H&S: Machinery Risk Assessment (Annually)

• Site conducted

  Select
• Location
  Address

• Conducted on

  Date

• Prepared by

• Position

• Click the '+' to add an event / activity / task to be risk assessed.

Event / Activity / Task

• Description of event, activity, task being risk assessed

Risk Matrix and Hierarchy of Controls

• Risk Matrix Reference:

  

• Hierarchy of Controls Reference:

  

People at Risk

• Who is at risk? (multiple choice)

  Select Staff Visitors Members of the public Contractors Young persons Other (please detail)

  • Staff
  • Visitors
  • Members of the public
  • Contractors
  • Young persons
  • Other (please detail)

• Please detail

Hazard Register

• Click the '+' to list additional hazards which relate to this procedure / task. Multiple hazards can be added to each event / activity / task being risk assessed.

Significant Hazards

• Likely places/ways that people could be seriously harmed.

• Description of hazard

• Photo of hazard

  Media

Risk Rating

• Please reference Risk Matrix at the top of this document.

• What are the consequences of this hazard?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of this hazard occurring?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• What is your risk rating of this hazard? (refer to Risk Rating Matrix)

  High

  Medium

  Low

Control Measures and Precautions

• This risk assessment must take into consideration the age and needs of all persons involved taking into consideration any accessibility requirements, lone working and safeguarding concerns.

• What are the control measures?

  Select Elimination Substitution Engineering Controls Administrative Controls PPE Other

  • Elimination
  • Substitution
  • Engineering Controls
  • Administrative Controls
  • PPE
  • Other

• Please detail

• Explanation of control measures and precautions

Completion / Sign Off

• The person completing this risk assessment must ensure that the contents of each risk assessed are briefed to all relevant members to ensure they follow the controls on this risk assessment. This risk assessment must be printed and displayed on your H&S noticeboard.

• Name and Signature

  Sign

• Position