Whsmp · OPW16/0021

                                                               Hazardous Substance Risk Assessment
                                                                                                         HB-HSEQ-F-040-A
                                                                                                               Version: 4


Looking at the work process, location of workers and considering all persons with the potential for exposure, consider
the following:
                                                                                                        Yes         No
Is there evidence of contamination?

• Dusts or fumes visible in the air or on surfaces

• Substances visible on a person’s skin or clothing

• Visible leaks, spills or residue

• Other

Is there direct contact with the substance?

Is there a potential for splashes?

What is the time exposure to the substance?
                            Number of Times                                  Period of Each Time (minutes/hours)
          • Per day
          • Per week
          • Per month
          • Per year

Are any of the following controls in place and are they properly maintained (cleaned, recorded, follow-up)?
                                                                          Present                       Maintained
                                                                    Yes             No                 Yes          No
• Are there engineering controls in place?

• Are there gen. ventilation & local ventilation systems in
 place?
• Are workers trained in the proper use of the substance?

• Do work practices ensure safe handling?

• Is the appropriate PPE used?

• Are there facilities for changing and washing?

• Are good housekeeping practices in place?

• Are hazardous substances stored correctly

• Is waste disposed of properly

• Are there emergency procedures in place?

• Is there emergency equipment eg eye wash




                                                                                                              Page 2 of 4