Activity-Based Risk Assessment Form
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1 CQT/RA/017/V1 Activity-Based Risk Assessment Form Name of Department Center for Quantum Technologies Location of Lab S Name of LaboratoryQuantum Optics Name of PI Christian Kurtsiefer Name of Researcher/LO All personnel working with the Dilution Fridge Name of Activity Using the Dilution Fridge 1. Hazard Identification 2. Access the Risk 3. Risk Control No Description of Activity Hazards and Possible Persons-at-Risk Existing Risk Control Severit Likelihoo Risk Additional Risk Person By (Date) accident / Ill-health (Mitigation) y d Level Control Responsib (Probabili le 1 Opening and closing and Pinch hazard for fingers when Person at risk is the User exercises standard 1 ty) 1 1 rotation of the fridge. rotating the fridge, physical hazard of heavy objects. person working with the fridge. precautions when moving heavy objects. 2 Generating magnetic field People with People with Administrative control: Signs pacemakers/metal implants pacemakers/metal prohibiting people with should stay more than 2m implants. pacemakers/metal implants away from the fridge. placed on door. No loose ferromagnetic objects close to the fridge. 3 Generating magnetic field Sudden quenching of Person at risk is the Administrative control: Only superconducting magnet due person working with trained personnel allowed in to impact, abnormal the fridge and other vicinity of fridge. temperature increase or people in working malfunction could result in a area. high voltage. Possible electric shock. 4 Generating magnetic field High current of 40A used to Person at risk is user Engineering measures: generate magnetic field may and other people in Proper ventilation and cooling cause overheating and pose working area of cable and power supply. a fire hazard risk. Regular visual inspection of poer cable for wear and tear/ defects. No flammable objects in the vicinity of cable and power supply. Conducted By Center Brenda for Chng Quantum Technologies Approved Name By Signature
2 Approval date ### Next Revision date (Maximum 3 years)
3 Likelihood Likely Possibly Unlikely Low Med High Likelihood 1 Unlikely 2 Possible 3 Very Likely Remotely possible, combination of factors would be required to trigger the incident (> 10 years) Could happen when additional factors are reset but otherwise unlikely to occur (last 3 years) Happen all the time, almost inevitable (last 6 months) Consequence 1 Low Minor Injuries (First Aid), Fire etc. 2 Medium Hospitilisation, Medical Leave etc 3 High Serious injuries, Fatality Consequences - Consider the magnitude/severity of the consequences of the Risk Factor occurring Consequences normally will not change unless there is a physical change to the equipment or proce Likelihood - Team should rely upon their experience and consider realistic scenarios. Listed below a likelihood. - Past experience / incidents - Complexity of the activity - Number of personnel involved in the activity (e.g. all personnel, a limited number of trained person - Frequency of use or execution - Degree of control (involvement of contractors) - Strength/completeness of administrative controls - Sufficiency/formality of training - Other...
4 RISK DECISION PROCESS < 3 RISK ACCEPTABLE 3, 4 CONSIDER ADDITIONAL RISK CONTROL > 4 ADDITIONAL RISK CONTROL REQUIRED of the Risk Factor occurring and then list this as 3 (High), 2 (Moderate) or 1 (Low). ge to the equipment or process. tic scenarios. Listed below are examples of factors that may be considered in determining the d number of trained personnel, etc)
5 ROCESS PTABLE L RISK CONTROL NTROL REQUIRED
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