Information

  • Document No.

  • Audit Title

  • Site/Facility Code

  • Conducted on

  • Conducted By

  • Prepared by

  • Location

1.0 Entanglement

  • 1.1 Can clothing, gloves, jewellery or any other items become entangled in the moving parts of this item?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures in place?

  • Risk Score with controls?

2.0 Crushing - can anyone be crushed due to?

  • 2.1 Material falling off plant?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures in place?

  • Risk score with controls?

  • 2.2 Uncontrolled or unexpected movement of plant or its load?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures in place?

  • Risk score with controls?

  • 2.3 Lack of capacity for the plant to be slowed, stopped or immobilised?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures in place?

  • Risk score with controls?

  • 2.4 The plant tipping or rolling over?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures in place?

  • Risk score with controls?

  • 2.5 Parts of the plant collapsing?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures in place?

  • Risk score with controls?

  • 2.6 Coming in contact with moving parts of the plant during testing inspection, operation & maintenance?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures in place?

  • Risk score with controls?

  • 2.7 Cleaning or repair?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures in place?

  • Risk score with controls?

  • 2.8 Being thrown off or under the plant?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures in place?

  • Risk score with controls?

  • 2.9 Being trapped between the plant and materials or fixed structures?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures in place?

  • Risk score with controls?

3.0 Friction & Abrasion

  • 3.1 Can anyone be burnt due to contact with moving parts or material handled by the plant?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures in place?

  • Risk score with controls?

4.0 Shear

  • 4.1 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?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures in place?

  • Risk score with controls

5.0 Cutting, Stabbing & Puncturing - Can anyone be cut, stabbed or punctured due to?

  • 5.1 Coming in contact with sharp or flying objects

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current Control Measures

  • Risk score with controls

  • 5.2 Coming in contact with moving parts of the plant during testing, inspection, operation, maintenance, cleaning or repair of the plant?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current Control Measures

  • Risk score with controls

  • 5.3 The plant, parts of the plant work pieces disintegrating?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current Control Measures

  • Risk score with controls

  • 5.4 Work pieces being ejected?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current Control Measures

  • Risk score with controls

  • 5.5 The mobility of the plant?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current Control Measures

  • Risk score with controls

  • 5.6 Uncontrolled or unexpected movement of the plant?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current Control Measures

  • Risk score with controls

6.0 Striking - Can anyone be struck by moving objects due to?

  • 6.1 Uncontrolled or unexpected movement of or material handled by the plant?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures?

  • Risk score with controls?

  • 6.2 The plant, part of the plant work pieces disintegrating?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures?

  • Risk score with controls?

  • 6.3 Work pieces being ejected?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures?

  • Risk score with controls?

  • 6.4 Mobility of the plant?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures?

  • Risk score with controls?

7.0 High Pressure Fluid

  • 7.1 Can anyone come into contact with fluids under high pressure, due to plant failure or misuse of the plant?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures

  • Risk score with controls

8.0 Electrical - Can anyone be injured by electrical shock or burn due to?

  • 8.1 The plant contacting live electrical conductors?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures?

  • Risk score with controls?

  • 8.2 The plant working in close proximity to electrical conductors?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures?

  • Risk score with controls?

  • 8.3 Over loads of electrical circuits?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures?

  • Risk score with controls?

  • 8.4 Damaged or poorly maintained electrical leads and cables?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures?

  • Risk score with controls?

  • 8.5 Damaged electrical switches?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures?

  • Risk score with controls?

  • 8.6 Any water near electrical equipment?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures?

  • Risk score with controls?

  • 8.7 Lack of isolation procedures?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures?

  • Risk score with controls?

9.0 Explosion

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

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures

  • Risk score with controls

10.0 Slipping, Tripping & Falling - Can anyone using plant or in the vicinity of plant, slip or fall due to?

  • 10.1 Uneven or slippery work surfaces?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 10.2 Obstacles placed in the vicinity of the plant?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 10.3 Poor housekeeping eg. offcuts, cables, hoses, obstructing walkways, piles not cleaned up?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • Any other factors not mentioned?

  • Can anyone fall from a height due to the following:

  • 10.5 Lack of proper work platform?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 10.6 Lack of proper stairs or ladders?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 10.7 Lack of guard-rails or other suitable edge protection?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 10.8 Unprotected holes, penetrations or gaps?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 10.9 Poor floor or walking surfaces such as the lack of slip-resistant surfaces?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 10.10 Steep walking surfaces?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 10.11 Collapse of supporting structure?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

11.0 Ergonimics / Manual Handling - Can anyone be injured due to?

  • 11.0 Poorly designed seating?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures

  • Risk score with controls

  • 11.2 Poorly designed operators controls?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures

  • Risk score with controls

  • 11.3 Repetitive body movement?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures

  • Risk score with controls

  • 11.4 Awkward body posture or the need for excessive effort?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures

  • Risk score with controls

  • 11.5 Design deficiency causing mental or psychological stress?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures

  • Risk score with controls

  • 11.7 Vibration?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures

  • Risk score with controls

12.0 Extremes of Temperature

  • 12.1 Can anyone come into contact with objects at high temperatures?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures

  • Risk score with controls

  • 12.2 Can anyone suffer ill-health due to high or low temperatures?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk Score

  • Current control measures

  • Risk score with controls

13.0 Chemicals, Noise Vibration & Airborne Contaminants - Can anyone be injured or suffer ill-health from exposure to?

  • 13.1 Chemicals?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 13.2 Biological?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 13.3 Toxic gases or vapours?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 13.4 Fumes?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 13.5 Dusts?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 13.6 Noise?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 13.7 Vibration?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 13.8 Radiation?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 13.9 Pressure or vacuum?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 13.10 Hazardous materials? eg. Asbestos

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

14.0 Traffic - Can anyone be injured by exposure to traffic when?

  • 14.1 Working at the site (traffic within 3 metres of worksites)

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

15.0 Combination of Hazards - Can anyone be injured due to unexpected start-up, unexpected over-run/overspeed from?

  • 15.1 Failure/disorder of the control systems? eg hydraulic system

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 15.2 Restoration of energy supply after interruption?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 15.3 External influences on electrical equipment?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 15.4 Errors made by the operator?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 15.5 Errors in software?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • Any other environmental factors? eg wind, gravity

16.0 Other Hazards - Can anyone be injured due to?

  • 16.1 Entry into confined space?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 16.2 Failure to select plant that is suitable for its intended use?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 16.3 Contact with hot or cold parts of plant?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

  • 16.4 Lack of operator competency?

  • Gippsland Water Corporate Risk Matrix

    Corporate Risk Matrix w Risk scores.jpg
  • Likelihood

  • Consequence

  • Risk score

  • Current control measures

  • Risk score with controls

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