Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Guarding of dangerous parts
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Is access possible to any moving parts that could cause injury? Please record machine part / location / part of body at risk / estimated type of injury?
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For the parts identified above, what method of safeguarding is necessary to minimise the risk?
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Where guards are currently provided, do they satisfy the following criteria? Are they suitable?
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Where guards are currently provided, do they satisfy the following criteria? Are they of good construction?
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Where guards are currently provided, do they satisfy the following criteria? Are they easily by-passed or disabled?
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Where guards are currently provided, do they satisfy the following criteria? Are they an adequate distance from danger? Is there an adequate view of the dangers?
Maintenance
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What maintenance is required for guards and protective devices? Is maintenance required and if so is it up to date? How often is maintenance required?
Inspection
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Is inspection of the work equipment necessary? Please log details of inspection and frequency?
Information, instruction and training
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What information, instruction and training must be provided for the following groups?<br>Operators.<br>Maintenance staff<br>Managers / Supervisors
Other Hazards- what action is needed in respect of the following possible additional hazards?
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Any article or substance falling or being ejected from the machine
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Any rupture or disintegration
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Overheating or fire?
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Unintentional or premature discharge of dust, gas, liquid or vapour or other substance?
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Any part of the machine at a high or low temperature likely to cause injury?
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Any other hazards?
Emergency stop control
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Is a suitable design of emergency stop located at an appropriate control and operating point? If no emergency stop is in place please indicate preferred type?
Isolation - How is the machine isolated or locked of from the following energy sources (Where relevant).
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Electricity
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Compressed air or gas?
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Hydraulic fluid or oil
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Steam
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Other I.e. Gravity, fall etc
Controls
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Are the controls clearly visible, identifiable, and clearly marked where necessary?
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Are the controls located to ensure that operators are not exposed to risk?
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Can the operator see any other person/s who may be at risk, when the controls are operated?
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Are there ant systems of work to ensure that no one is likely to be at risk when the machine starts?
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Are there suitable audible, visual or other warnings if needed?
Workplace environment
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Is there adequate natural and artificial light?
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Is lighting of controls satisfactory, without glare?
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Is lighting of parts of the equipment that have to be viewed adequate?
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Is the workplace temperature in the range of comfort for the operators?
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Is suitable seating required?
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Is there adequate space around the machine to allow safe and easy access?
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Is storage for the machine parts and special tools needed?
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Are fire extinguishers needed close to the machine - if so, what type?
Personal Protective Equipment
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Is PPE required / necessary?
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If yes what type?
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Are operators aware that PPE is required and are they wearing it?
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Do operators know how PPE should be worn? Is more training needed?
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Is local storage necessary and provided?
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Is PPE subject to routine maintenance checks?
Safety signs and warnings - are adequate signs fitted to the equipment as follows?
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Hazardous surfaces
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Hazardous materials
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Hazardous parts and/or their movement
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Prohibited actions
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Correct operation
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Required PPE ( Personal Protective Equipment)
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Emergency action