CCM Rotating equipment

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Are workers trained and competent for the task and do they understand the risks (includes isolating moving and rotating equipment, removing barriers / guarding, and working on energized equipment)?

  Yes

  No

  N/A

• Is the workgroup adequately supervised for the task (e.g. have supervisors visited the worksite, enough supervision for the workgroup and task complexity, and how much experience the supervisors has in the role)?

  Yes

  No

  N/A

• Has the workgroup completed a risk assessment, and do they have the correct instructions / procedures for the task?

  Yes

  No

  N/A

Specific Risk Questions

• Have workers de-energized moving and rotating equipment prior to commencing work (includes permits and isolations)?

  Yes

  No

  N/A

• Do the barriers protect the workgroup and other personnel from moving and rotating equipment?

  Yes

  No

  N/A

• Are workers using tools and equipment to separate themselves from moving and rotating equipment?

  Yes

  No

  N/A

• Have workers obtained area manager approval if working on energised equipment?

  Yes

  No

  N/A

• Are all interlocks and alarms working should a guard be removed (testing / log of these)?

  Yes

  No

  N/A

• Are all the emergency stops and pullwires working (testing / log of these)?

  Yes

  No

  N/A

• Are workers aware of the emergency response processes should an incident occur (e.g. what emergency response preparations need to be in place before commencing work, the process and details to contact emergency response, and what immediate emergency action can be taken)?

  Yes

  No

  N/A

• Is there an opportunity to eliminate or reduce the hazard by implementing an Identify Then Rectify (ITR) safety improvement?

  Yes

  No

  N/A