CONFINED SPACES RISK ASSESSMENT Description of confined CSRA # Date: space: E.g.: 01_2011 Campus Location details Description of work likely to be undertaken in this space: Attach photo if available Range of possible work methods: Method [a] Method [b] Method [c] Risk assessment undertaken by: Raw Potential Confined Residual Associated risks Specific controls to be in place to minimize risks Risk Describe in this case why /how? Risk – space hazards - [What could go wrong? How serious could it be? (Before working in this space ). score score if applicable . Low oxygen level <19.5 % Oxygen enrichment >23.5 % Combustible /flammable atmospheric gases or vapours, or dusts Toxic or other atmospheric contaminants
CONFINED SPACES RISK ASSESSMENT Description of confined space: Date: CSRA # E.g.: 01_2011 Campus Location details Description of work likely to be undertaken in this space: Attach photo if available Range of possible work methods: Method [a] Method [b] Method [c] Risk assessment undertaken by: Potential Confined space hazards - if applicable . Describe in this case – why /how? Associated risks [What could go wrong? How serious could it be? Raw Risk score Specific controls to be in place to minimize risks (Before working in this space ). Residual Risk score Low oxygen level <19.5 % Oxygen enrichment >23.5 % Combustible /flammable atmospheric gases or vapours, or dusts Toxic or other atmospheric contaminants
F805_009%20Confined%20spaces%20risk%20assessment%20V1_11.docx