Workplace health risk assessments

Consulting services

What is a workplace health risk assessment (WHRA)?

It is a systematic identification and categorisation of workplace health hazards, with a view to prioritise their elimination or mitigation.

Why is a WHRA important?

  • It is prescribed by all occupational health law, notably the Occupational Health & Safety Act and the Mines Health and Safety Act.
  • It forms the basis for all risk management interventions and informs the medical testing strategy.

How is a WHRA done?

  1. Identify and characterise the health hazards present at the workplace being assessed. Assign a harmfulness score.
  2. Ascertain the degree to which workers are (or may be) exposed to the identified health hazards. Assign an exposure score.
  3. Calculate the relative risk: harmfulness x exposure.

This can be illustrated as follows:

OH Specialist

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Assessing the harmfulness of a health hazard is a key step in all WHRA’s

OH Specialist
When the hazards are chemical agents, this requires examination of the toxicity of the chemicals. Depending on the complexity and setting of the assessment this may require a registered toxicologist, an occupational medicine specialist, or an occupational medicine practitioner.
OH Specialist
When the hazards are biological agents, they could be infectious (eg bacteria, viruses, parasites, fungi) or simply the products of living organisms (eg. animal dander, animal waste). There harmfulness is known as pathogenicity. For infectious agents, the term “virulence” is also used. Depending on the complexity and setting of the assessment this may require an infectious diseases specialist, a microbiologist, an allergologist, an occupational medicine specialist, or an occupational medicine practitioner.
OH Specialist
When the hazards are physical agents (noise, heat, cold, radiation), this requires examination of the harmfulness of these various agents. Depending on the hazards and the complexity and setting of the assessment this may require an occupational medicine specialist, or an occupational medicine practitioner, or a person trained in nuclear physics.

There are 2 types of WHRA; qualitative & quantitative

Qualitative

A qualitative WHRA is conducted using a standardised risk matrix, in which the harmfulness and degree of exposure is derived from a pre-determined scale. We use a 5×5 matrix, such as the one in the image below.

Risk assessments

There are a variety of categories of qualitative WHRA. For the purposes of this report, the following categories shall have the associated meanings:

  • Formal statutory WHRA’s are the systematic plant-wide assessments typically conducted by a team of appropriately trained individuals.
  • Informal WHRA’s conducted by the OH staff, as an adjunct to the formal WHRA’s, in the form of plant walk-throughs (inspections).
  • Issue-based WHRA’s are triggered by a specifically identified risk (no incident yet). Examples include the deployment of a pregnant employee into a workplace with potential exposure to hazardous chemicals, and responding to a concern raised by an employee or manager that a particular job may pose a fatigue risk.
  • Incident-based WHRA’s which are triggered by incidents (clusters or single), such as employee reported symptoms or occupational disease.
Quantitative

A “quantitative health risk assessment” involves direct measurement of the exposures to the health hazard – usually in the air. This may be called for, depending on the outcomes of the qualitative health risk assessment. This must be done by an appropriately trained professional, usually working within a registered “Approved Inspection Authority”, using sophisticated equipment. These measurements are compared against legal or industry-based reference levels (occupational exposure limits).

Sometimes circumstances require biological monitoring to be included in the quantitative risk assessment. This involves the measurement of the levels of certain workplace chemicals in employees’ biological fluids (most commonly urine, but also blood or breath or even hair).

These exposure levels can be tracked over time, to ensure the exposures improve – see sample graph below.

Exposure

The outcomes of these qualitative and quantitative health risk assessment are documented in reports which have legal standing. They include recommendations for actions to be taken, according to the assessment findings.

An important final outcome is a health hazard dashboard, in which the key hazards are summarised by exposure group or job group. This enables the occupational health professional to assign a risk-based medical testing programme for that workplace.

Health Hazards

How do we help you with your workplace health risk assessments (WHRA)?

  1. You tell us what type of WHRA you need.
  2. If you are not sure, you describe the situation, and we can discuss the type of WHRA we think you should consider.
  3. We could take a look at your WHRA strategy and identify gaps.
  4. We could assist by conducting any of, or parts of, your WHRA’s – and provide you with the outputs plus a report.