DoT Plant Risk Assessment

• Activity or use of plant

• Description of plant

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Photographs of plant

  Media

• 'YES' to any of the following indicates the need to implement appropriate control measures. Rate risk from STAR booklet, detail control measure and rate residual risk.

ENTANGLEMENT

• Can a person's hair, clothing, gloves, jewellery, cleaning brush or rag become entangled with moving parts of the plant?

  Yes

  No

  N/A

CRUSHING

• Can anyone be crushed due to material falling off the plant?

  Yes

  No

  N/A

• Can anyone be crushed due to uncontrolled or unexpected movement of the plant?

  Yes

  No

  N/A

• Can anyone be crushed due to the lack of capacity for the plant to be slowed, stopped or immobilised?

  Yes

  No

  N/A

• Can anyone be crushed due to the plant tipping or rolling over?

  Yes

  No

  N/A

• Can anyone be crushed due to parts of the plant collapsing?<br><br><br><br><br>

  Yes

  No

  N/A

• Can anyone be crushed due to coming into contact with moving parts of the plant during testing, inspection, operation, maintenance, cleaning or repair?

  Yes

  No

  N/A

• Can anyone be crushed due to being thrown off or under the plant?

  Yes

  No

  N/A

• Can anyone be crushed due to being trapped between the plant and materials or fixed structures?

  Yes

  No

  N/A

• Can anyone be crushed due to other factors?

  Yes

  No

  N/A

CUTTING, STABBING OR PUNCTURING

• Can anyone be cut, stabbed or punctured by coming into contact with sharp or flying objects?

  Yes

  No

  N/A

• Can anyone be cut, stabbed or punctured due to coming into contact with moving parts during testing, inspection, operation, maintenance, cleaning or repair?

  Yes

  No

  N/A

• Can anyone be cut, stabbed or punctured due to the plant, parts of the plant or work pieces disintegrating?

  Yes

  No

  N/A

• Can anyone be cut, stabbed or punctured due to work pieces being ejected?

  Yes

  No

  N/A

• Can anyone be cut, stabbed or punctured due to the mobility of the plant?

  Yes

  No

  N/A

• Can anyone be cut, stabbed or punctured due to uncontrolled or unexpected movement of the plant?

  Yes

  No

  N/A

• Can anyone be cut, stabbed or punctured due to any other factor?

  Yes

  No

  N/A

SHEARING

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

  Yes

  No

  N/A

STRIKING

• Can anyone be struck by moving objects due to uncontrolled or unexpected movement of the plant or material handled by the plant?

  Yes

  No

  N/A

• Can anyone be struck by moving objects due to the plant, parts of the plant or work pieces disintegrating?

  Yes

  No

  N/A

• Can anyone be struck by moving objects due to work pieces being ejected?

  Yes

  No

  N/A

• Can anyone be struck by moving objects due to the mobility of the plant?

  Yes

  No

  N/A

• Can anyone be struck by moving objects due to any other factor?

  Yes

  No

  N/A

HIGH PRESSURE FLUID

• Can anyone come into contact with fluids 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 burnt due to the plant contacting live electrical conductors?

  Yes

  No

  N/A

• Can anyone be injured by electrical shock or burnt due to the plant working in close proximity to electrical conductors?

  Yes

  No

  N/A

• Can anyone be injured by electrical shock or burnt due to overload of electrical circuits?

  Yes

  No

  N/A

• Can anyone be injured by electrical shock or burnt due to damaged or poorly maintained electrical leads and cables?

  Yes

  No

  N/A

• Can anyone be injured by electrical shock or burnt due to damaged electrical switches?

  Yes

  No

  N/A

• Can anyone be injured by electrical shock or burnt due to water near electrical equipment?

  Yes

  No

  N/A

• Can anyone be injured by electrical shock or burnt due to lack of isolation procedures?

  Yes

  No

  N/A

• Can anyone be injured by electrical shock or burnt due to any other factor?

  Yes

  No

  N/A

EXPLOSION

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

  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

• Can anyone using the plant, or in the near vicinity of the plant slip, trip or fall due to poor housekeeping, e.g. Cables, hoses obstructing walkways, spills not cleaned up?

  Yes

  No

  N/A

• Can anyone using the plant or in the vicinity of the plant, slip, trip or fall due to obstacles being placed in the vicinity of the plant?

  Yes

  No

  N/A

• Can anyone using the plant, or in the vicinity of the plant, slip, trip or fall due to any other factors?

  Yes

  No

  N/A

• Can anyone fall from a height due to lack of proper work platform?

  Yes

  No

  N/A

• Can anyone fall from a height due to lack of paper stairs or ladders?

  Yes

  No

  N/A

• Can anyone fall from a height due to lack of guard rails or other suitable edge protection?

  Yes

  No

  N/A

• Can anyone fall from a height due to unprotected holes, penetrations or gaps?

  Yes

  No

  N/A

• Can anyone fall from a height due to poor floor or walking surfaces, such as the lack of slip resistant surface?

  Yes

  No

  N/A

• Can anyone fall from a height due to steep walking surfaces?

  Yes

  No

  N/A

• Can anyone fall from a height due to collapse of the supporting structure?

  Yes

  No

  N/A

• Can anyone fall from a height due to any other factor?

  Yes

  No

  N/A

ERGONOMIC

• Can anyone be injured due to poorly designed seating?

  Yes

  No

  N/A

• Can anyone be injured due to poorly designed operator controls?

  Yes

  No

  N/A

• Can anyone be injured due to high forces?

  Yes

  No

  N/A

• Can anyone be injured due to repetitive movements?

  Yes

  No

  N/A

• Can anyone be injured due to awkward body posture or the need for excessive effort?

  Yes

  No

  N/A

• Can anyone be injured due to vibration?

  Yes

  No

  N/A

• Can anyone be injured due to any other factor?

  Yes

  No

  N/A

COMBINATION OF HAZARDS

• Can anyone be injured due to unexpected start up, unexpected over run/over speed (or similar malfunction) from failure of the control systems, e.g. A hydraulic system?

  Yes

  No

  N/A

• Can anyone be injured due to an unexpected malfunction from restoration of energy supply after an interruption?

  Yes

  No

  N/A

• Can anyone be injured due to an unexpected malfunction from external influences on electrical equipment?

  Yes

  No

  N/A

• Can anyone be injured due to an unexpected malfunction from other environmental factors (gravity, wind etc)

  Yes

  No

  N/A

• Can anyone be injured due to an unexpected malfunction from errors in the software?

  Yes

  No

  N/A

• Can anyone be injured due to an unexpected malfunction from errors made by the operator?

  Yes

  No

  N/A

OTHER CATEGORIES

• Can anyone be injured due to noise?

  Yes

  No

  N/A

• Can anyone be injured due to inadequate or poorly placed lighting?

  Yes

  No

  N/A

• Can anyone be injured due to entry into any confined space of the plant?

  Yes

  No

  N/A

• Can anyone be injured due to failure to select plant that is suitable for its intended use?

  Yes

  No

  N/A

• Can anyone be injured due to contact with hot or cold plants of the plant?

  Yes

  No

  N/A

• Can anyone be injured due to exposure to hazardous chemicals or substances?

  Yes

  No

  N/A

• Can anyone be injured due to overexposure to radiation?

  Yes

  No

  N/A

• Can anyone be injured due to release of emissions from the plant?

  Yes

  No

  N/A

• Can anyone be injured due to lack of operator competency?

  Yes

  No

  N/A

• Can anyone be injured due to any other factor?

  Yes

  No

  N/A

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