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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
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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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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