DDMI - Support Equipment Risk Assessment

• Equipment Type and Name

• DDMI Equipment Designation #

• Client / Site

• Conducted on

  Date

• Audit team led by:

• Add signature

  Sign
• Location
  Address

Assessment Team

• Team Member

Audit Team Member

• Name

• Company or Organization

• Contact email or phone number

• Signature

  Sign

Equipment Details

• Equipment Type (year, make, model)

• Gross Weight

• Primary Use (purpose, location(s), etc.)

• Secondary Uses

Licensing

• Does this equipment require a statutory license or training certification to operate?

  Yes

  No

• License Class

• License Type

• Statutory Body

Servicing Checklist

• Is there a copy of the manufacturer's operating manual available

  Yes

  No

  N/A

• Where is this kept?

• Who has access to this information?

• An appropriate action must be added in Section N: "General Comments & Notes"

Maintenance Scheduling

• Have the service/maintenance requirements been obtained from the supplier?

  Yes

  No

  N/A

• An appropriate action must be added in Section N: "General Comments & Notes"

• Has the information been set up in Ellipse for this piece of equipment?

  Yes

  No

  N/A

• An appropriate action must be added in Section N: "General Comments & Notes"

• Have parts been uploaded in Ellipse for warehousing?

  Yes

  No

  N/A

• An appropriate action must be added in Section N: "General Comments & Notes"

• Has a critical spares list including maximum/minimum inventory requirements been provided by the supplier?

  Yes

  No

  N/A

• An appropriate action must be added in Section N: "General Comments & Notes"

• Does this equipment require servicing from an outside service provider?

  Yes

  No

  N/A

• Is a service contract in place?

  Yes

  No

  N/A

• An appropriate action must be added in Section N: "General Comments & Notes"

Supporting Documentation

• List any documents from JHAs, SOPs, studies or similar equipment audits that were used to support this risk assessment

Document

• Document Title

• Document Type

• Document Location

Operator Access

• A1 - Steps, rungs and hand holds highly visible and allow 3 points of contact at all times (if applicable)

  Low

  Medium

  High

  Critical

  N/A

• Minimize damage

• A2 - Steps, rungs, ladders and platforms provide with non-slip surface and minimize rock/soil retention

  Low

  Medium

  High

  Critical

  N/A

• A3 - Adequate provision made for operator regular access (pre-start inspection and general operation) and maintenance regular access (greasing, servicing). Review:

• Engine oil level check and refill points

  Low

  Medium

  High

  Critical

  N/A

• Hydraulic oil level check and refill points

  Low

  Medium

  High

  Critical

  N/A

• Radiator fluid level check and refill points

  Low

  Medium

  High

  Critical

  N/A

• Fuel refill points

  Low

  Medium

  High

  Critical

  N/A

• Grease point access

  Low

  Medium

  High

  Critical

  N/A

• RTSS C4 – Working at heights

• A4 - Areas above 1.8m from ground level to have Fall Prevention AND / OR Fall Protection systems in place (depending on application):

  Low

  Medium

  High

  Critical

  N/A

• Fall Prevention (to stop a person falling) – For hand railing, require level floor, top rail (between 910mm and 1070mm from floor), mid rail and toe boards (min 100mm high) and safe access and egress. Hand railing to take force of 0.9kN in any direction.

  Low

  Medium

  High

  Critical

  N/A

• Fall Protection (to protect a person if they do fall) – engineered anchor point(s) (to withstand 5000lbs (2300kg) of load) for connecting personnel safety harness and lanyard.

  Low

  Medium

  High

  Critical

  N/A

• Look at frequency of access, how stable is footing or platform, hand holds, and so on)

• A5 - Areas above ground level where people need to access must to be assessed for the risk of falling, regardless of the actual height. Preference should be given to fall prevention controls (e.g. hand rails).

  Low

  Medium

  High

  Critical

  N/A

• A6 - Pinch points exposing personnel to risk of injury are to be identified, minimized (eliminated where possible) and controlled.

  Low

  Medium

  High

  Critical

  N/A

• Look at access to machine, as well as any booms, articulation, scissor lift action, hydraulic cylinders.

Operator's Controls & Functions

• B1 - Operator controls located within zone of comfort and reach

  Low

  Medium

  High

  Critical

  N/A

• NIOSH Control Design

• B2 - Operating controls clearly marked to show function and mode of operation

  Low

  Medium

  High

  Critical

  N/A

• NIOSH Control Design

• B3 - If equipment is able to be self propelled, then an audible alarm is to be fitted, which is automatically activated when the equipment is in motion.

  Low

  Medium

  High

  Critical

  N/A

• B4 - An Emergency Stop or method of emergency shutdown is provided, clearly marked and easily accessible to the operator.

  Low

  Medium

  High

  Critical

  N/A

• B5 - Emergency Stop/Shutdown when operated latches either electrically or mechanically such that the actuation can only be reversed by a deliberate action and the equipment does not restart automatically

  Low

  Medium

  High

  Critical

  N/A

• B6 - A service hour meter is fitted

  Low

  Medium

  High

  Critical

  N/A

• B7 - The operator station should be free of sharp edges and protruding surfaces that could be struck by the operator.

  Low

  Medium

  High

  Critical

  N/A

• Where these cannot be avoided or relocated, they must be adequately guarded, cushioned or otherwise protected.

Engine Compartment, Cooling & Fuel Systems

• C1 - All hydraulic oil, lubricating oil, and other oil circuit pipes and hoses within the engine compartment should:

• Be constructed to OEM specification

  Low

  Medium

  High

  Critical

  N/A

• Be routed away from hot engine surfaces

  Low

  Medium

  High

  Critical

  N/A

• Be routed away from moving parts, supported and sleeved to give maximum protection

  Low

  Medium

  High

  Critical

  N/A

• Be covered so oil from any leak can’t contact any exposed metal surface where temp exceeds 200°C under any condition of use

  Low

  Medium

  High

  Critical

  N/A

• Be covered so that fuel from any leaks can’t contact any exposed metal surface that exceeds 80°C under any condition of use

  Low

  Medium

  High

  Critical

  N/A

• If not possible to route out of the way, surface may require shrouding or heat shielding

• C2 - All electrical wiring system are regulation and are protected / shielded from heat and damage

  Low

  Medium

  High

  Critical

  N/A

• CSA M421-00 Use of Electricity in Mines with CSA C22.1 Canadian Electrical Code, Mine Act & Regulations part 13

• C3 - All engine exhaust systems installed so that no flames or glowing particles can be emitted within the engine compartment under any condition of use

  Low

  Medium

  High

  Critical

  N/A

• C4 - Radiator caps for cooling systems are fitted with a means of safely relieving pressure to prevent scalding personnel

  Low

  Medium

  High

  Critical

  N/A

• C5 - Fuel filter elements enclosed and made of rugged construction with no glass componenents.

  Low

  Medium

  High

  Critical

  N/A

• C6 - All high pressure fuel lines secured with approved clamps

  Low

  Medium

  High

  Critical

  N/A

Fluid Power Systems

• D1 - Flexible hoses must be compatible with the hydraulic fluid used and maximum system pressure and temperature

  Low

  Medium

  High

  Critical

  N/A

• OEM & CSA M423-M87 (R2000) Fire Resistant Hydraulic Fluids.

• D2 - Where a hydraulic system incorporates an accumulator, the accumulator should be connected to the system using components of minimal length and adequate rating. Fittings should be located or otherwise guarded to provide mechanical protection.

  Low

  Medium

  High

  Critical

  N/A

• D3 - A manual bleed valve should be fitted to allow pressure relief for maintenance. Fluid should return to tank. Self-draining accumulators are preferable. OEM requirements for bleed down of accumulators is required in maintenance manuals

  Low

  Medium

  High

  Critical

  N/A

Wheels - Wheeled Equipment Only

• E1 - Equipment to contain;

• Park brake (mechanically activated holding power) or wheel chocks as per the wheel chock matrix.

  Low

  Medium

  High

  Critical

  N/A

• E2 - The original equipment manufacturer of the equipment to which the rims and wheels are fitted should recommend and advise :

• The maximum wheel loads, speeds and operating temperature etc.

  Low

  Medium

  High

  Critical

  N/A

• Procedures for servicing wheel rims, including in particular, multi-piece wheel rims.

  Low

  Medium

  High

  Critical

  N/A

• Clear limits of tolerances, permissible wear and other permissible defects of wheel and rim components.

  Low

  Medium

  High

  Critical

  N/A

• Recommended tire pressures and tire wear.

  Low

  Medium

  High

  Critical

  N/A

Electrical

• F1 - A single electrical isolation lockout point to be provided, which when activated disables all electrical power supply to the equipment.

  Low

  Medium

  High

  Critical

  N/A

• NWT Regs 10.21

• F2 - Isolation of energy sources other than electricity must be able to be locked out and isolated

  Low

  Medium

  High

  Critical

  N/A

• NWT Regs 10.21

• F3 - All electrical wiring is to be protected from personnel contact. Electrical distribution boxes are to be lockable to restrict unauthorised entry.

  Low

  Medium

  High

  Critical

  N/A

• RTSS C2 Electrical safety

• F4 - Electrical safety devices such as earth leakage and overload protection should be installed on equipment

  Low

  Medium

  High

  Critical

  N/A

• RTSS C2 Electrical safety

• F5 - Where accessible, electrical wiring should be inspected for proper routing, pinch points, friction/rub points, proper connections, etc.

  Low

  Medium

  High

  Critical

  N/A

• F6 - Battery must be adequately secured to prevent movement during operation

  Low

  Medium

  High

  Critical

  N/A

• F8 - Battery fusing must be configured as close to the battery as is practical.

  Low

  Medium

  High

  Critical

  N/A

• Equipment with multiple battery (auxiliary or ‘house’ battery) systems must be checked/verified for proper configuration. The vehicle master switch must remove voltage from each power supply system.

• The operator station is to be wired low voltage (less than 32 volt AC).

  Low

  Medium

  High

  Critical

  N/A

Guarding & Shielding

• G3 - Guards required on moving components which personnel can contact (drive belts, pulleys, sprockets, flywheels, pistons, tail shafts, conveyor belting). Guards must be sufficient to minimize chance of personnel contact.

  Low

  Medium

  High

  Critical

  N/A

• NWT Regs 10.16

• G4 - Guard or shields fitted in the vicinity of the exhaust, turbocharger and other hot surfaces to prevent both personnel contact, and fuel or oil spraying on hot surfaces (provided they don't trap fuel or oil around the exhaust or turbocharger).

  Low

  Medium

  High

  Critical

  N/A

• NWT Regs 10.16

• G5 - Guards required around every tail shaft to prevent a damaged or broken shaft from whipping around in a compartment or digging into the ground.

  Low

  Medium

  High

  Critical

  N/A

• G6 - Guards should be designed so that operation and servicing can occur with the guards in place. Guards which need to be removed should be hinged to the machine. Guards should be easy to lift and hold without risk of finger injury

  Low

  Medium

  High

  Critical

  N/A

• G8 - No modification has occurred to guards or shielding OR modifications have been signed off by an engineer and constructed/installed to that specification

  Low

  Medium

  High

  Critical

  N/A

Lighting

• H1 - All lights should be easily cleanable from ground level or otherwise safely accessible for cleaning by the operator

  Low

  Medium

  High

  Critical

  N/A

• H2 - All support equipment designed to travel on a roadway should be provided with the following :

• Dual indication lights readily visible from the rear of the equipment to show service brake operation.

  Low

  Medium

  High

  Critical

  N/A

• Indicator lights should be fitted at the rear to warn other traffic of an intention to turn.

  Low

  Medium

  High

  Critical

  N/A

• H3 - Equipment should display a Unit number.

  Low

  Medium

  High

  Critical

  N/A

• H4 - Adequate reflectors and / or reflective tape should be provided on equipment to make it readily visible from any direction.

  Low

  Medium

  High

  Critical

  N/A

Maintenance

• I1 - Shift safety and maintenance checklist to be provided (from manufacturer or supplier), for use as prestart inspection

  Low

  Medium

  High

  Critical

  N/A

• NWT Regs 10.04

• I2 - Manufacturer / supplier recommended ongoing inspection and maintenance program to be provided.

  Low

  Medium

  High

  Critical

  N/A

• NWT Regs 10.04

• I3 - For previously used equipment, a written record of past tests, inspections and maintenance work carried out.

  Low

  Medium

  High

  Critical

  N/A

• NWT Regs 10.04

• I4 - Are confined spaces marked with appropriate signage? Are there confined spaces which could be minimized or eliminated by design?

  Low

  Medium

  High

  Critical

  N/A

• RTSS C5 – Confined spaces

Labelling & Instruction

• J1 - Compliance plate, displayed in a prominent position, should show:

• The serial number, manufacturer, model, date of manufacture

  Low

  Medium

  High

  Critical

  N/A

• J2 - A list of all limits of equipment operation applying to the equipment should be available to the operator. Such limits should include, but not necessarily be limited to:

• Maximum grade (%) - Loaded and Unloaded

  Low

  Medium

  High

  Critical

  N/A

• Maximum cross grade (%) - Loaded and Unloaded

  Low

  Medium

  High

  Critical

  N/A

• Maximum load (tonnes) - Level conditions and with a range of grades

  Low

  Medium

  High

  Critical

  N/A

• J3 - Labels displaying warning at all accumulators that pressure must be safely released before work commences.

  Low

  Medium

  High

  Critical

  N/A

• J4 - Labels displaying warning that "hearing protection must be worn" if noise level exceeds 83dB(A) at any location on the equipment.

  Low

  Medium

  High

  Critical

  N/A

• J5 - Labels identify all high risk pinch points (including articulation areas) and coloured red

  Low

  Medium

  High

  Critical

  N/A

• J6 - Labels identifying unauthorized access in areas above 110v DC or 32v AC

  Low

  Medium

  High

  Critical

  N/A

• RTSS C2 Electrical safety

• J7 - Towing instructions to be provided by the manufacturer, with towing points clearly identified.

  Low

  Medium

  High

  Critical

  N/A

• J8 - Labeling of all controls including direction of movement where applicable

  Low

  Medium

  High

  Critical

  N/A

• J9 - Labels should be made of non-corroding material and be attached with non-corroding screws, rivets, adhesive, etc.

  Low

  Medium

  High

  Critical

  N/A

Fire Control

• K1 - Adequate size and type of portable external pressure fire extinguishers should be fitted and maintained on each vehicle. Fire extinguishers should be inspected daily and thoroughly cleaned, serviced, and maintained monthly. Extinguishers should also be compliant with yearly certifications and periodic hydrostatic testing requirements.

  Low

  Medium

  High

  Critical

  N/A

• Mine Reg 10.42 (4)(5)

General Coments & Notes

• Insert Notes, coments and actions required along with agreed responsible person or organization

• Note 1

• Note 2

• Note 3

• Note 4

• Note 5

• Note 6

• Note 7

• Note 8

• Note 9

• Note 10

• Action / Non-Conformance including section and reference #

• Proposed Controls

• Responsible Person

• Action / Non-Conformance including section and reference #

• Proposed Controls

• Responsible Person

• Action / Non-Conformance including section and reference #

• Proposed Controls

• Responsible Person

• Action / Non-Conformance including section and reference #

• Proposed Controls

• Responsible Person

• Action / Non-Conformance including section and reference #

• Proposed Controls

• Responsible Person

• Action / Non-Conformance including section and reference #

• Proposed Controls

• Responsible Person