Chemical Risk Assessment Form Template for New Zealand

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Key Requirements PROMPT example:

Chemical Risk Assessment Form

"I need a Chemical Risk Assessment Form for our new pharmaceutical manufacturing facility opening in March 2025, focusing on handling multiple class 6 toxic substances and including specific controls for a cleanroom environment."

Document background

The Chemical Risk Assessment Form is a critical document required under New Zealand's workplace safety regulations, specifically designed to comply with the Health and Safety at Work Act 2015 and the Hazardous Substances and New Organisms Act 1996. This form must be completed whenever new chemicals are introduced to the workplace, when existing processes change, or during regular safety reviews. It contains detailed information about chemical hazards, exposure risks, control measures, and emergency procedures. The assessment helps organizations fulfill their duty of care obligations and ensures appropriate safety measures are in place to protect workers, property, and the environment. Regular updates to the Chemical Risk Assessment Form are required to maintain currency with changing workplace conditions and regulatory requirements.

Suggested Sections

1. Assessment Information: Basic details including date of assessment, assessor name, location, and department

2. Chemical Identification: Name of chemical(s), CAS numbers, product identifiers, and manufacturer details

3. Hazard Classification: HSNO hazard classifications and GHS classifications of the chemical(s)

4. Current Control Measures: Existing safety measures, PPE, engineering controls, and administrative controls

5. Exposure Assessment: Analysis of potential exposure routes, frequency, and duration of exposure

6. Risk Evaluation: Assessment of risks considering likelihood and consequences

7. Control Recommendations: Additional control measures required to minimize risks

8. Emergency Procedures: Specific emergency response procedures for spills, exposure, or incidents

9. Monitoring Requirements: Ongoing monitoring protocols and exposure limits

10. Training Requirements: Required training for workers handling the chemical(s)

Optional Sections

1. Environmental Impact Assessment: Required when chemicals pose significant environmental risks or when working near sensitive environmental areas

2. Storage Requirements: Detailed storage specifications needed for chemicals with special storage requirements

3. Transport Considerations: Include when chemicals require special transport arrangements or are frequently transported

4. Process-Specific Controls: Add when chemicals are used in specific manufacturing or laboratory processes

5. Health Surveillance: Required for chemicals that need ongoing health monitoring of workers

6. Incompatibility Assessment: Include when multiple chemicals are stored or used together

Suggested Schedules

1. Safety Data Sheets: Current safety data sheets for all chemicals assessed

2. PPE Specifications: Detailed specifications for required personal protective equipment

3. Exposure Limits Table: Workplace exposure standards and biological exposure indices

4. Risk Matrix: Risk assessment matrix used for evaluation

5. Emergency Contact List: List of emergency contacts and response personnel

6. Monitoring Records Template: Templates for recording ongoing monitoring results

7. Control Measure Checklist: Checklist for implementing and maintaining control measures

8. Incident Report Form: Template for reporting chemical-related incidents

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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Manufacturing

Chemical Production

Pharmaceuticals

Research and Development

Agriculture

Mining

Construction

Healthcare

Education/Academic Institutions

Waste Management

Food Processing

Automotive

Electronics Manufacturing

Textile Industry

Paint and Coatings

Relevant Teams

Health and Safety

Operations

Quality Control

Research and Development

Production

Facilities Management

Environmental Compliance

Laboratory Operations

Risk Management

Maintenance

Emergency Response

Warehouse Operations

Relevant Roles

Health and Safety Manager

Environmental Health and Safety (EHS) Coordinator

Chemical Safety Officer

Laboratory Manager

Production Supervisor

Quality Control Manager

Risk Assessment Specialist

Industrial Hygienist

Environmental Compliance Officer

Operations Manager

Process Engineer

Research Scientist

Facilities Manager

Warehouse Manager

Safety Consultant

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Authors

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