The Chemical Risk Assessment Form is a critical document required under New Zealand's workplace safety regulations, specifically designed to comply with the Health and Safety at Work Act 2015 and the Hazardous Substances and New Organisms Act 1996. This form must be completed whenever new chemicals are introduced to the workplace, when existing processes change, or during regular safety reviews. It contains detailed information about chemical hazards, exposure risks, control measures, and emergency procedures. The assessment helps organizations fulfill their duty of care obligations and ensures appropriate safety measures are in place to protect workers, property, and the environment. Regular updates to the Chemical Risk Assessment Form are required to maintain currency with changing workplace conditions and regulatory requirements.
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1. Assessment Information: Basic details including date of assessment, assessor name, location, and department
2. Chemical Identification: Name of chemical(s), CAS numbers, product identifiers, and manufacturer details
3. Hazard Classification: HSNO hazard classifications and GHS classifications of the chemical(s)
4. Current Control Measures: Existing safety measures, PPE, engineering controls, and administrative controls
5. Exposure Assessment: Analysis of potential exposure routes, frequency, and duration of exposure
6. Risk Evaluation: Assessment of risks considering likelihood and consequences
7. Control Recommendations: Additional control measures required to minimize risks
8. Emergency Procedures: Specific emergency response procedures for spills, exposure, or incidents
9. Monitoring Requirements: Ongoing monitoring protocols and exposure limits
10. Training Requirements: Required training for workers handling the chemical(s)
1. Environmental Impact Assessment: Required when chemicals pose significant environmental risks or when working near sensitive environmental areas
2. Storage Requirements: Detailed storage specifications needed for chemicals with special storage requirements
3. Transport Considerations: Include when chemicals require special transport arrangements or are frequently transported
4. Process-Specific Controls: Add when chemicals are used in specific manufacturing or laboratory processes
5. Health Surveillance: Required for chemicals that need ongoing health monitoring of workers
6. Incompatibility Assessment: Include when multiple chemicals are stored or used together
1. Safety Data Sheets: Current safety data sheets for all chemicals assessed
2. PPE Specifications: Detailed specifications for required personal protective equipment
3. Exposure Limits Table: Workplace exposure standards and biological exposure indices
4. Risk Matrix: Risk assessment matrix used for evaluation
5. Emergency Contact List: List of emergency contacts and response personnel
6. Monitoring Records Template: Templates for recording ongoing monitoring results
7. Control Measure Checklist: Checklist for implementing and maintaining control measures
8. Incident Report Form: Template for reporting chemical-related incidents
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