227 PLANT RISK ASSESSMENT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Risk Score - Refer to the Risk Matrix and Hierarchy of Controls

Risk Control- For any risk identified some form of risk control solution should be developed using the hierarchy of controls, a risk control must be initiated for all high and medium risks. The control method identified should be recorded in the “Action Proposed” column (with an owner, and anticipated implementation date in the next column to allow progress to be tracked). Refer to the Hierarchy of Risk Control at the end of this document.

Date Assessed:

• Enter Date of Assessment

  Date

Enter Plant Name / Type:

• Enter Plant Name / Type:

Site:

• Enter Site Name (if used on site)

Operation / Equipment Assessed:

• Enter Operation / Equipment Assessed:

Assessment Leader:

• Enter Assessment Leader Name:

Team Member:

• Enter Team Member Name:

Can anyone’s, hair, clothing, gloves, necktie, jewelry, cleaning brushes, rags or other materials become entangled with moving parts of the plant, or materials in motion?

• Hazard Yes / No

• Yes

• No

• Hazard Identified

• Enter Hazard Identified

• Risk Score

• Enter Risk Rating

• Proposed Control and Action

• Enter Proposed Control and Action

• Control and Action due date & status

• Enter Due Date

  Date

• Enter Status

• Interim measures to be taken

• Enter Interim measures to be taken

• Interim Measures Control and Action Date and Status

• Enter Interim Measures Control and Action Date

  Date

• Enter Interim Measures Control and Action Status

• 2nd Risk Score

• Enter 2nd Risk Rating

Can a person be crushed due to:

• material falling from the plant?<br>

  Yes

  No

  N/A

• uncontrolled or unexpected movement of the plant or its load?

  Yes

  No

  N/A

• lack of capacity for the plant to be slowed, stopped or immobilised?

  Yes

  No

  N/A

• the plant tipping or rolling over?

  Yes

  No

  N/A

• parts of the plant collapsing?

  Yes

  No

  N/A

• coming into contact with moving parts of the plant during testing, inspection, operation, maintenance, cleaning or repair?

  Yes

  No

  N/A

• Being trapped beneath the plant and material s or fixed structures?

  Yes

  No

  N/A

• being thrown off or under the plant?

  Yes

  No

  N/A

• Hazard Yes / No

• Yes

• No

• Hazard Identification

• Enter Hazard Identified

• Risk Score

• Enter Risk Score

• Proposed Control and Action

• Enter Proposed Control and Action

• Control and Action Due Date

• Enter Control and Action Due Date

  Date

• Status

• Enter Status

• Interim Measures to be taken

• Enter Interim Measures to be taken

• Interim Measures Control and Action Date and Status

• Enter Interim Measures Control and Action Date

  Date

• Enter Interim Measures Control and Action Status

• 2nd Risk Score

• Enter 2nd Risk Score

Can anyone be cut, stabbed, punctured, sheared, struck due to:

• coming into contact with sharp or flying objects?

  Yes

  No

  N/A

• coming into contact with moving parts of the plant during testing, inspection, operation, maintenance, cleaning or repair of the plant?

  Yes

  No

  N/A

• the plant, parts of the plant or work pieces disintegrating?

  Yes

  No

  N/A

• work pieces being ejected?

  Yes

  No

  N/A

• the mobility of the plant?

  Yes

  No

  N/A

• uncontrolled or unexpected movement of the plant?

  Yes

  No

  N/A

• Can anyone’s body parts be sheared between any two parts of the plant, or between a part of the plant and a work piece or structure?

  Yes

  No

  N/A

• Can anyone be burnt due to contact with moving parts or surfaces of the plant, or material handled by the plant?

  Yes

  No

  N/A

• Can anyone be struck by moving objects due to: <br>uncontrolled or unexpected movement of the plant?<br>

  Yes

  No

  N/A

• Hazard/s Yes / No

• Yes

• No

• Hazard/s Identified

• Enter Hazard/s Identified

• Risk Score

• Enter Risk Score

• Proposed Control and Action

• Enter Proposed Control and Action

• Control and Action due date and status

• Enter Control and Action due date

  Date

• Control and Action status

• Interim measures to be taken

• Enter Interim measures to be taken

• Interim Measures Control and Action Date and Status

• Enter Interim Measures Control and Action Date

  Date

• Enter Interim Measures Control and Action Status

• 2nd Risk Score

• Enter 2nd Risk Score

High Pressure Fluid or Gas

• Can anyone come into contact with fluids or gas under high pressure, due to plant failure or misuse of the plant?

  Yes

  No

  N/A

Electrical

• Can anyone be injured by electrical shock or burn due to: the plant contacting live electrical conductors?

  Yes

  No

  N/A

• the plant working in close proximity to electrical conductors?

  Yes

  No

  N/A

• overload of electrical circuits?

  Yes

  No

  N/A

• damaged or poorly maintained electrical leads and cables?

  Yes

  No

  N/A

• damaged electrical switches?

  Yes

  No

  N/A

• water near electrical equipment?

  Yes

  No

  N/A

• lack of isolation procedures?

  Yes

  No

  N/A

Explosion

• Can anyone be injured by explosion of gasses, vapors, liquids, dusts or other substances, triggered by the operation of the plant or by material handled by the plant?

  Yes

  No

  N/A

• Hazard Yes / No

• Yes

• No

• Hazard/s Identified

• Enter Hazard/s Identified

• Risk Score

• Enter Risk Score

• Proposed Control and Action

• Enter Proposed Control and Action

• Proposed Control and Action due date and status

• Enter Proposed Control and Action due date

  Date

• Enter Proposed Control and Action status

• Interim Measures to be undertaken

• Enter Interim Measures to be undertaken

• Interim Measures Control and Action due date and status

• Enter Interim Measures Control and Action Date

  Date

• Enter Interim Measures Control and Action Status

• 2nd Risk Score

• Enter 2nd Risk Score

Noise

• Can anyone suffer ill health or hearing loss due to exposure to high noise levels (for more information on hazards associated with noise, refer to the Noise Code of Practice

  Yes

  No

  N/A

Slipping, Tripping and Falling - Can anyone using the plant, or in the vicinity of the plant, slip, trip or fall due to:

• uneven or slippery work surfaces?

  Yes

  No

  N/A

• Poor housekeeping, eg. swarf in the vicinity of the plant, spillage not cleaned up?

  Yes

  No

  N/A

• obstacles being placed in the vicinity of the plant?

  Yes

  No

  N/A

• lack of a proper work platform?

  Yes

  No

  N/A

• lack of proper stairs or ladders?

  Yes

  No

  N/A

• lack of guardrails or suitable edge protection?

  Yes

  No

  N/A

• unprotected holes, penetrations or gaps?

  Yes

  No

  N/A

• Hazard Yes/ No

• Yes

• No

• Hazard/s Identfied

• Enter Hazard/s Identfied

• Risk Score

• Enter Risk Score

• Proposed Control and Action

• Enter Proposed Control and Action

• Control and Action Date and Status

• Enter Control and Action due date

  Date

• Enter Control and Action Status

• Interim Measures to be taken

• Enter Interim Measures to be taken

• Interim Measures Control and Action Date and Status

• Enter Interim Measures Control and Action Date

  Date

• Enter Interim Measures Control and Status

• 2nd Risk Score

• Enter 2nd Risk Score