IH RISK TABLE

Wet 'n Wild

Comprehensive Industrial Hygiene Risk Assessment Tool
Qualitative Exposure Assessment
A B C D E F G H I J K L M N O P Q R S T U V

Ranking for number of persons potentially

FINAL RISK RATING OF
POTENTIAL EXPOSURE

Potential inhalation exposure based on

Potential inhalation exposure based on

Agent (Chemical/Physical) of concern
Medical Surveillance
(without regard for PPE)

Potential exposure via skin contact

Control ranking for skin contact
Hazard ranking for skin contact
Occupational Exposure Limit

Hazard ranking for inhalation

By-products

Ingestion risk - 1=No, 2=Yes

Duration Frequency Factor
BUILDING/DEPARTMENT

DESCRIPTION OF PROCESS, TASK OR Chemical or Mixture 1. Acceptable - no further Observations and

OPERATION name - from MSDS Recommendations

Engineering Controls
action reqd

engineering control
Employee Concerns Comments Business Use Column
2. Acceptable but could

Air Monitoring
Airborne risk
be better

TOTAL RISK
monitoring
3. Further evaluation

Control ID
Enter name of IH risk factor where

exposed
needed consultation with Medical is needed.
4. Refer to
Business IH

Department Name and General Process Description: Survey Completed By / Date: Area Supervisor/Phone#: No. People:

CHEMICAL / BIOLOGICAL AGENTS Inhalation Skin

Pools Department
1
 Ranking Criteria
No. of
persons Airborne
Rank exposed Frequency Duration Health Hazard Potential Engineering Control Skin Exposure
Exposure
Daily Weekly monthly Yearly Skin Hazard Potential

No skin
0 None contact
1–5

1 Any / Minimal Any / Minimal OEL in range 3.1 No skin hazard,

Any / Minimal Any / Minimal (under 20 (under 250 to 10 mg/m3 or Full controls validated temporary
(under 1 hour) (under 5 hours) hours) hours) >1000 ppm Low by IH monitoring effects
6 – 10

2 250 to 500 OEL in range 0.51

About ¼ Shift (1 5 to 15 hours 20 to 60 hours hours per to 3 mg/m3 or 101 Full controls NOT
to 3 hours) per week per month year to 1000 ppm Medium validated
11 – 20

3 Use More OEL in range 0.01

About ½ Shift (3 15 to 25 hours 60 to 80 hours Frequent to 0.5 mg/m3 or 10
to 5 hours) per week per month Basis to 100 ppm High
21 – 30
Probable skin
4 Use More Use More irritants,
About ¾ Shift (5 25 to 30 hours Frequent Frequent OEL <0.01 mg/m3 Moderate (LEV) materials may Short term
to 7 hours) per week Basis Basis or <10 ppm validated cause dermatitis. skin exposure

Use More Use More

5 Use More Frequent Frequent
(over 7 hours) Frequent Basis Basis Basis

6 Moderate not Validated

Will cause skin

7 irritation,
sensitizers,
corrosives
(acids, caustics, Repeated-long
nickel). Skin exposure
Non-fixed controls
8 movable LEV
9
10 Materials toxic Skin
to skin (ACGIH) exposure
No controls Skin certain
Please refer to QLEA guidance document for detailed criteria
Surveillance
No score is
Medical

entered
Enter name of the IH risk factor where consultation with Medical is needed. .
al is needed. .