

4. Membolehkan penggantian secara berperingkat perundangan berkaitan dengan Peraturan dan Kod Amalan yang diluluskan

Page 5: HIRARC

FALSAFAH“KEWAJIPAN BAGI MEMASTIKAN KESELAMATAN DAN KESIHATAN DI TEMPAT KERJA TERLETAK PADA MEREKA YANG MEWUJUDKAN RISIKO DAN MEREKA YANG BEKERJA DENGAN RISIKO TERSEBUT”

Page 6: HIRARC

1. Memberi perhatian terhadap keselamatan dan kesihatan sendiri dan orang lain

2. Bekerjasama dengan majikan atau orang lain di dalam perlaksanaan Akta ini

3. Memakai dan mengguna Kelengkapan Pelindung Diri (PPE)

4. Mematuhi arahan atau langkah keselamatan dan kesihatan pekerjaan

PENALTI KEPADA PEKERJA:1. RM 1,000 atau2. 3 bulan penjara atau 3. kedua-duanya sekali

KEWAJIPAN AM AM PEKERJA (SEKSYEN 24, AKKP 1994)

Page 7: HIRARC

1. Mengada dan menyenggara loji dan sistem kerja selamat

2. Membuat perkiraan untuk menjamin keselamatan dalam penggunaan, pengendalian, penanganan (handling), penyimpanan dan pengangkutan loji dan bahan

KEWAJIPAN AM MAJIKAN DAN ORANG YANG BEKERJA SENDIRI (SEKSYEN 15, AKKP 1994)

HIRARC

Page 8: HIRARC

3. Mengadakan maklumat, arahan, latihan dan penyeliaan berkaitan keselamatan dan kesihatan pekerjaan

i. Maklumat

iii. Latihan iv. Penyeliaan

ii. Arahan

KEWAJIPAN AM MAJIKAN DAN ORANG YANG BEKERJA SENDIRI (SEKSYEN 15, AKKP 1994)

Page 9: HIRARC

4. Memastikan laluan keluar dan masuk ke tempat kerja yang selamat

5. Menyediakan persekitaran kerja yang selamat dan sihat serta kemudahan kebajikan pekerja

PENALTI KEPADA MAJIKAN 1. RM 50,000 atau 2. 2 tahun penjara atau 3. kedua-duanya sekali

KEWAJIPAN AM MAJIKAN DAN ORANG YANG BEKERJA SENDIRI (SEKSYEN 15, AKKP 1994)

Page 10: HIRARC

ContinualContinualimprovementimprovement

OH&S

policy

Planning

Implementation

and operation

Checking and

corrective action

Management

review

OH&S Management System

HIRARC

Page 11: HIRARC

HIRARC

Page 12: HIRARC

ID Task Name Duration Start Finish

1 OHSAS 18001 Milestone 183 days Tue 12/1/09 Thu 8/12/10

2 OHSAS 18001 awareness 5 days Tue 12/1/09 Mon 12/7/09

3 Documentation Development 81 days Tue 12/8/09 Tue 3/30/10

4 HIRARC 21 days Tue 12/8/09 Tue 1/5/10

5 Legal Identification & Evaluation 21 days Tue 12/8/09 Tue 1/5/10

6 Common Documentation 21 days Tue 12/8/09 Tue 1/5/10

7 Review Session I 2 days Wed 1/6/10 Thu 1/7/10

8 Operational Control 21 days Fri 1/8/10 Fri 2/5/10

9 O&T and OSH MP 14 days Mon 2/8/10 Thu 2/25/10

10 ERP Manual 14 days Mon 2/8/10 Thu 2/25/10

11 Review Session II 2 days Fri 2/26/10 Mon 3/1/10

12 Documentation Review Before Implementation21 days Tue 3/2/10 Tue 3/30/10

13 OHSAS 18001 Implementation 90 days Wed 3/31/10 Tue 8/3/10

14 Environment-Related Training 3 days Wed 3/31/10 Fri 4/2/10

15 Legal Training 1 day Wed 3/31/10 Wed 3/31/10

16 Schedule Waste Training 1 day Thu 4/1/10 Thu 4/1/10

17 Internal Audit Training 1 day Fri 4/2/10 Fri 4/2/10

18 Actual Internal Audit 2 days Wed 8/4/10 Thu 8/5/10

19 Management Review 1 day Fri 8/6/10 Fri 8/6/10

20 SIRIM Audit 5 days Fri 8/6/10 Thu 8/12/10

21 Initial Audit 2 days Fri 8/6/10 Mon 8/9/10

22 Certification Audit 3 days Tue 8/10/10 Thu 8/12/10

11/15 12/20 1/24 2/28 4/4 5/9 6/13 7/18 8/22November 11 January 21 April 1 June 11 August 21

OHSAS 18001 MILESTONE CHART

TNB KUALA LUMPUR TOWARDS OHSAS 18001 CERTIFICATION

HIRARC

Page 13: HIRARC

13

400

Near Misses

80

Property Damage

50

First Aid

Fatal

Property Damage

3Lost Day

1Serious /

fatal

CAUSES OF ACCIDENTS

Page 14: HIRARC

14

UNSAFE ACTSUNSAFE

CONDITIONS• Substandard /

inadequate procedure

• Outdated procedure

• Design flaw

• “Unsafe” attitude / behavior such as negligence

• Not wearing proper protective equipment (PPE)

Page 15: HIRARC

PERLAKUAN TIDAK SELAMAT : TIDAK MENGGUNAKAN KASUT KESELAMATAN

KEADAAN TIDAK SELAMAT : KAWASAN KERJA TIDAK KEMAS

Page 16: HIRARC

BERAPAKAH PERLAKUAN TIDAK SELAMAT?

Page 17: HIRARC

17

MITOS / TANGGAPAN FAKTA

i) MALANG TIDAK BERBAU i) KEMALANGAN BOLEH DIJANGKA

ii) KEMALANGAN ADALAH

DITAKDIRKAN

ii) KEMALANGAN BOLEH

DIELAKKAN

iii) ADA ORANG YANG SENTIASA

BERNASIB MALANG

iii) KESELAMATAN PEKERJA

PERLU DIURUS

iv) KESELAMATAN TIDAK PERLU

DITITIKBERATKAN

iv) BEKERJA SECARA SELAMAT

ADALAH WAJIB

v) TANGGAPAN UMUM BAHAWA

KEMALANGAN ITU PERKARA

BIASA (COMMON SENSE)

v) MENCEGAH ADALAH LEBIH

BAIK DARI MENGUBATI

MITOS DAN FAKTA MENGENAI KEMALANGAN

Page 18: HIRARC

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

Doc No.

Prepared by   Revision No :

JOB TITLE Working in Clinic Verified by   Date :

No

HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL

Activities / Equipment/ Facilites

R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of ControlRecommended Control Measures

PIC (Due Date / Status)

9

Receive & treat patient

R

9.1 a) Exposure to known & unknown bacteria, fungal & viruses

9.1 a) Sick9.1 b) Fatality

9.1 a) Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

10

Clearing medical waste

R

10 a) Contact with sharp object

10.1 a) Sick10.1 b) Fatality

10.1 a)Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

11

Using X-ray machine

R

11 a) Exposure to radioactive and radiation

11.1 a) Cancer 11.1 b) Fatality

11a) Competency & Proper PPE to be worn11b) Safe work distance, allowable exposure limit &

2 2 4 (L) NIL NIL  

12Release Contamination / Hospital treated waste

R 12 a) Scheduled waste

12 a) Pollution to atmosphere, sanitary

sewer, ground water, fresh water, soil

12a) Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

*R-Routine, NR - Non Routine

LIKELIHOOD SEVERITY

Most Likely (5) The most likely result of the hazard / event being realised Catastropic (5) Numerous fatalities

Possible (4) Has a good change of occuring and is not unusual (1-5 years) Fatal (4) Approximately one single fatality

Conceivable (3) Might be occur at sometime in future (5-10 years) Serious (3) Non-fatal injury, permanent disability or > 4 days MC

Remote (2) Has not been known to occur after many years (10 yrs) Minor (2) Disabling but not permanent injury or 1-4 days MC

Inconceivable (1) Is practically impossible and has never occurred Negligible (1) Minor abrasions, bruises, cut, first aid type injury

RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 MEDIUM 1 - 4 : LOW RISK

Hazard Identification, Risk Assessment & Risk Control (HIRARC) Form

1 2 3

Page 19: HIRARC

Guidelines for Hazard Identification, Risk Assessment and Risk Control

Published by Department of Occupational Safety and Health (DOSH) 2008.

REFERENCE:

Page 20: HIRARC

DIFINITION:

1. Hazard :

Source or situation with potential for harm in term of human injury or ill health, damage to property, damage to the workplace environment or a combination of these.

2. Hazard Identification :

Process of recognizing that a hazard exists and defining its characteristics

3. Risk :

Combination of likelihood and consequence of a specified hazardous event occurring

Page 21: HIRARC

DIFINITION:

4. Risk Assessment :

Overall process of estimating the magnitude of Risk and deciding whether or not risk is tolerable

5. Tolerable Risk :

Risk that have been reduced to a level that can be accepted by the organization

Page 22: HIRARC

• Eg. A tiger is a source Tiger attack is a hazard. Becoz has potential for harm

• A cage is the control.

• Therefore, a tiger in cage is less risk as compared to a tiger out of cage. Furthermore, a tiger in cage is less dangerous than a tiger out of cage since the hazard is already controlled.

Page 23: HIRARC

Garang

Cedera

Gigi Tajam

Gigitan Penyakit

Kuku Tajam

Luka dicakar

KENAL PASTI HAZARD AKIBAT

Kutu

JankitanPenyakit

Gerakan Liar

Orang awam / Trafikterganggu

Bau Busuk Pening

Page 24: HIRARC

KENAL PASTI HAZARD AKIBAT

Page 25: HIRARC

KENAL PASTI HAZARD AKIBAT

Page 26: HIRARC

KENAL PASTI HAZARD AKIBAT

Page 27: HIRARC

HAZARD IDENTIFICATION

RISK ASSESSMENT

RISK CONTROL

Identify hazard source or situation

Estimate level of risk and determine tolerability

Reduce or eliminate risk

WHAT IS HIRARC?

Page 28: HIRARC

Enable organization to identify, evaluate and control its OSH risk on an ongoing basis

To reduce accidents at workplaces

HIRARC to cover for all existing and new processes

Purpose of Hazard Identification, Risk Assessment and Risk Control (HIRARC):

Page 29: HIRARC

1. Document review – policy, legal document, record of accident, NCR, audit result, O&M Manual.

2. Site Assessment – observation, interview

3. Brainstorming – discussion to identify hazard.

Page 30: HIRARC

Process of HIRARC

Page 31: HIRARC

CLASSIFY WORK ACTIVITIES

Page 32: HIRARC

CLASSIFY WORK ACTIVITIES

1. Handling patients, contaminated objects, body secretions, tissue or fluids 2. Using X-ray machine

3. Handling patients & moving objects

4. Dealing with angry and stressed patients and their families.

Working in Clinic

Page 33: HIRARC

Category Examples

PHYSICAL noise, radiation, ventilation, heat stress, lighting, electrical

CHEMICAL pesticides, solvents and heavy metals

BIOLOGICAL dangerous creatures, virus, bacteria and parasite

ERGONOMIC human and machine interface, work position or work posture

PSYCHOSOCIAL work stress, employees interaction within organisation, long hours work, shift work

CATEGORIES OF HAZARDS

Page 34: HIRARC

Example Hazards map : Grocery Store

Page 35: HIRARC

SPOT THE HAZARD

Page 36: HIRARC

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

Doc No.

Prepared by   Revision No :

JOB TITLE Working in Clinic Verified by   Date :

No

HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL

Activities / Equipment/ Facilites

R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of ControlRecommended Control Measures

PIC (Due Date / Status)

9

Receive & treat patient

R

9.1 a) Exposure to known & unknown bacteria, fungal & viruses

9.1 a) Sick9.1 b) Fatality

9.1 a) Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

10

Clearing medical waste

R

10 a) Contact with sharp object

10.1 a) Sick10.1 b) Fatality

10.1 a)Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

11

Using X-ray machine

R

11 a) Exposure to radioactive and radiation

11.1 a) Cancer 11.1 b) Fatality

11a) Competency & Proper PPE to be worn11b) Safe work distance, allowable exposure limit &

2 2 4 (L) NIL NIL  

12Release Contamination / Hospital treated waste

R 12 a) Scheduled waste

12 a) Pollution to atmosphere, sanitary

sewer, ground water, fresh water, soil

12a) Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

*R-Routine, NR - Non Routine

LIKELIHOOD SEVERITY

Most Likely (5) The most likely result of the hazard / event being realised Catastropic (5) Numerous fatalities

Possible (4) Has a good change of occuring and is not unusual (1-5 years) Fatal (4) Approximately one single fatality

Conceivable (3) Might be occur at sometime in future (5-10 years) Serious (3) Non-fatal injury, permanent disability or > 4 days MC

Remote (2) Has not been known to occur after many years (10 yrs) Minor (2) Disabling but not permanent injury or 1-4 days MC

Inconceivable (1) Is practically impossible and has never occurred Negligible (1) Minor abrasions, bruises, cut, first aid type injury

RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 MEDIUM 1 - 4 : LOW RISK

Hazard Identification, Risk Assessment & Risk Control (HIRARC) Form

1 2 3

Page 37: HIRARC

HAZARD IDENTIFICATION

No Activities / Equipment/

Faculties

R/NR*

Hazard Consequences

1 handling patients, contaminated objects, body secretions, tissue or fluids

R Infectious Diseases Hepatitis B, Hepatitis C and Human Immunodeficiency Virus (HIV) can be spread

2 Using X-ray machine R Exposure to radioactive and radiation

Cancer Fatality

3 Handling patients & moving objects R

Heavy lifting and frequent bending or twisting when moving objects or patients

Back injuries

4 Dealing with angry and stressed patients and their families. R

Health care workers are at risk from violence

Workplace violence can result in loss of sleep, fear or depression, post traumatic stress disorder

*R-Routine, NR - Non Routine

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

JOB TITLE : Working in Clinic

Page 38: HIRARC

HAZARD IDENTIFICATION

Page 39: HIRARC

•Human behaviour, unsafe acts

Man

•Installation, layout and design of equipment

Machinery

•Substances such as chemicals and gases use in the workplace

Materials

•The way people carry out their work

Method

•Workplace condition i.e. air quality, ventilation, lighting, noise, vibration etc.

Media

HAZARD IDENTIFICATION

5M

1

2

3

4

5

Page 40: HIRARC

HAZARD IDENTIFICATION TECHNIQUES

1

63

5

4

2

7

Page 41: HIRARC

HAZARD IDENTIFICATION

No Activities / Equipment/

Faculties

R/NR*

Hazard Consequences

1 handling patients, contaminated objects, body secretions, tissue or fluids

R Infectious Diseases Hepatitis B, Hepatitis C and Human Immunodeficiency Virus (HIV) can be spread

2 Using X-ray machine R Exposure to radioactive and radiation

Cancer Fatality

3 Handling patients & moving objects R

Heavy lifting and frequent bending or twisting when moving objects or patients

Back injuries

4 Dealing with angry and stressed patients and their families. R

Health care workers are at risk from violence

Workplace violence can result in loss of sleep, fear or depression, post traumatic stress disorder

*R-Routine, NR - Non Routine

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

JOB TITLE : Working in Clinic

Page 42: HIRARC

Using X-ray machine

Exposure to radioactive and radiation

Cancer

Dealing w

ith angry and

stresse

d patients

and their

families.

Health care workers are at risk from

violence

Workplace violence can result

in loss of sleep, fear or

depression, post traumatic

stress disorder

Using toilet

Slippery floor

Trip & Fall

Page 43: HIRARC

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

Doc No.

Prepared by   Revision No :

JOB TITLE Working in Clinic Verified by   Date :

No

HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL

Activities / Equipment/ Facilites

R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of ControlRecommended Control Measures

PIC (Due Date / Status)

9

Receive & treat patient

R

9.1 a) Exposure to known & unknown bacteria, fungal & viruses

9.1 a) Sick9.1 b) Fatality

9.1 a) Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

10

Clearing medical waste

R

10 a) Contact with sharp object

10.1 a) Sick10.1 b) Fatality

10.1 a)Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

11

Using X-ray machine

R

11 a) Exposure to radioactive and radiation

11.1 a) Cancer 11.1 b) Fatality

11a) Competency & Proper PPE to be worn11b) Safe work distance, allowable exposure limit &

2 2 4 (L) NIL NIL  

12Release Contamination / Hospital treated waste

R 12 a) Scheduled waste

12 a) Pollution to atmosphere, sanitary

sewer, ground water, fresh water, soil

12a) Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

*R-Routine, NR - Non Routine

LIKELIHOOD SEVERITY

Most Likely (5) The most likely result of the hazard / event being realised Catastropic (5) Numerous fatalities

Possible (4) Has a good change of occuring and is not unusual (1-5 years) Fatal (4) Approximately one single fatality

Conceivable (3) Might be occur at sometime in future (5-10 years) Serious (3) Non-fatal injury, permanent disability or > 4 days MC

Remote (2) Has not been known to occur after many years (10 yrs) Minor (2) Disabling but not permanent injury or 1-4 days MC

Inconceivable (1) Is practically impossible and has never occurred Negligible (1) Minor abrasions, bruises, cut, first aid type injury

RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 MEDIUM 1 - 4 : LOW RISK

Hazard Identification, Risk Assessment & Risk Control (HIRARC) Form

1 2 3

Page 44: HIRARC

RISK ASSESSMENT

Current Risk Control Likelihood Severity Risk LevelWash hands frequently (proper hand washing is the best way to prevent communicable diseases)

3 3 9 (M)

Competency & Proper PPE to be wornSafe work distance, allowable exposure limit 2 2 4 (L)

Use proper lifting technique 3 3 9 (M)Follow policies and intervention guidelines 3 3 9 (M)

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

LIKELIHOOD SEVERITYMost Likely (5) The most likely result of the hazard /

event being realized Catastrophic (5) Numerous fatalities

Possible (4) Has a good change of occurring and is not unusual (1-5 years)

Fatal (4) Approximately one single fatality

Conceivable (3) Might be occur at sometime in future (5-10 years)

Serious (3) Non-fatal injury, permanent disability or > 4 days MC

Remote (2) Has not been known to occur after many years (10 yrs)

Minor (2) Disabling but not permanent injury or 1-4 days MC

Inconceivable (1) Is practically impossible and has never occurred

Negligible (1) Minor abrasions, bruises, cut, first aid type injury

RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 : MEDIUM RISK

1 - 4 : LOW RISK

Page 45: HIRARC

RISK ASSESSMENT

Page 46: HIRARC

LIKELIHOOD

Page 47: HIRARC

SEVERITY

Page 48: HIRARC
Page 49: HIRARC

Risk = Likelihood x Severity

Page 50: HIRARC

RISK ASSESSMENT

Current Risk Control Likelihood Severity Risk LevelWash hands frequently (proper hand washing is the best way to prevent communicable diseases)

3 3 9 (M)

Competency & Proper PPE to be wornSafe work distance, allowable exposure limit 2 2 4 (L)

Use proper lifting technique 3 3 9 (M)Follow policies and intervention guidelines 3 3 9 (M)

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

LIKELIHOOD SEVERITYMost Likely (5) The most likely result of the hazard /

event being realized Catastrophic (5) Numerous fatalities

Possible (4) Has a good change of occurring and is not unusual (1-5 years)

Fatal (4) Approximately one single fatality

Conceivable (3) Might be occur at sometime in future (5-10 years)

Serious (3) Non-fatal injury, permanent disability or > 4 days MC

Remote (2) Has not been known to occur after many years (10 yrs)

Minor (2) Disabling but not permanent injury or 1-4 days MC

Inconceivable (1) Is practically impossible and has never occurred

Negligible (1) Minor abrasions, bruises, cut, first aid type injury

RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 : MEDIUM RISK

1 - 4 : LOW RISK

Page 51: HIRARC

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

Doc No.

Prepared by   Revision No :

JOB TITLE Working in Clinic Verified by   Date :

No

HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL

Activities / Equipment/ Facilites

R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of ControlRecommended Control Measures

PIC (Due Date / Status)

9

Receive & treat patient

R

9.1 a) Exposure to known & unknown bacteria, fungal & viruses

9.1 a) Sick9.1 b) Fatality

9.1 a) Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

10

Clearing medical waste

R

10 a) Contact with sharp object

10.1 a) Sick10.1 b) Fatality

10.1 a)Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

11

Using X-ray machine

R

11 a) Exposure to radioactive and radiation

11.1 a) Cancer 11.1 b) Fatality

11a) Competency & Proper PPE to be worn11b) Safe work distance, allowable exposure limit &

2 2 4 (L) NIL NIL  

12Release Contamination / Hospital treated waste

R 12 a) Scheduled waste

12 a) Pollution to atmosphere, sanitary

sewer, ground water, fresh water, soil

12a) Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

*R-Routine, NR - Non Routine

LIKELIHOOD SEVERITY

Most Likely (5) The most likely result of the hazard / event being realised Catastropic (5) Numerous fatalities

Possible (4) Has a good change of occuring and is not unusual (1-5 years) Fatal (4) Approximately one single fatality

Conceivable (3) Might be occur at sometime in future (5-10 years) Serious (3) Non-fatal injury, permanent disability or > 4 days MC

Remote (2) Has not been known to occur after many years (10 yrs) Minor (2) Disabling but not permanent injury or 1-4 days MC

Inconceivable (1) Is practically impossible and has never occurred Negligible (1) Minor abrasions, bruises, cut, first aid type injury

RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 MEDIUM 1 - 4 : LOW RISK

Hazard Identification, Risk Assessment & Risk Control (HIRARC) Form

1 2 3

Page 52: HIRARC

RISK CONTROL

Type of Control Recommended Control Measures

PIC (Due Date / Status)

Administrative Ensure availability of gloves and other protective equipment and cleansing agents

Mr. A (30/12/2012)

NIL NIL

Administrative Train staff on proper lifting techniques

Mr. B (30/12/2012)

Administrative Train staff on diffusing situations and intervention procedures

Mr. C (30/12/2012)

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

Page 53: HIRARC

Hazard Identification, Risk Assessment & Risk Control (HIRARC)

Page 54: HIRARC

Substitution

PPE

Administrative control

Engineering control

Isolation

Elimination

HIERARCHY OF CONTROL

Page 55: HIRARC

HIERARCHY OF CONTROL

Page 56: HIRARC

HIERARCHY OF CONTROL

Page 57: HIRARC

HIERARCHY OF CONTROL

Page 58: HIRARC

HIERARCHY OF CONTROL

Page 59: HIRARC

HIERARCHY OF CONTROL

Page 60: HIRARC

HIERARCHY OF CONTROL

Page 61: HIRARC

RISK CONTROL

Type of Control Recommended Control Measures

PIC (Due Date / Status)

Administrative Ensure availability of gloves and other protective equipment and cleansing agents

Mr. A (30/12/2012)

NIL NIL

Administrative Train staff on proper lifting techniques

Mr. B (30/12/2012)

Administrative Train staff on diffusing situations and intervention procedures

Mr. C (30/12/2012)

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

Page 62: HIRARC

SUMMARY

Page 63: HIRARC

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

Doc No.

Prepared by   Revision No :

JOB TITLE Working in Clinic Verified by   Date :

No

HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL

Activities / Equipment/ Facilites

R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of ControlRecommended Control Measures

PIC (Due Date / Status)

9

Receive & treat patient

R

9.1 a) Exposure to known & unknown bacteria, fungal & viruses

9.1 a) Sick9.1 b) Fatality

9.1 a) Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

10

Clearing medical waste

R

10 a) Contact with sharp object

10.1 a) Sick10.1 b) Fatality

10.1 a)Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

11

Using X-ray machine

R

11 a) Exposure to radioactive and radiation

11.1 a) Cancer 11.1 b) Fatality

11a) Competency & Proper PPE to be worn11b) Safe work distance, allowable exposure limit &

2 2 4 (L) NIL NIL  

12Release Contamination / Hospital treated waste

R 12 a) Scheduled waste

12 a) Pollution to atmosphere, sanitary

sewer, ground water, fresh water, soil

12a) Competency & Proper PPE to be worn

2 2 4 (L) NIL NIL  

*R-Routine, NR - Non Routine

LIKELIHOOD SEVERITY

Most Likely (5) The most likely result of the hazard / event being realised Catastropic (5) Numerous fatalities

Possible (4) Has a good change of occuring and is not unusual (1-5 years) Fatal (4) Approximately one single fatality

Conceivable (3) Might be occur at sometime in future (5-10 years) Serious (3) Non-fatal injury, permanent disability or > 4 days MC

Remote (2) Has not been known to occur after many years (10 yrs) Minor (2) Disabling but not permanent injury or 1-4 days MC

Inconceivable (1) Is practically impossible and has never occurred Negligible (1) Minor abrasions, bruises, cut, first aid type injury

RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 MEDIUM 1 - 4 : LOW RISK

Hazard Identification, Risk Assessment & Risk Control (HIRARC) Form

1 2 3

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HAZARD IDENTIFICATION

No Activities / Equipment/

Faculties

R/NR*

Hazard Consequences

1 handling patients, contaminated objects, body secretions, tissue or fluids

R Infectious Diseases Hepatitis B, Hepatitis C and Human Immunodeficiency Virus (HIV) can be spread

2 Using X-ray machine R Exposure to radioactive and radiation

Cancer Fatality

3 Handling patients & moving objects R

Heavy lifting and frequent bending or twisting when moving objects or patients

Back injuries

4 Dealing with angry and stressed patients and their families. R

Health care workers are at risk from violence

Workplace violence can result in loss of sleep, fear or depression, post traumatic stress disorder

*R-Routine, NR - Non Routine

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

JOB TITLE : Working in Clinic1

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RISK ASSESSMENT

Current Risk Control Likelihood Severity Risk LevelWash hands frequently (proper hand washing is the best way to prevent communicable diseases)

3 3 9 (M)

Competency & Proper PPE to be wornSafe work distance, allowable exposure limit 2 2 4 (L)

Use proper lifting technique 3 3 9 (M)Follow policies and intervention guidelines 3 3 9 (M)

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

LIKELIHOOD SEVERITYMost Likely (5) The most likely result of the hazard /

event being realized Catastrophic (5) Numerous fatalities

Possible (4) Has a good change of occurring and is not unusual (1-5 years)

Fatal (4) Approximately one single fatality

Conceivable (3) Might be occur at sometime in future (5-10 years)

Serious (3) Non-fatal injury, permanent disability or > 4 days MC

Remote (2) Has not been known to occur after many years (10 yrs)

Minor (2) Disabling but not permanent injury or 1-4 days MC

Inconceivable (1) Is practically impossible and has never occurred

Negligible (1) Minor abrasions, bruises, cut, first aid type injury

RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 : MEDIUM RISK

1 - 4 : LOW RISK

2

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RISK CONTROL

Type of Control Recommended Control Measures

PIC (Due Date / Status)

Administrative Ensure availability of gloves and other protective equipment and cleansing agents

Mr. A (30/12/2012)

NIL NIL

Administrative Train staff on proper lifting techniques

Mr. B (30/12/2012)

Administrative Train staff on diffusing situations and intervention procedures

Mr. C (30/12/2012)

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

3

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Set a Process to review OHS Hazards & Risk

Output/ results can be used to review :

Standard Operating Procedures (SOP)

Training Materials

Internal Audit

Management Review/ Continuous Improvement

Justification for Budget allocations

SUMMARY

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SEKIAN, TERIMA KASIH