Title Page
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Prepared by:
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Location:
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Date:
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Brief Description of Task/Activity
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Document Number:
Fatal Risk Control
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Make sure you know which Fatal Risks are present in your work area!
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If any fatal risk controls are not effectively implemented or maintained the task/activity should be stopped immediately and the related risks needs to be re assessed by a competent person.
Rotating Equipment
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These CRITICAL CONTROLS need to be in place when working on or around rotating equipment.
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Does the activity present rotating equipment risks.
Competency
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Has the worker been trained and authorized, and does the worker understand the components of working around rotating equipment?
Guarding and Safety Devices:
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Is guarding and/or a barrier present and meets the standard?
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If an authorized bypass needs to occur, has communication been made to all affected personnel?
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Is the exclusion zone demarcated with the hazard and precautionary actions identified?
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Is there an authorized process in place for removal of guards, when necessary, in order to perform live testing?
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Is the emergency shut-off device visible, accessible, and properly maintained?
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If removed, have all guards and safety systems been restored when the work is completed?
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Is worker clear of potential line of fire situations?
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Are there designated covered walkways under conveyor belts?
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Are barricades in place where there is the potential for falling objects?
Block Against Movement
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Have individuals performed effective mechanical blocking? Are the mechanical blocks approved and safe for use?
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Are jacks and blocks designed, adequate, and positioned correctly for the task?
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During maintenance, are the articulation and bed locks in place to block against movement?
Sign off
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Person Conducted Fatal Risk Critical Control Verification.
