Sample Work Activity Ra Template 2016

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SAMPLE LABORATORY / WORK ACTIVITY RISK ASSESSMENT (RA) FOR LABORATORY HANDLING BIOLOGICAL MATERIALS

Name of Institution:

Department / Name of Laboratory: RA Leader: (RA-Competent by training) Approved By


Process / Activity: RA Member 1: RA Reference Number:
Location of Laboratory / Room: RA Member 2: Signature:
Original Assessment Date: RA Member 3: Name:
Last Review Date: RA Member 4: Designation:
Next Review Date: RA Member 5: Date:
Hazard Identification Risk Evaluation Risk Control
1a 1b 1c 1d 2a or 3a
Severity Likelihood (score RPN (severity x Severity Likelihood (score RPN (severity x
Equipments or hazardous materials Possible / Existing Risk Control (score of 1 to 5) of 1 to 5) likelihood) (score of 1 to 5) of 1 to 5) likelihood) Implementation
No Work Activity Location of Activity Hazard Possible Accident / Ill-Health Additional Risk Controls Due Date Remarks
involved / required (list according to hierachy of risk controls) Person

Legend:
1. S = Severity of consequence
2. L = Likelihood (Frequency)
3. RPN = Risk prioritization number

Risk control measures should be established according to the hierachy of controls


1. Elimination of Hazard
2. Substitution of Hazard
3. Engineering Control of Hazard
4. Administrative Control of Hazard
5. Personal Protective Equipment to control exposure to hazard

Key to Risk Prioritisation (RPN) for implementation of actions


Color RPN Risk Acceptability Recommended Action
To manage by routine procedures
Green <5 Low Risk Acceptable
No additional risk control measures may be needed
Interim risk control measures, such as administrative controls or PPE, may be implemented
while longer term measures are being established.
Amber 5 – 14 Medium Risk Tolerable
A careful evaluation of the hazards should be carried out to ensure that the risk level is
reduced to as low as reasonably practicable (ALARP) within a defined period, for example 6
months

Work shall not start. There should not be any interim risk control measures.
≥ 15 overall score or
Catastrophic score for
Red High Risk Not acceptable High risk level must be reduced to at least medium risk before work is allowed to start.
Severity of
Consequence
Management review is required before work starts.
Name of Institution:

Department / Name of Laboratory:


Process / Activity:
Location of Laboratory / Room:
Original Assessment Date:
Last Review Date:
Next Review Date:
Hazard Identification
1a 1b
Equipments or hazardous materials
No Work Activity Location of Activity
involved / required

Legend:
1. S = Severity of consequence
2. L = Likelihood (Frequency)
3. RPN = Risk prioritization number

Risk control measures should be established according to the hierachy of controls


1. Elimination of Hazard
2. Substitution of Hazard
3. Engineering Control of Hazard
4. Administrative Control of Hazard
5. Personal Protective Equipment to control exposure to hazard

Key to Risk Prioritisation (RPN) for implementation of actions


Color RPN

Green <5 Low Risk

Amber 5 – 14 Medium Risk

≥ 15 overall score or
Catastrophic score for
Red High Risk
Severity of
Consequence
Note: This is only a sample and is not intended to be an exhaustive list of hazards and control measures for the
risk and determining suitable risk control measures to mitigate risk to ALARP. Reference should be made to rele
SAMPLE WORK ACTIVITY RISK ASSESSMENT (RA) FOR BIOLOGICAL SAFETY LABORATORY

RA Leader:
RA Member 1:
RA Member 2:
RA Member 3:
RA Member 4:
RA Member 5:
ntification
1c 1d
Hazard Possible Accident / Ill-Health
Risk Acceptability Recommended Action
To manage by routine procedures
Acceptable
No additional risk control measures may be needed
Interim risk control measures, such as administrative controls or PPE, may be implemented
while longer term measures are being established.
Tolerable
A careful evaluation of the hazards should be carried out to ensure that the risk level is
reduced to as low as reasonably practicable (ALARP) within a defined period, for example 6
months

Work shall not start. There should not be any interim risk control measures.

Not acceptable High risk level must be reduced to at least medium risk before work is allowed to start.

Management review is required before work starts.


azards and control measures for the above activities. Companies should conduct risk assessment on work activities specific to their workpl
P. Reference should be made to relevant regulations and code of practices.
FOR BIOLOGICAL SAFETY LABORATORY

Approved By

Signature:
Name:
Designation:
Date:
Risk Evaluation
2a or 3a
Possible / Existing Risk Control
Severity Likelihood RPN
(list according to hierachy of risk controls)
rocedures
ol measures may be needed
sures, such as administrative controls or PPE, may be implemented
ures are being established.

he hazards should be carried out to ensure that the risk level is


sonably practicable (ALARP) within a defined period, for example 6

ere should not be any interim risk control measures.

educed to at least medium risk before work is allowed to start.

equired before work starts.


ies should conduct risk assessment on work activities specific to their workplaces by identifying the hazards, evaluating the
e of practices.
RA Reference Number:

Risk Control

Implementation
Additional Risk Controls Severity Likelihood RPN Due Date
Person
Remarks
Name of Institution:

Department / Name of Laboratory: ABC Biomedical Testing Laboratory


Process / Activity: Processing biological specimens (blood) for laboratory experiments
Location of Laboratory / Room:
Original Assessment Date:
Last Review Date:
Next Review Date:
Hazard Identification Risk Evaluation Risk Control
1a 1b 1c 1d 2a or 3a
Equipments or hazardous materials Possible / Existing Risk Control
No Work Activity Exact Location Hazard Possible Accident / Ill-Health Severity Likelihood Risk Prioritisation Additional Risk Controls Severity Likelihood Risk Prioritisation Implementation PersonDue Date Remarks
involved (list according to hierachy of risk controls)
1 Sample receipt
1.1 Sample receipt, Sample Receiving area Biological specimens (blood, urine,
assessment and sorting body fluids)
Sample racks for tubes
Specimen forms stapled to
specimen ziplock bags
Stapler remover

1.2 Sample Receiving area


Computer
Computer work (recording Barcode scanner
& documentation) Barcode printer

2
Sample Processing (blood)
2.1 Sample Processing
Decapping, aliquoting Room
blood samples
2.2 Sample Processing
Room
Centrifuging blood
Sample Processing
Room
2.3 Removal of supernatant
Sample Processing
Room
2.4 Storing samples in freezer

insert risk matrix from ACOP

Note: This is only a sample and is not intended to be an exhaustive list of hazards and control measures for the above activities. Companies should conduct risk assessment on work activities specific to their workplaces by identifying the hazards, evaluating the
risk and determining suitable risk control measures to mitigate risk to ALARP. Reference should be made to relevant regulations and code of practices.

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