RSPE - Plant Risk Assessment And Management Summary (PRAMS) FORM

File reference: 
	Date of Assessment: 	
Person conducting Risk Assessment & Position: 
	
Name of budget manager/supervisor & Position:
 Rana Ganguly	
Telephone Number: 	+61 2 6125 5185	
Specify College/Department/ Faculty/budget area/Research group at ANU Canberra, ACT, 0200 Australia) 

	
Emergency Contact Person: 

HOD
OTHER
	Emergency Telephone Number: 
+61 2 6125 ____ 	
IDENTIFICATION 
	
Item of Plant assessed: 

Product Name: 	Model Number:
 
Serial Number: 

Year of Manufacture:
 	
Intended Use: 	Design/Performance Parameters Appearance: 

Safe working load limit: _____________________________ 

Electrical power supply: _____________________________ 

Operating electrical supply: __________________________ 

Operating conditions - Temperature: ____ to ____¡C Humidity: _____ to _____ 

%RH Electromagnetic fields: ________ (upper limits) 
Other: 	
Construction Parameters: 	Construction materials: 

	
Total equipment weight: 
	
Constructed and tested to achieve less than: 	Mark as Ònot knownÓ if not tested to a standard, or ‘NA’ if not applicable 	
Noise level: 
	
______________ dBA 	
Vibration: 
	
______________ dB 	
Light/Ultraviolet/Infrared: 
	
Ionizing Radiation levels: 
	
________________Gy or Sv @ 1 m 	
Radio frequency Electromagnetic radiation: 
	
Other

ANU - Plant Risk Assessment And Management Summary   (PRAMS)
 
HAZARD INFORMATION 	The plant must be assessed against the hazards listed for the likelihood of harm to plant operators and persons working in close proximity. 	
Hazard 	Likelihood of harm to people and near environment 
(􀀹 applicable risk rating) 	
( [] if present ) 	UNLIKELY 	POSSIBLE 	LIKELY 	ALMOST CERTAIN 	
Entanglement 	[] 	[] 	[] 	[] 	
Crushing 	[] 	[] 	[] 	[] 	
Trapping 	[] 	[] 	[] 	[] 	
Rollover 	[] 	[] 	[] 	[] 	
Cutting 	[] 	[] 	[] 	[] 	
Stabbing/Puncturing 	[] 	[] 	[] 	[] 	
Shearing 	[] 	[] 	[] 	[] 	
Friction/abrasion 	[] 	[] 	[] 	[] 	
Tearing/Stretching 	[] 	[] 	[] 	[] 	
Striking 	[] 	[] 	[] 	[] 	
Ejection of piece/s 	[] 	[] 	[] 	[] 	
High Pressure Fluid/Gas 	[] 	[] 	[] 	[] 	
Shattering/Fragmentation 	[] 	[] 	[] 	[] 	
Electrical 	[] 	[] 	[] 	[] 	
Explosion 	[] 	[] 	[] 	[] 	
Fire 	[] 	[] 	[] 	[] 	
Vacuum collapse 	[] 	[] 	[] 	[] 	
Slipping/tripping/falling 	[] 	[] 	[] 	[] 	
High temperature 	[] 	[] 	[] 	[] 	
Low temperature 	[] 	[] 	[] 	[] 	
Suffocation/confined or enclosed space 	[] 	[] 	[] 	[] 	
Exposure to chemicals 	[] 	[] 	[] 	[] 	
Exposure to dusts 	[] 	[] 	[] 	[] 	
Exposure to significant noise 	[] 	[] 	[] 	[] 	
Exposure to vibration 	[] 	[] 	[] 	[] 	
Exposure to ionizing radiation 	[] 	[] 	[] 	[] 	
Exposure to EM Radiation 	[] 	[] 	[] 	[] 	
Exposure to Ultraviolet, light, Infrared 	[] 	[] 	[] 	[] 	
Manual handling 	[] 	[] 	[] 	[] 	
Constrained posture/excessive effort 	[] 	[] 	[] 	[] 	
Remote location 	[] 	[] 	[] 	[] 	
Awkward access 	[] 	[] 	[] 	[] 	
Other: __________________ 	[] 	[] 	[] 	[] 	
Other: __________________ 	[] 	[] 	[] 	[] 	
Other: __________________ 	[] 	[] 	[] 	[] 	
Other: __________________ 	[] 	[] 	[] 	[] 	
Other: __________________ 	[] 	[] 	[] 	[] 	
                                         Not Significant

Overall Hazard Level of the Plant (CIRCLE) 
For medium or high hazard plant, a risk assessment must be completed and risk controls documented in the Operating Instructions.	Low                          Medium                   High

RISK ASSESSMENT* 
To determine the level of overall risk, consider the interaction of the identified hazards, its operator/s and environment in the use of the plant to identify the likelihood and consequences of an incident occurring. 
	
Hazard Identified (list) 

	1 Consequence of harm 	2 Likelihood of incident 	3 Risk Category 	
(Mn-Minor, Mod-Moderate, Mj-Major, C-Catastrophic) 	(U-Unlikely, P-Possible, L-Likely, C- almost Certain) 	(L-Low, M-Medium, H-High, E-Extreme) 	
Mn 	Mod 	Mj 	C 	U 	P 	L 	C 	L 	M 	H 	E 	
Mn 	Mod 	Mj 	C 	U 	P 	L 	C 	L 	M 	H 	E 	
Mn 	Mod 	Mj 	C 	U 	P 	L 	C 	L 	M 	H 	E 	
Mn 	Mod 	Mj 	C 	U 	P 	L 	C 	L 	M 	H 	E 	
Mn 	Mod 	Mj 	C 	U 	P 	L 	C 	L 	M 	H 	E 	
Mn 	Mod 	Mj 	C 	U 	P 	L 	C 	L 	M 	H 	E 	

RECOMMENDED RISK CONTROL/S (list) Consider known risk controls, research and the context of existing controls – legislation, standards, procedures, operator skills, delegations and values, registration or licensing requirements. 

	
Has the action taken reduced the risk to an acceptable level 	
 YES 	
 NO 
Proceed to Re-evaluation of risk controls 	
RE-EVALUATION OF CONTROL/S
 	
Remaining or new Hazard/s (list) 

	1 Consequence of    harm
Mn     Mod    Mj     C 	2 Likelihood of incident
U      P     L     C 
	3 Risk Category
L    M    H    E 	
Additional Control/s required: 

Remaining Risk/s Accepted by Responsible Staff Member 
 Yes 	Signature: 

Name: 

Position: HOD	

RESIDUAL RISK/S, REASON AND RECOMMENDED MANAGEMENT 

OPERATING INSTRUCTIONS 
	
PRECAUTIONS - Specify operational limits and conditions for the following (enter NA if not applicable) 	
Noise levels: 
Allowed - Lpeak 140 dBC , LAeq, 8 hr 85 dBA 
	
Vibration:
	
Light/Ultraviolet/Infrared: 
	
Ionizing radiation levels 	
________________Gy or Sv @ 1 m
	
Radio frequency electromagnetic radiation: 
	
Housing/environmental requirements: 
	
Personal Protection Equipment requirement: 
	
Storage and transport: 
	
Disposal: 
	
Fire/explosion hazard: 
	
OPERATIONAL GUIDELINES FOR THE PLANT 
	
Competency of the operator, maintenance and cleaning staff 
	
Service, testing and inspections required, along with the appropriate interval 
	
Guards and other control measures 
	
Emergency procedures 
	
Registration and/or licensing of plant 
	
Other Information