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Screen

Section

Field Order

Field Name

Description

Field Type

Configurable

Assessment Setup

General Detail

 

 

 

 

1

ID

Internal system generated ID unique for each risk assessment

Text Box

1.Show/Hide-N/A

  • Mandatory/Optional-N/A

  • Default Value-N/A

  • Generate JSA ID Prefix

    2

    Associated Number/Risk Assessment Number

    Free Text field for entering any reference for the risk assessment

    Text Box

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

    3

    Title

    Short description of the Risk Assessment

    Text Box

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

    4

    4

    Assessment Date

    Date of the Risk Assessment

    Date Picker1.Show/Hide-Supported

    1. Mandatory/Optional-N/A

    2. Default Value-N/A

    5

    Assessed By

    Name of the user who has assessed the Risk Assessment

    Pick List

    1.Show/Hide-Supported

    1. Mandatory/Optional-N/A

    2. Default Value-N/A

    6

    RA Conducted in 6

    RA Conducted in Consultation with

    Information of Organization/Person in consultation with who the RA is conducted

    Text Box

    1.Show/Hide-Supported

    Mandatory/Optional-Supported

  • Default Value-N/A

  • Location Information 

     

     

     

     

     

    7

    Location

    Location of the Risk Assessment

    Text Box

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

     

    8

    Job/Similar Exposure Group

    Job/ Similar  

    8

    Job/Similar Exposure Group

    Job/ Similar Exposure Group associated with Risk Assessment 

    Pick List1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

     

    9

    Department

    Department of the Risk Assessment

    Pick List

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

     

    10

    Work

     

    10

    Work Area

    Work Area associated with Risk Assessment

    Pick List

    1.Show/Hide-Supported

  • Mandatory/Optional-Supported

  • Default Value-N/A

     

    11

    Building

    Building where the Risk Assessment is performed

    Pick List

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

    3. ShowBuildingPickList-Yes/No; Default=Yes

     

    12

    Task

    Task  

    12

    Task

    Task associated with Risk Assessment

    Pick List

    1.Show/Hide-Supported

  • Mandatory/Optional-Supported

  • Default Value-N/A

     

    13

    Job Classification

    Job Classification/ Title associated with Risk Assessment

    Pick List

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

     

    14

    Work Shift

    Work Shift associated with Risk Assessment

    Dropdown

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

     

    15

    Job Occurrence

    Select the occurrence of job

    Drop Down

    1.Show/Hide-Supported

    Mandatory/Optional-Supported

  • Default Value-N/A

  •  

    16

    Division

    Alows the users to enter the division

    Text Box

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

    Assessment Details

     

    Assessment Details

     

     

     

     

     

     

     

    17

    Type

    The Type of Risk Assessment being performed

    Drop Down

  • Show/Hide-Supported

  • Mandatory/Optional-Supported

  • Default Value-N/A

  • Supports Dependency

  • Supports Formula Configuration by Type

  •  

    18

    Assessment Subtype

    Assessment subtype which is not dependent on Type

    Drop Down

    1. Supports Mandatory/ Optional               

    2. Supports Show/Hide

     

    19

    Assessment Category

    Allows users to select the assessment category

    Drop Down

    1.Show/Hide-Supported

     

    20

     

    20

    JSA Priority

    Denotes the priority of the Risk Assessment 

    Drop Down

    1.Show/Hide-Supported

  • Mandatory/Optional-Supported

  • Default Value-N/A

     

    21

    Description (Maximum 2000 characters)

    Actual description of the Risk Assessment

    Text Area

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

     

    22

    Machine/Process Name

    If Type = Machine, provide the Machine/Process Name

    Pick List

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A           4.Show/Hide PickList-Supported

     

    23

     

    23

    Serial Number

    Machine/Process Serial Number

    Text Box

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

     

    24

    Year of Manufacture

    Year of Manufacture of Machine/Process

    Text Box

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

     

    25

     

    25

    Is Machine CE Marked

    To identify Machine CE Marked

    Radio Button1.Show/Hide-Supported

    1. Mandatory/Optional-N/A

    2. Default Value-Supported

     

    26

    CE Certificate Comments

    Captures CE certificate comments information

    Text Box

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

     

    27

    What  

    27

    What Assessment Type was performed?

    Captures performed assessment type information

    Text Box

    1.Show/Hide-Supported

  • Mandatory/Optional-Supported

  • Default Value-N/A

     

    28

    Has an ergonomic assessment been performed? 

    Specifies ergonomic assessment performed Yes/No/NA.

    Radio Button

    1.Show/Hide-Supported

    1. Mandatory/Optional-N/A

    2. Default Value-Supported

     

    29

    Why is the assessment being performed? (Do not include names)

    Captures the reason why the assessment being performed

    Text Box

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

     

     

    30

    Chemicals Involved

    The Chemicals involved in the Risk Assessment

    Pick List

    1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

    3. DisplayCorporateChemical- Default Value:No

     

    31

    Required Training

    Specifies whether training is required 

    Text Area

    1.Show/Hide-Supported

  • Mandatory/Optional-Supported

  • Default Value-N/A

     

    32

    Administrative/Procedural

    Specifies Administrative/Procedural Controls

    Pick List

    1.Show/Hide-Supported

  • Mandatory/Optional-Supported

  • Default Value-N/A

    Administrative/Procedural

    Specifies Administrative/Procedural Controls

    Pick List

     

    33

    Required PPE

    Specifies whether PPE is required as part of control

    Pick List

    1.Show/Hide-Supported

    Mandatory/Optional-Supported

  • Default Value-N/A

  •  

    34

    Comments & Reference Documents

    Any comments or reference w.r.t to Risk Assessment

    Text Box

    1.Show/Hide-Supported

  • Mandatory/Optional-Supported

  • Default Value-N/A

    .t to Risk Assessment

    Text Box

     

    35

    Approval workflow

    Allows users to select the approval workflow

    dropdown

    No configuration

     

    36

    Reviewer 

    allows users to select the reviewers

    Pick ListNo configuration

     

    37

    Approval due date

    Allows defining the due date for review

    Numerical text box

    No configuration

     

    38

    Approver

    allows selection of the approver

    Pick ListNo configuration

     

    39

    Approval due date

    allows defining the due date of approver

    Numerical text boxNo configuration

    Assessment Status 

     

     

     

     

     

    40

    Add to Corporate Library

    Add Risk Assessment to Corporate Library View

    radio button

    1.Show/Hide-Supported

  • Mandatory/Optional-N/A

  • Default Value-N/A

     

    41

    Select Assessment Version

    Allows users to select the assessment version

    Drop Down1.Show/Hide-Supported

    1. Mandatory/Optional-N/A 

     

    42

    Current Version 

     

     

     

    43

    Next Assessment Date

    Date of next Risk Assessment

    Date Picker

    1.Show/Hide-Supported

    Mandatory/Optional-Supported

  • Default Value-N/A

  •  

    44

    Status

    Status of the Risk Assessment

    Drop Down

    1.Show/Hide-Supported

  • Mandatory/Optional-N/A

  • Default Value-N/A

    Drop Down

    Tasks/Hazards

    Tasks

     

     

     

     

     

    Add

    1

    Task/Activity Title

    Short Description of the Task/Activity

    Text Box 

    2

    Task/Activity Description(Maximum 2000 characters)

    Description of the Task/Activity

    Text Area

     

     

    Task/Activity Category

    Shows all Categories identified in module setup

    Auto Complete

    1. Supports Show/Hide

    2. Supports Mandatory/Optional

    3

    Hazards

    Hazards identified during the Risk Assessment

    Pick List1.Show/Hide-Supported

    1. Mandatory/Optional-Supported

    2. Default Value-N/A

     

    Are new controls required for this task

    Allows users to select if new controls are required

    Drop Down 

    4

    Status

    Status of the Task/Activity

    Drop Down

     

    Hazard 

     

     

     

     

    Task Title

    1

    Hazard 

    Hazard Identified

    Pick List 

    2

    Hazard Definition

    Shows Hazard definition provided in Hazard look-up value

    Text Area

    Supports Show/Hide

    3

    Hazard Category

    Define hazard categories

    Auto Complete

    Supports Show/Hide

  • Supports Mandatory/Optional

  • 4

    At Risk

     

    Auto Complete

    Show /Hide-Supported

    5

    Hazard Details

    Details of the Hazard identified

    Text Area

  • Supports Show/Hide

  • Supports Mandatory/Optional

    6

    Probable Consequences

    Define all the consequences

    Auto Complete

  • Supports Show/Hide

  • Supports Mandatory/Optional

    7

    Type of Employee exposed

    Identify Type of Employees exposed to the Hazard

    Auto Complete

    1. Supports Show/Hide

    2. Supports Mandatory/Optional

    8

    Number of Employees

     

    Text Box

    Supports Show/Hide

  • Supports Mandatory/Optional

  • 9

    Attachment

     

    Attachment 

    Hazard Ratings 

     

     

     

     

    Risk Rating

    1

    Hazard 

     

     

    2

    Hazard Rating Date

    Date when the Hazard was rated

    Date Picker 

    3

    Frequency of Task/Activity 

    The frequency in which the Task/Activity is performed

    Drop Down

    1. Supports Show/Hide

    4

    Likelihood

    How likely does the Task occur

    Drop Down

    1. Supports Show/Hide

    5

    Severity / Degree of Possible Harm (Consequences) 

    The degree of possible harm expected

    Drop Down

    1. Supports Show/Hide

    6

    Extent of Injury

     

    Drop Down

    Supports Show/Hide

    7

    Property Damage

     

    Drop Down

    Supports Show/Hide

    8

    Controls

     

    Drop Down

    Supports Show/Hide

    9

    Fire Load

     

    Drop Down

    1. Supports Show/Hide

    10

    Exposure Frequency

     

    Drop Down

    1. Supports Show/Hide

    11

    Likelihood of Occurrence

     

    Drop Down

    Supports Show/Hide

    12

    Risk Factor

     

    Text Box

    1. Supports Show/Hide

    13

    Risk Rating Score

    Score provided to the Risk Rating

    Text Box 

    14

    Risk Level

    Level of Risk identified

    Text Box 

    Controls

    1

    Are there existing Controls? 

    Are there existing controls based on risks identified

    Drop Down 

    2

    Can the Hazard be eliminated?

    whether the hazard can be totally eliminated using controls?

    Drop Down 

    3

    Administrative/Procedural

    Administrative/Procedural Control

    Pick List

    1. Supports Show/Hide

    4

    Engineering 

    Engineering Control

    Pick List

     

    5

    Personal Protection Equipment 

    Personal Protection Equipment Control

    Pick List

    1. Supports Show/Hide

    6

    Substitution

    Free text field allowing users to enter substitution control

    Text Area

    Yes

    7

    Elimination

    Free text field allowing users to capture the Elimination controls

    Text AreaYes

    8

    Training Requirements

    Training requirements needs

    Text Box 

    9

    Are Existing controls Adequate?

    whether the controls mentioned are adequate for the Hazard?

    Drop Down 

     

    10

    Do you propose new controls?

    Make it Read Only and default to yes

     

    Supports Readonly Default

     

    11

    Administrative/Procedural

    Administrative/Procedural Control

    Pick List

    Supports Show/Hide

     

    12

    Engineering 

    Engineering Control

    Pick List 

     

    13

    Personal Protection Equipment 

    Personal Protection Equipment Control

    Pick List

    1. Supports Show/Hide

     

    14

    Training Requirements

    Training requirements needs

    Text Box

     

     

    15

    Action to reduce risk

     

    Text Box

     

    Notes/Comments 

     

     

     

     

     

    16

    Notes/Comments

    Any notes/comments on the Risk Assessment

    Text Area

     

    Action Item Details

     

     

     

     

    17

    Add Action Item 

     

    Radio ButtonNo

    Source Details

    1

    Source ID

    Displays Source information

    Non editable field 

    2

    Source Title

    Displays Source Title

    Non editable field

     

    Create

    3

    Action Item Title

    Captures the name of the Action Items

    Text BoxNo

    4

    Action Item Category

    Specifies module name

    Non editable fieldNo

    5

    Action Item Type

    Specifies Corrective Action or Preventative Action 

    DropdownNo

    6

    Action Item Description 

    Short description of the Action Item

    Text AreaNo

    7

    Action Item Priority

    Specifies Action Item Priority

    DropdownNo

    8

    Action Item Due Date 

    Due date by which the action item should be completed

    Date Picker

    Configurable to set the No.of Dates as due date

    9

    Owners 

    Person primarily responsible for completing the action items

    PicklistNo

    10

    Notify Owners Immediately

    Option to provide an immediate email notification about the Action Item

    Checkbox 

     

    Departement

    Select Department

    Dropdown 

    11

    Assigned By

    The person responsible for assigning the Action Item

    Picklist

     

     

    Verification Required

    Allows users to check whether cerification is required for the action item

    Checkbox 

    Alert/Reminder

    1

    Type

    Allows users to select whether it is alert or reminder

    Dropdown 

    2

    Notification

    Alllows users to select whether the notification is to be sent to Email Portal or Email and Portal both

    Dropdown 

    3

    First Alert Date/First Reminder Date

    Allows users to select the first alerts Date

    Text Box & Dropdown 

    4

    Notify Every

    Allows users to select the frequency of the alert/Reminder

    Text Box & Dropdown

     

    5

    Include Owner(s) and Assigned By

    Allows users to select whether Owners and Assigners are to receive the Alerts/reminder

    CheckBox 

    6

    Notify Users

    Allowss users to select additional User

    Picklist

     

    7

    Notify Others

    Allows users to select additional people to receive the alert/Reminder

    Text Area

     

    Complete

    12

    Action Item Status 

    Captures the current status of the action item

    Dropdown

    No

    13

    Action Taken 

    Short description of the actions taken to complete this action item

    Text AreaNo

    14

    Action Item Completed By 

    Person who completes the action item

    Picklist

    No

    15

    Action Item Completion Date 

    Date on which the action item was completed

    Date PickerNo

    Cost Information

    16

    Capital Expenditure Involved

    While completion of the action items if some capital expenditure was incurred or not

    Radio ButtonNo

    17

    Approximate Cost 

    Approximate cost incurred for completion of this action item is captured here

    Text Box

    No

    Attachments

    18

    Upload Attachments

    Browse to attach documents

    Text BoxNo