WHRA Form - General（实验室风险评估表）.docxVIP

WORK HEALTH RISK ASSESSMENT FORM General 工作场所健康风险评估表 – 通用 PAGE 5 Equipment/Facility 设备/场所 Location/位置 Assessment Date / 评估日期 WHRA # / 风险评估编号 Assessed by/ 评估人 Approved by/批准人 Initial Assessment 预评估 Project/Activity Name 项目/操作名称 New/Revised 新/更新版本 ? New/新 ? Revised/更新 Project/Activity Description 项目/操作描述 Team Involved in Operation 操作人员 Hazard Category 危害类别 ? Chemicals □ Bio-hazards ? Strain ? Mechanical ? Energy (LOTO) □ Slip/Fall ? Thermal hazards (heat or cold) ? Noise ? Ionizing radiation (equipment/isotope) ? Non-ionzing radiation (laser/UV/IR/electro-magnetic fields EMF) ? Intermediates (IM) or Drug Substance (DS) ? Psychological Work Environment (job content, work load, interpersonal relationship and etc.) ? Electricity ? Physical working environment (room climate including comfort, temperature, illumination, Indoor Air Quality and etc.) □ Ergonomics (vibration; lifting/moving weights: amount, frequency; posture/position at work includes frequency of movements (e.g. computer work stations, manual material handling) ? Lab Animal Allergy ? *Work at height ? *Confined space /access control Note: 1. WHRA for intermediates and drug substances should be performed refer to “WHRA Form – IM DS”; 2. Further ergo assessment should be performed refer to Ergo procedure if final risk level is high 3. If physical hazard (Energy, Mechanical, Electricity) final risk level is high, further assessment should be conducted refer to permit to work, LOTO procedure, and etc. 4. * Hazards involved as marked with *, please refer to permit to work procedures 5. For bio-hazards, please refer to Bio Safety Registry (BSR) to do further assessment if: 1) Agents classified as Risk Group (RG) 2 or higher; 2) Work with human and non-primate tissues, fluids, cells, or cell culture; 3) Recombinant DNA (e.g., viral vectors); 4) Biological toxins; 5) Biosecurity agents; 6) Work with animals known to be potential reservoirs of zoonotic diseases; 6) All work at Biosafety Level 2 (BSL