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    Hirarc Form

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    Paranthaman
    This document is a hazard identification, risk assessment, and risk control (HIRARC) form used at a university. It contains sections to identify hazards, analyze risks, and recommend control measures. The form includes scales to rate likelihood, severity, and existing risk controls. It states that low risks may be acceptable but medium and high risks require planned or immediate control actions, with all actions documented on the form. The form requests details of the faculty/department, work process, person conducting the assessment, dates, and recommends assigning responsibility and due dates for implementing control measures.

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    Download as XLS, PDF, TXT or read online from Scribd

    Hirarc Form

    Uploaded by

    Paranthaman
    137 views10 pages
    This document is a hazard identification, risk assessment, and risk control (HIRARC) form used at a university. It contains sections to identify hazards, analyze risks, and recommend control measures. The form includes scales to rate likelihood, severity, and existing risk controls. It states that low risks may be acceptable but medium and high risks require planned or immediate control actions, with all actions documented on the form. The form requests details of the faculty/department, work process, person conducting the assessment, dates, and recommends assigning responsibility and due dates for implementing control measures.

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    Hirarc Form (1)

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    This document is a hazard identification, risk assessment, and risk control (HIRARC) form used at a university. It contains sections to identify hazards, analyze risks, and recommend control measures. The form includes scales to rate likelihood, severity, and existing risk controls. It states that low risks may be acceptable but medium and high risks require planned or immediate control actions, with all actions documented on the form. The form requests details of the faculty/department, work process, person conducting the assessment, dates, and recommends assigning responsibility and due dates for implementing control measures.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    137 views10 pages

    Hirarc Form

    Uploaded by

    Paranthaman
    This document is a hazard identification, risk assessment, and risk control (HIRARC) form used at a university. It contains sections to identify hazards, analyze risks, and recommend control measures. The form includes scales to rate likelihood, severity, and existing risk controls. It states that low risks may be acceptable but medium and high risks require planned or immediate control actions, with all actions documented on the form. The form requests details of the faculty/department, work process, person conducting the assessment, dates, and recommends assigning responsibility and due dates for implementing control measures.

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    You are on page 1of 10

    BORANG HIRARC (HIRARC FORM)

    Faculty/Department/Unit/Laboratory/Workshop: Conducted By:


    Fakulti/Jabatan/Unit/Makmal/Bengkel: (Name, Position)
    Work Process/Location/Block: Disediakan Oleh:
    Proses Kerja/Lokasi/Blok: (Nama, Jawatan)

    Approved By: Prepared Date: (from)


    (Name, Position, Signature) Tarikh Disediakan: (dari)
    Disahkan Oleh:
    (Nama, Jawatan, Review Date:
    Tandatangan) Tarikh Disemak:

    Approved Date: Second Review Date:


    Tarikh Disahkan: Tarikh Semakan Semula:

    1. Hazard Identification 2. Risk Analysis


    Pengenalpastian Hazard Analisis Risiko
    Which can cause/effect
    Existing Risk Control (if any) Likelihood Severity Risk
    No. Work Activity Hazard Yang Boleh
    Kawalan Risiko Kebarangkalian Keterukan Tahap Risiko
    Bil. Aktiviti Kerja Hazad Mengakibatkan/Kesan
    (sedia ada) (A) (B) (AxB)
    Likelihood Scale Severity Scale Preventive Measures (Control Scale)
    Skala Kemungkinan / Kebarangkalian Skala Keterukan / Ketenatan Langkah Kawalan (Hierarki Kawalan)
    5 - Almost Certain / Paling Mungkin (Setiap Jam) 5 - Catastrophic / Malapetaka 1 - Elimination / Penghapusan
    4 - Likely / Mungkin (Setiap Hari) 4 - Fatal / Kematian 2 - Substitution / Penggantian
    3 - Possible / Dapat Dijangka (Setiap Minggu) 3 - Serious / Serius (MC lebih 3 hari/Hilang Upaya Kekal) 3 - Engineering Control / Kawalan Kejuruteraan
    2 - Unlikely / Jarang Sekali (Setiap Bulan) 2 - Minor / (MC kurang 3 hari/Kecederaan Tidak Kekal) 4 - Administrative Controls / Kawalan Pengurusan
    5 - Personal Protective Equipment / Peralatan Perlindungan
    1 - Rare / Tidak Mungkin (Setahun Sekali) 1 - Negligible/ Lelasan Kecil, Lebam, Luka Ringan, Kecederaan Ringan
    Diri

    Risk / Tahap Risiko


    A risk identified as LOW may be considered as acceptable and further reduction may not be necessary. However, if the risk can be resolved quickly and
    1-4 - Rendah (Low)
    recorded.

    5-12 - Sederhana (Medium) A MEDIUM risk requires a planned approach to controlling the hazard and applies temporary measure if required. Actions taken must be documented o

    15-25 - Tinggi (High) A HIGH risk requires immediate action to control the hazard as detailed in the hierarchy of control. Actions taken must be documented on the risk asse
    utm/oshe/hirarc/v01

    (to)
    (hingga)

    3. Risk Control
    Kawalan Risiko
    Recommended Control Measures PIC (Due date/status)
    Langkah Kawalan Yang Orang Bertanggungjawab
    Disarankan (Tarikh Tamat/Status)
    uickly and efficiently, control measures should be implemented and

    umented on the risk assessment form including date for completion.

    risk assessment form including date for completion


    Contoh Pengisian Dokumen HIRARC
    HIRARC

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