Title Page

  • Job Number (from CASH)

  • Audit Title

  • Client

  • Conducted on

  • Prepared by

  • Site Name & Address (inc. Postcode)
  • Risk Assessment Conducted by

Section 1

  • Although, for convenience, this risk assessment makes reference to the Machinery Directive (2006/42/EC) Essential Health and Safety Requirements, you should be aware that the directive does not, strictly speaking, apply to existing gate or barrier systems unless they are being so extensively modified that the resulting gate or barrier must be considered a new gate or barrier system.
    The level of safety required is however the same in all cases. Risk Assessments are required when; a new gate is designed/installed, a gate is substantially modified, on takeover of a maintenance contract and on each maintenance visit.
    Please retain all relevant inspections, test results, drawings and certificates in the site cabinet.

  • Machinery Directive

  • Type of gate or barrier

  • If other, please specify:

  • Number of leaves:

  • Leaf 1 width:

  • Leaf 2 width:

  • Material:

  • Height:

  • Weight:

  • Percentage infill (%):

  • Operations per day (approx):

  • Weather conditions: What weather conditions will the gate be exposed to?

  • If other, please specify:

  • Ground conditions:

  • Users and others who may encounter the gate:

  • Nature of vulnerable persons:

  • Reason/location for vulnerable persons:

Section 2

  • This section identifies the initial design hazards [some generic hazards common to all gates are shown].
    (Please tick any items resolved by safe design).

  • 1. FOUNDATIONS AND SUPPORTING STRUCTURES

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 2. GATE LEAF(S)

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 3. SUPPORTS, GUIDES, HINGES AND FIXINGS

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 4. TRAVEL STOPS

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 5. ELECTRICAL SUPPLY

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 6. CONTROL SYSTEM AND WIRING

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 7. SAFETY DEVICES

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 8. LEADING EDGE

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 9. BARRIER ARM

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • Are there additional potential hazards to be added?

  • 10. Location of hazard:

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 11. Location of hazard:

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 12. Location of hazard:

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 13. Location of hazard:

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 14. Location of hazard:

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • Are there further additional potential hazards to be added?

  • 15. Location of hazard:

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 16. Location of hazard:

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 17. Location of hazard:

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 18. Location of hazard:

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 19. Location of hazard:

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

  • 20. Location of hazard:

  • Outcome of realised hazard

  • If other (please specify):

  • Safe design

Section 3

  • Controls to reduce potential hazards.

  • Foreseeable misuse (EHSR 1.1.2)

  • Principles of safety integration (EHSR 1.1.2) Wherever possible safe design has been used over application of safety devices to eliminate hazards:

  • If other please specify:

  • Add media

  • Add drawing

  • Structural integrity (EHSR 1.3.1, 1.3.2, 1.3.6) The following are adequate to support at least 2 x the forces applied by the automation and expected wind loadings without permanent distortion:

  • Add media

  • Add drawing

  • Derailment prevented (EHSR 1.3.2, 1.3.9) The following are adequate to support the gate and the forces applied by the automation and expected wind loadings and protect it from single component failure hazards:

  • Add media

  • Add drawing

  • Electrical Safety (ESHR 1.5.1 & 1.6.3)

  • Add media

  • Control system reliability (EHSR 1.2)

  • *Where a manufacturer's Declaration of Incorporation is not provided, a complete Machinery Directive conformity assessment process must be undertaken and documented for the control system, to include other relevant directives (Low Voltage, Electro Magnetic Compatibility and Radio Equipment). The responsibility for this will fall to the installer/manufacturer.

  • Add media

  • Control devices (EHSR 1.2.2)

  • Add media

  • Add drawing

  • Safety device integrity (EHSR 1.4.3)

  • Add media

  • Cutting and hooking hazards (EHSR 1.3.4)

  • Vehicle being impacted by a moving gate: (EHSR 1.3.7, 1.3.8)

  • Outer photo beam height detail:

  • Inner photo beam height detail:

  • Add media

  • Vehicle and pedestrian control methods: (EHSR 1.7.1, 1.7.1.2, 1.7.3)

  • If other, please specify:

  • Add media

  • Trip hazards (EHSR 1.5.15)

  • Add media

Section 4

  • This section identifies hazards that cannot be controlled by safe design and are therefore controlled or reduced to safe levels by application of safety devices [insert corresponding row number from the list of hazards in section 2]. Insert only measures used, not shortcomings or non-compliant items.

  • 1. FOUNDATIONS AND SUPPORTING STRUCTURES

  • 2. GATE LEAF(S)

  • 3. SUPPORTS, GUIDES, HINGES AND FIXINGS

  • 4. TRAVEL STOPS

  • 5. ELECTRICAL SUPPLY

  • 6. CONTROL SYSTEM AND WIRING

  • 7. SAFETY DEVICES

  • 8. LEADING EDGE

  • 9. BARRIER ARM

  • Are there additional hazards that cannot be controlled by safe design?

  • 10.

  • 11.

  • 12.

  • 13.

  • 14.

  • 15.

  • Are there additional hazards that cannot be controlled by safe design?

  • 16.

  • 17.

  • 18.

  • 19.

  • 20.

Section 5

  • Residual hazards listed (EHSR 1.1.2): This section refers to shortcomings, failures non compliant items still apparent in the gate/barrier as it stands presently.
    Please list below.

  • 1.

  • 2.

  • 3.

  • 4.

  • 5.

  • Are there further residual hazards to be listed?

  • 6.

  • 7.

  • 8.

  • 9.

  • 10.

  • Are there further residual hazards to be listed?

  • 11.

  • 15.

  • 12.

  • 13.

  • 14.

  • Are there further residual hazards to be listed?

  • 16.

  • 17.

  • 18.

  • 19.

  • 20.

Section 6

  • User instructions and warnings provided (EHSR 1.7.1, 1.7.4)

  • Maintenance information (EHSR 1.6)

Section 7

  • Applicable Machinery Directive Essential Health and Safety Requirements complied with. Note: This section only applies where the Machinery Directive is applicable.

  • Signature of auditor:

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