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DSEAR Risk Assessment Template

Use this DSEAR template as an example for conducting a risk assessment in your company. Record the lower explosive limits for each hazardous substance kept onsite. Keep track of how much dangerous chemicals, gasses, and metals are stored, how they are stored, and where. Also identify a list of ignition sources and the plan to mitigate the risk of explosions and fires with Lumiform’s free checklists and templates.
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DSEAR Risk Assessment Template

DSEAR Risk Assessment

Information

Substance Name:

Photo (optional)

Category (select all that apply)

Flash point

Auto ignition temperature

Lower explosive limit

Usage

Where is the substance used/generated?

Amount used/generated (specify units of measurement)?

Amount stored (if applicable) - specify units

How is it stored?

Substance can be:

Specify replacement

Measures currently in place

Photo of measures in place (optional)

List potential ignition source/s (Examples could be an electrical spark caused by connection or disconnection of leads to a battery, naked flame e.g. pilot lights, smoking etc)

Employees at risk

Relevant operator and/or supervisor training

Risk Assessment

In order to assess the risk, select the appropriate items below related to this assessment

Bulk storage of flammable liquids

Bulk storage of flammable liquids?

Existing control measures:

Severity

Likelihood

Risk rating

Actions

Details of action

Responsible person/s

Flammable liquid storage in containers

Flammable liquid storage in containers?

Existing control measures?

Severity

Likelihood

Risk rating

Actions

Details of action

Responsible person/s

Hand Painting with flammable liquids

Hand Painting with flammable liquids?

Existing control measures?

Severity

Likelihood

Risk rating

Actions

Details of action

Responsible person/s

Spraying with the flammable liquids

Spraying with the flammable liquids?

Existing control measures?

Severity

Likelihood

Risk rating

Actions

Details of action

Responsible person/s

Handling of flammable solids

Handling of flammable solids?

Existing control measures?

Severity

Likelihood

Risk rating

Actions

Details of action

Responsible person/s

Dust collection system

Dust collection system?

Existing control measures?

Severity

Likelihood

Risk rating

Actions

Details of action

Responsible person/s

Sources of ignition and hot work

Sources of ignition and hot work?

Existing control measures?

Severity

Likelihood

Risk rating

Actions

Details of action

Responsible person/s

Gas freeing and inerting

Gas freeing and inerting?

Existing control measures?

Severity

Likelihood

Risk rating

Actions

Details of action

Responsible person/s

Storage and use of compressed flammable gases

Storage and use of compressed flammable gases?

Existing control measures?

Severity

Likelihood

Risk rating

Actions

Details of action

Responsible person/s

All cylinders are dangerous. The following should never occur: - The use of gas cylinders as rollers to transport heavy sections. - Never use direct flame for any heating to raise the pressure of the cylinder. - Never subject any cylinder to a temperature over 45ºC. - Never recompress one cylinder from another. - Never attempt to transfer gases from one cylinder to another. - Never permit oil, grease, paint, or similar substances to come into contact with oxygen cylinder valves. - Never attempt to repair or modify cylinder valves or devices. - Never allow electric arc welding tools to come near cylinders. - Do not allow welding sparks and slag to make contact with cylinders. - Never use anything but the recommended cylinder valve keys and never attempt to increase the leverage of keys. - If you suspect that a cylinder valve is damaged, do not attempt to obtain gas from it. USE OF LPG The use of the LPG gas, once delivered for use in its gaseous as opposed to liquid form will need to be risk assessed but on the assumption that the delivery mains are to LPG ITA Standards, the topic is the best to risk assessed according to the item of plant that the gaseous LPG is serving. This could be anything from profile cutting machines through to hot mill furnaces or simply space heating. As with most fixed services it is probably the maintenance element where there will be the greatest risk.

Dispensing petrol

Dispensing petrol?

Existing control measures?

Severity

Likelihood

Risk rating

Actions

Details of action

Responsible person/s

Battery charging

Battery Charging?

Existing control measures?

Severity

Likelihood

Risk rating

Actions

Details of action

Responsible person/s

Other actions

Permits to work acquired?

Is Zoning required

Completion

Recommendations

Signature

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