JAJ Systems Risk Assessment - duplicate

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

(1). Electrical

• Can anyone be injured by electrical shock due to:

• The plant contacting live electrical conductors?

  Safe

  At Risk

  N/A

• Electrical Leads on the ground

  Safe

  At Risk

  N/A

• Plant working close to electrical conductors?

  Safe

  At Risk

  N/A

• Overload of electrical circuits?

  Yes

  No

  N/A

• Damaged or poorly maintenance electrical components &/or cables?

  Safe

  At Risk

  N/A

• Water near electrical equipment?

  Safe

  At Risk

  N/A

• Lack of isolation procedures?

  Safe

  At Risk

  N/A

• Other factors?

• Other factors?

• Add media

  Media

(2). Slips, Trips or Falls

• Can anyone using the plant, or in the vicinity of the plant, slip, trip or fall due to:

• Uneven or slippery work surfaces?

  Yes

  No

  N/A

• Poor housekeeping, such as shavings in the vicinity of the plant, spillage not cleaned up?

  Yes

  No

  N/A

• Obstacles being placed in the vicinity of the plant?

  Yes

  No

  N/A

• Other factors?

• Other factors?

• 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(3). Light

• Is lighting acceptable in this area?

• Yes

  No

  N/A

• Yes

  No

  N/A

• 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(4.)Noise

• Is noise acceptable in this area?

• Yes

  No

  N/A

• Yes

  No

  N/A

• 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

• Your name

  John

  Nathan

• Add signature

  Sign