APPENDIX X: HAZARD ASSESSMENT WORKSHEET IX: ECODED BLOOD COLLECTION VOLUME AND FREQUENCY (FISH) FORM - Hazard Assessment Worksheet APPENDIX IX: RECOMMENDED BLOOD COLLECTION VOLUME AND FREQUENCY (FIS)2.1.1 Department/Faculty: Animal Care Assessment Completed By: Date: Revision Date: July 21, 2017 Type of Hazard Type: Risk (1-3) Controls In Controls Needed To Be Estimated Status Work/Activity (Physical, Chemical, Completed Completion Biological, Ergonomic, By Date See below Environmental) Department MM/DD/YY List all types of List the hazards for each Engineered List if any additional Frequency Exposure Severity Probability Rating work done in this work related activity Administrative controls are required work area or job Personal for that Hazard and the Protective date they will be in Equipment place Caring for bites animals scratches chemical exposure Frequency Rating: Severity: Probability: Hazard Rating: Low, less than 10% of work day Minor, potential for minor injury Low, unlikely to happen 3-4 Low, requires monitoring Medium, up to 65% of work day Moderate, potential for lost time injury Medium, likely to happen 5-6 Moderate, requires attention High, over 66% of work day Severe, potential for severe injury High, very likely to happen 7-9 High, requires immediate attention
IX: APPENDIX X: HAZARD ASSESSMENT WORKSHEET ECODED BLOOD COLLECTION VOLUME AND FREQUENCY (FISH) APPENDIX IX: RECOMMENDED BLOOD COLLECTION VOLUME AND FREQUENCY (FIS)2.1.1 FORM - Hazard Assessment Worksheet Department/Faculty: Animal Care Assessment Completed By: Date: July 21, 2017 Revision Date: Type of Work/Activity Hazard Type: (Physical, Chemical, Biological, Ergonomic, Environmental) Risk (1-3) See below Controls In Controls Needed To Be Completed By Department Estimated Completion Date MM/DD/YY Status List all types of work done in this work area or job List the hazards for each work related activity Exposure Frequency Severity Probability Rating Engineered Administrative Personal Protective Equipment List if any additional controls are required for that Hazard and the date they will be in place Caring for animals bites scratches chemical exposure Frequency Rating: Low, less than 10% of work day Medium, up to 65% of work day High, over 66% of work day Severity: Minor, potential for minor injury Moderate, potential for lost time injury Severe, potential for severe injury Probability: Low, unlikely to happen Medium, likely to happen High, very likely to happen Hazard Rating: 3-4 Low, requires monitoring 5-6 Moderate, requires attention 7-9 High, requires immediate attention
YC%20ACC-Protocol-Review-Application%2005-2018.docx