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HEALTH CONTROL PLAN // ASSESS NSW RESOURCES REGULATOR Assessing risks associated with health hazards worksheet NSW mining and extractives industry Mine name: Sectio n: Date: Assessment team leader: Description of task or process: Participants (Name/position): Number of operators/workers: Task duration: Frequency of task: Relevant legislation, industry standards or guidelines: For the job/work process record each hazard and the source (task, plant or equipment) Note exposure standard Results of exposure monitorin g or other assessmen t Severity Health consequence Frequency and intensity Likelihood Current risk control (Where does this sit in the hierarchy of controls?) Risk rating If control doesn’t match recommended level, what more can be done? New risk rating

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HEALTH CONTROL PLAN // ASSESSNSW RESOURCES REGULATOR

Assessing risks associated with health hazards worksheet

NSW mining and extractives industryMine name:       Sectio

n:       Date:      

Assessment team leader:       Description of task or process:      

Participants (Name/position):      

Number of operators/workers:      Task duration:      Frequency of task:      

Relevant legislation, industry standards or guidelines:

     

For the job/work process record each hazard and the

source(task, plant or equipment)

Note exposure standard

Results of exposure

monitoring or other

assessment

Severity

Healthconsequence

Frequency and intensity

Likelihood

Current risk control(Where does this

sit in thehierarchy of controls?)

Riskrating

If controldoesn’t match

recommended level,what more

can be done?

Newrisk

rating

                                                     

                                                     

HEALTH CONTROL PLAN // ASSESSNSW RESOURCES REGULATOR

Assessing risks associated with health hazards worksheet

For the job/work process record each hazard and the

source(task, plant or equipment)

Note exposure standard

Results of exposure

monitoring or other

assessment

Severity

Healthconsequence

Frequency and intensity

Likelihood

Current risk control(Where does this

sit in thehierarchy of controls?)

Riskrating

If controldoesn’t match

recommended level,what more

can be done?

Newrisk

rating

                                                     

                                                     

                                                     

                                                     

Further action planned:      

Person(s) responsible and completion date:      

HEALTH CONTROL PLAN // ASSESSNSW RESOURCES REGULATOR

Assessing risks associated with health hazards worksheet

For the job/work process record each hazard and the

source(task, plant or equipment)

Note exposure standard

Results of exposure

monitoring or other

assessment

Severity

Healthconsequence

Frequency and intensity

Likelihood

Current risk control(Where does this

sit in thehierarchy of controls?)

Riskrating

If controldoesn’t match

recommended level,what more

can be done?

Newrisk

rating

Management sign-off: Date: