General Risk Assessment - duplicate - duplicate

Title Page

Document No.
Department / Work Area
Name of Plant/Equipment/Process/Task Performed:
FP Number
Reason for Assessment:
Standard Operations or Maintenance Activities
Audit Title
Conducted on
Personnel

Instructions

INSTRUCTIONS:

- When assessing the standard operation you must consult with an operator who understands the process/equipment and must consider start-up and shut down steps, cleaning processes etc
- When assessing the maintenance processes you must consult with a maintenance person
- Answer EVERY question by selecting YES, NO or N/A. If there is a hazard identified use the Fonterra Risk Matrix to give the hazard a Risk Rating
- For every hazard identified appropriate control measures are to be implemented, list each hazard in the Risk Control Plan. Enter control actions into First Priority.
- Where a high risk hazard is identified a further Risk Assessment may be required eg Manual Handling, heights etc. this should be entered as an action.
- The Hierarchy of Control must be considered when implementing corrective actions.
- All participants are to sign off on completion.

Risk Matrix

Plant and Equipment

NOTES eg Process steps. # employees, shifts, foreseeable concerns.

1. Can anyone become ENTANGLED with a moving part of the plant?

For example, can anyone's hair, clothing, necktie, jewellery, cleaning brushes, rags, or other materials become entangled with moving parts of the plant eg. Gears, drive shafts, rollers, chains, sprockets, wheels etc?
1.1 Can anyone become entangled with a moving part of the plant?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

2. Can anyone be CRUSHED due to:

2.1 Material falling off the plant?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
2.2 Uncontrolled or unexpected movement of the plant or its load?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
2.3 Lack of capacity for the plant to be slowed, stopped or immobilised?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
2.4 The plant tipping or rolling over?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
2.5 Parts of the plant collapsing?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
2.6 Being thrown off or under the plant?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
2.7 Being trapped between the plant and materials or fixed structures?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
2.8 Other crush factors not mentioned?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

3. Can anyone be CUT, STABBED or PUNCTURED due to:

3.1 Coming into contact with sharp or flying objects?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
3.2 The plant, parts of the plant or work pieces disintegrating?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
3.3 Work pieces being ejected?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
3.4 The mobility of the plant?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
3.5 Uncontrolled or unexpected movement of the plant?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
3.6 Contact between the body and hard/sharp edges of tools or work surfaces?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
3.7 Other sharp factors not mentioned?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

4. Can body parts be SHEARED between two parts of the plant?

4.1 For example, 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?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

5. Can anyone receive a FRICTION burn due to contact with moving parts of the plant?

5.1 For example, can anyone be burnt due to contact with moving parts or surfaces of the plant, or material handled by the plant?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

6. Can anyone be STRUCK by moving objects due to:

6.1 Uncontrolled or unexpected movements of the plant or material handled by the plant?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
6.2 The plant, parts of the plant or work pieces disintegrating?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
6.3 Work pieces being ejected?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
6.4 The mobility of the plant?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
6.5 Other striking factors not mentioned?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

7. Can anyone come into contact with PRESSURISED FLUIDS, GASES OR STEAM?

7.1 Can anyone come into contact with pressurised fluid or gases due to plant failure or misuse of plant?
7.2 Is there a safe isolation procedure?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
7.3 Are there appropriate isolation points available to safely isolate this equipment?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
7.4 Is there sufficient and appropriate bleed points provided to safely de-pressurise equipment for inspection and maintenance?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
7.5 Are tubes, hose fittings and connections suitable for the intended purpose, are they protected from accidental damage?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
7.6 Other factors not mentioned?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Due Date:

8. Can anyone be injured by ELECTRICAL shock or burnt due to:

8.1 The plant contacting live electrical conductors?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
8.2 The plant working in close proximity to electrical conductors?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
8.3 Overload of electrical circuits?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
8.4 Untagged, damaged or poorly maintained electrical leads and cables?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
8.5 Water near electrical equipment?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
8.6 Lack of isolation procedures?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
8.7 Other electrical factors not mentioned?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

9. Can anyone be injured by EXPLOSION of gases, vapours, liquids, dust etc.

9.1 Is it possible for gasses to accumulate and reach LEL as a result of maintenance activities or accidental discharge?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
9.2 Is it possible for pressurised oil or other flammable liquids to be discharged in the proximity of an ignition source as a result of equipment failure or maintenance activity?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
9.3 Is there a risk of flammable solvents or their vapours igniting during maintenance or cleaning operations?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
9.4 Other factors not mentioned?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

10. Does the INSTALLED LOCATION present a hazard from the following?

10.1 Does the location of the plant make it vulnerable to direct or consequential damage from vehicle accident?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
10.2 Does the location and nature of the plant near walk or access ways make it vulnerable to damage from persons carrying equipment or wheeling trolleys etc?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
10.3 Is there a direct or consequential risk of damage to the plant from failure of other equipment installed in the area?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
10.4 Is there a risk of direct or consequential damage from forklift traffic?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
10.5 Is there a risk of damage to the plant due to collapse of buildings or other nearby structures?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
10.6 Is there a risk to the site or adjacent properties should an over pressure safety device activate?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
10.7 Can environmental conditions cause to fall and/or collapse?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
10.8 Is the sufficient access and egress during normal maintenance and emergency conditions?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
10.9 Are there overhead hazards?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
10.10 Other factors not mentioned?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

11. Guarding and Emergency Controls

If guarding is inadequate or not to Australian Standards (AS4024) refer to Roger Lim assessment of a specific Machine Guarding Risk Assessment in accordance with AS4024
11.1 Are all high risk areas adequately guarded?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
11.2 Are fixed guards secured where a specifically designed tool is required for access?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
11.3 Is interlocked guarding or sensing devices working effectively? I.e. Equipment is de-energised when activated?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
11.4 Do E-Stops adequately stop equipment?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
11.5 Do the operators understand what energy sources the controls isolate? ( E-Stops, interlocked guards, etc)
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
11.6 Are E-stops suitably positioned for ease of access by operators?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
11.7 Are E-stops appropriately designed and coloured in accordance with Australian Standards?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
11.8 Is the restarting of E-Stops buttons adequate?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
11.9 Other factors not mentioned?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

Systems of Work

12. Can anyone using the plant or near the plant, SLIP, TRIP or FALL due to:

12.1 Uneven or slippery work surfaces?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
12.2 Poor housekeeping eg unused materials in the vicinity of the plant, spillage not cleaned up?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
12.3 Obstacles being placed in vicinity of the plant ?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
12.4 Other factors not mentioned?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

13. Can anyone FALL FROM HEIGHT due to:

If a hazard is identified you must complete a Work at Heights Risk Assessment.
13.1 Lack of proper work platforms?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
13.2 Lack of proper stairs or ladders? (Refer to stairs assessment)
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
13.3 Lack of guard rails or other suitable edge protection?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
13.4 Unprotected holes, penetrations or gaps?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
13.5 Poor floor or walking surfaces, such as the lack or a slip resistant surface?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
13.6 Steep walking surfaces?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
13.7 Collapse of the supporting structure?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
13.8 Other factors not mentioned?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Due Date:
Responsibility for Completing Action
Describe Control Solutions to be Implemented
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe the Hazard and Possible Risk

14. Hazardous Manual Handling. Are any of the following factors present?

If a hazard is identified you must complete a Manual Handling Risk Assessment
REPETITIVE means the movement or force is performed more than twice a minute.
SUSTAINED means the posture or force is held for more than 30 seconds at a time
14.1 Twisting, stooping, awkward or one sided postures
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
14.2 Fixed, sustained, rigid, prolonged (including prolonged sitting) postures of part or all of the body
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
14.3 Unvaried, repetitive movements
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
14.4 Handling loads away from the body
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
14.5 Using high or sustained force
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
14.6 Handling heavy or awkward loads
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
14.7 Whole body vibration (eg driving where bumps occur, leaning on vibrating equipment) or upper limb vibration (eg using vibrating hand tools)
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
14.8 Continuous handling without a break
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
14.9 high speed or long duration or time pressures
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
14.10 Work environment factors (eg lighting, heat, cold, walking surfaces, steps, ladders)
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
14.11 Handling of people or animals
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
14.12 Other factors not mentioned?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

15. Can anyone be SUFFOCATED due to lack of oxygen, restricted space or atmospheric contamination?

15.1 Uncontrolled discharge of gas in an enclosed area?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
15.2 Discharge of gas from a safety device?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
15.3 Failure of valves, Pipework or fittings?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
15.4 Is there an accessible means of escape from the area should an unexpected discharge of gas occur?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
15.5 Are there any 'confined spaces'? If yes complete a Confined Space Risk Assessment.
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
15.6 Other factors not mentioned?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

16. Can anyone come in contact with objects at HIGH or LOW TEMPERATURES?

16.1 Can anyone be injured by contact with objects at high or low temperatures?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
16.2 Can anyone be injured by the release of steam?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
16.3 Can anyone be injured by exposure to fire?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
16.4 Other burn risks not considered?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

17. SIGNAGE

17.1 Are appropriate signs posted for hazards in the area (eg PPE required)?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
17.2 Are pipework, electrical conduits and switchboards colour coded or labelled?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
17.3 Are nip/pinch points identified by appropriate labels/signage?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

18. Does the SYSTEM OF WORK present a hazard from the following:

18.1 Insufficient or inadequate procedures provided by the designers and/or supplier of the plant?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
18.2 Insufficient competency of people using/operating the plant?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

19. Can anyone be injured or suffer Ill health from exposure to the following WORK ENVIRONMENT factors:

19.1 Inadequate air quality or ventilation?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
19.2 Hot conditions?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
19.3 Cold conditions?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
19.4 Noise? (Review Noise Assessment)
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
19.5 Inadequate lighting?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
19.6 Outdoor work?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
19.7 Radiation?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
19.8 Communicable diseases? Eg Zoonosis, influenza etc
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
19.9 Other work factors not mentioned?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

20. Can anyone be injured or suffer ill health from exposure to CHEMICALS:

20.1 Toxic gases, fumes, dusts or vapours?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
20.2 Hazardous substances?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
20.3 Dangerous goods?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
20.4 Contaminated equipment?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
20.5 Are Safety Data Sheets readily available? (If applicable)
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

21. Isolation / Lock Out Tag Out LOTO

21.1 Are lock out points accessible?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
21.2 Are there LOTO procedures in place?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
21.3 Are the operators familiar with LOTO requirements?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

22. Human Factors

22.1 Lack of training, qualifications, licensing or competency?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
22.2 Lack of supervision?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
22.3 Working alone?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
22.4 Stress, victimisation, bullying, harassment from internal or external sources?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
22.5 Consideration of human error or human behaviour?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
22.6 Fatigue related to shift work, pressure cycles, travelling or driving etc?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
22.7 Other hazards not listed on this form?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

23. Does the design consideration relating to human capabilities present a hazard from the following?

23.1 Warnings and signals/alarms easy to detect?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
23.2 Reaction time required to current situation reasonable, particularly in noisy environments?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
23.3 Information overload, particularly during an emergency?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
23.4 Use of more than one sense where information is vital in some situations. Eg visual and audible?
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
23.5 Is there a high reliance on any of the senses for operation, safety, that may be a hazard if a person is distracted, unwell, has a deficiency in characteristics, eg hearing, sight, smell etc
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

24. Any other hazards not mentioned?

24.1
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
24.2
Describe the Hazard and Possible Risk
Refer to Fonterra Risk Matrix, consider LIKELIHOOD and REASONABLY EXPECTED WORST CASE to determine Initial Risk Score
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25
Describe Control Solutions to be Implemented
Responsibility for Completing Action
Due Date:
Residual Risk Score. Assessed After Control
- L1
- L2
- L3
- L4
- L5
- L6
- M7
- M8
- M9
- M10
- M11
- M12
- M13
- S14
- S15
- S16
- S17
- S18
- S19
- H20
- H21
- H22
- H23
- H24
- H25

Review and Sign Off

REVIEW AND SIGN OFF

ASSESSMENT TEAM:

LEAD ASSESSOR:
Position:
CONSULTANT(S):
Position:
HSR(s):
Position:
OTHER:
Position:

CONSULTED WITH:

OPERATORS:
Position:
MAINTENANCE PERSONNEL:
Position:
OTHER:
Position:

REVIEWED BY:

AREA MANAGER:
Position:
SITE MANAGER:
Position:
HSW LEAD:
Position:
OTHER:
Position:

General Risk Assessment - duplicate - duplicate

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INSTRUCTIONS:

1. Can anyone become ENTANGLED with a moving part of the plant?

2. Can anyone be CRUSHED due to:

3. Can anyone be CUT, STABBED or PUNCTURED due to:

4. Can body parts be SHEARED between two parts of the plant?

5. Can anyone receive a FRICTION burn due to contact with moving parts of the plant?

6. Can anyone be STRUCK by moving objects due to:

7. Can anyone come into contact with PRESSURISED FLUIDS, GASES OR STEAM?

8. Can anyone be injured by ELECTRICAL shock or burnt due to:

9. Can anyone be injured by EXPLOSION of gases, vapours, liquids, dust etc.

10. Does the INSTALLED LOCATION present a hazard from the following?

11. Guarding and Emergency Controls

12. Can anyone using the plant or near the plant, SLIP, TRIP or FALL due to:

13. Can anyone FALL FROM HEIGHT due to:

14. Hazardous Manual Handling. Are any of the following factors present?

15. Can anyone be SUFFOCATED due to lack of oxygen, restricted space or atmospheric contamination?

16. Can anyone come in contact with objects at HIGH or LOW TEMPERATURES?

17. SIGNAGE

18. Does the SYSTEM OF WORK present a hazard from the following:

19. Can anyone be injured or suffer Ill health from exposure to the following WORK ENVIRONMENT factors:

20. Can anyone be injured or suffer ill health from exposure to CHEMICALS:

21. Isolation / Lock Out Tag Out LOTO

22. Human Factors

23. Does the design consideration relating to human capabilities present a hazard from the following?

24. Any other hazards not mentioned?

REVIEW AND SIGN OFF

ASSESSMENT TEAM:

CONSULTED WITH:

REVIEWED BY:

Related checklists

General Risk Assessment - duplicate - duplicate

Free General Risk Assessment - duplicate - duplicate Checklist

Go digital today!

Convert your paper checklists into digital forms

INSTRUCTIONS:

1. Can anyone become ENTANGLED with a moving part of the plant?

2. Can anyone be CRUSHED due to:

3. Can anyone be CUT, STABBED or PUNCTURED due to:

4. Can body parts be SHEARED between two parts of the plant?

5. Can anyone receive a FRICTION burn due to contact with moving parts of the plant?

6. Can anyone be STRUCK by moving objects due to:

7. Can anyone come into contact with PRESSURISED FLUIDS, GASES OR STEAM?

8. Can anyone be injured by ELECTRICAL shock or burnt due to:

9. Can anyone be injured by EXPLOSION of gases, vapours, liquids, dust etc.

10. Does the INSTALLED LOCATION present a hazard from the following?

11. Guarding and Emergency Controls

12. Can anyone using the plant or near the plant, SLIP, TRIP or FALL due to:

13. Can anyone FALL FROM HEIGHT due to:

14. Hazardous Manual Handling. Are any of the following factors present?

15. Can anyone be SUFFOCATED due to lack of oxygen, restricted space or atmospheric contamination?

16. Can anyone come in contact with objects at HIGH or LOW TEMPERATURES?

17. SIGNAGE

18. Does the SYSTEM OF WORK present a hazard from the following:

19. Can anyone be injured or suffer Ill health from exposure to the following WORK ENVIRONMENT factors:

20. Can anyone be injured or suffer ill health from exposure to CHEMICALS:

21. Isolation / Lock Out Tag Out LOTO

22. Human Factors

23. Does the design consideration relating to human capabilities present a hazard from the following?

24. Any other hazards not mentioned?

REVIEW AND SIGN OFF

ASSESSMENT TEAM:

CONSULTED WITH:

REVIEWED BY:

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