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Oxygen Risk Assessment Form for New Zealand

Oxygen Risk Assessment Form Template for New Zealand

A comprehensive risk assessment document designed to comply with New Zealand's Health and Safety at Work Act 2015 and related regulations governing the safe management of oxygen systems. This form facilitates the systematic identification, assessment, and control of risks associated with oxygen storage, handling, and use in various settings. It incorporates requirements from WorkSafe NZ guidelines and relevant Australian/New Zealand standards for medical gas systems, ensuring a thorough evaluation of potential hazards and establishing appropriate control measures for safe oxygen handling practices.

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What is a Oxygen Risk Assessment Form?

The Oxygen Risk Assessment Form is a critical safety management tool designed to meet New Zealand's regulatory requirements for hazardous substance handling and workplace safety. This document is essential for any facility that stores, handles, or uses oxygen systems, whether in medical, industrial, or laboratory settings. It must be completed when installing new oxygen systems, making significant modifications to existing systems, or as part of regular safety reviews. The form ensures compliance with the Health and Safety at Work Act 2015, the Health and Safety at Work (Hazardous Substances) Regulations 2017, and relevant Australian/New Zealand standards. It guides users through a structured process of identifying potential hazards, assessing risks, and implementing appropriate control measures specific to oxygen-related operations.

What sections should be included in a Oxygen Risk Assessment Form?

1. 1. Facility Information: Details of the facility where oxygen is used/stored, including facility name, address, department/area, and assessment date

2. 2. Assessment Team: Names and roles of individuals conducting the risk assessment, including relevant qualifications

3. 3. Oxygen System Description: Detailed description of oxygen system components, including storage methods, distribution systems, and points of use

4. 4. Hazard Identification: Systematic listing of potential hazards associated with oxygen use, storage, and handling

5. 5. Risk Analysis: Evaluation of identified hazards, including likelihood and consequence ratings

6. 6. Current Control Measures: Documentation of existing safety measures and procedures

7. 7. Risk Rating: Overall risk ratings based on analysis and existing controls

8. 8. Additional Control Measures: Recommendations for new or enhanced control measures

9. 9. Implementation Plan: Timeline and responsibilities for implementing recommended control measures

10. 10. Monitoring and Review: Schedule and procedures for ongoing monitoring and periodic review of risk assessment

What sections are optional to include in a Oxygen Risk Assessment Form?

1. Emergency Response Procedures: Detailed emergency procedures specific to oxygen-related incidents - include for facilities with high-volume oxygen use

2. Training Requirements: Specific training needs and records - include when multiple staff handle oxygen systems

3. Maintenance Schedule: Detailed maintenance requirements - include for permanent oxygen installations

4. Contractor Management: Procedures for managing contractors working with oxygen systems - include when external contractors are regularly involved

5. Patient Care Considerations: Special considerations for patient care settings - include for medical facilities only

What schedules should be included in a Oxygen Risk Assessment Form?

1. Appendix A: Risk Assessment Matrix: Standard risk assessment matrix used for evaluating likelihood and consequences

2. Appendix B: Site Layout Plans: Facility floor plans showing oxygen storage areas, distribution lines, and emergency equipment

3. Appendix C: Safety Data Sheets: Current Safety Data Sheets for oxygen and related materials

4. Appendix D: Incident Report Form: Template for reporting oxygen-related incidents and near-misses

5. Appendix E: Inspection Checklist: Detailed checklist for regular safety inspections of oxygen systems

6. Appendix F: Emergency Contact List: List of emergency contacts and response procedures

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

New Zealand

Publisher

Genie AI

Cost

Free to use
Relevant legal definitions






































Clauses




















Relevant Industries

Healthcare

Industrial Manufacturing

Laboratories

Pharmaceutical

Emergency Services

Aerospace

Mining

Chemical Processing

Research Facilities

Diving Services

Relevant Teams

Health and Safety

Facilities Management

Engineering and Maintenance

Quality Assurance

Clinical Operations

Risk Management

Emergency Response

Occupational Health

Technical Services

Compliance

Relevant Roles

Facility Manager

Health and Safety Manager

Risk Assessment Specialist

Clinical Engineer

Medical Gas Pipeline Engineer

Occupational Health Nurse

Safety Coordinator

Operations Manager

Maintenance Supervisor

Quality Assurance Manager

Hospital Engineer

Industrial Safety Specialist

Laboratory Manager

Emergency Response Coordinator

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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