James Cropper PLC - Machinery Safety Risk Assessment

• 1.1 Work Equipment:

• 1.2 Department:

• 1.3 Zone Reference:

• 1.4 Assessment conducted on:

  Date

• 1.5 Assessment completed by:

• 1.6 Personnel involved in Risk Assessment:

2.0 Description

• 2.1 Description of location of work equipment:

• 2.2 Intended use of work equipment:

• 2.3 Work equipment suitable for the intended use.

  Yes

  No

• 2.4 Work equipment is stable when in operation and structurally sound.

  Yes

  No

3.0 Mechanical Hazards

• 3.1 Identify the mechanical hazards present

  Select Entrapment Entanglement Shearing Crushing Ejection Puncture/stab Impact Abrasion Cutting Contact None Present

  • Entrapment
  • Entanglement
  • Shearing
  • Crushing
  • Ejection
  • Puncture/stab
  • Impact
  • Abrasion
  • Cutting
  • Contact
  • None Present

4.0 Non Mechanical Hazards

• 4.1 Identify the non mechanical hazards present

  Select Temperature extremes Electricity Noise Vibration Dust High Pressure Chemicals Waste Allergens Radiation Ergonomic Gas/Fume/Vapour Manual Handling Optical Radiation Other None Present Biological Fire Explosion Gas Energy Leakage/Discharge Radiation sources

  • Temperature extremes
  • Electricity
  • Noise
  • Vibration
  • Dust
  • High Pressure
  • Chemicals
  • Waste
  • Allergens
  • Radiation
  • Ergonomic
  • Gas/Fume/Vapour
  • Manual Handling
  • Optical Radiation
  • Other
  • None Present
  • Biological
  • Fire
  • Explosion
  • Gas Energy
  • Leakage/Discharge
  • Radiation sources

5.0 Use of Equipment/machinery

• 5.1 What is the duration/frequency of use of the work equipment

• 5.2 Description of users of equipment (training, experience)

6.0 Control Measures

• 6.1 Identify Engineering Controls in place

  Select Fixed Interlock Automatic Trip Adjustable Pressure Mat Light Beam/curtain Two Handed Other E Stop None Required Electrical Lock Off Distance/Isolation

  • Fixed
  • Interlock
  • Automatic
  • Trip
  • Adjustable
  • Pressure Mat
  • Light Beam/curtain
  • Two Handed
  • Other
  • E Stop
  • None Required
  • Electrical Lock Off
  • Distance/Isolation

• 6.2 Describe/outline the Engineering Controls

• 6.3 Describe/outline the Procedural Controls

• 6.4 PPE/RPE Required for operatives/maintenance

  Select Gloves Respiratory Protection Head Protection Eye Protection Hearing Protection Clothing Hi-Vis Other

  • Gloves
  • Respiratory Protection
  • Head Protection
  • Eye Protection
  • Hearing Protection
  • Clothing
  • Hi-Vis
  • Other

• Description of Type(s) of PPE/RPE required

• 6.5 Planned and preventive maintenance regimes in place

  Yes

  No

• 6.6 Work equipment maintenance can be completed in a safe manner via permit to work systems.

  Yes

  No

• 6.7 Pre use machinery safety checks in place (Status of protection devices)

  Yes

  No

• 6.8 Information, instruction, training and supervision in place and maintained.

  Yes

  No

• 6.9 If the work equipment is manufactured after 1992 does it have a declaration of conformity (DOC) or does the machines meet the criteria of a DOC (CE/UKCA)

  Yes

  No

• 6.10 One or more means of stopping other than emergency stops in place, visible and accessible.

  Yes

  No

• 6.11 Control systems are free from damage, faults and clearly labelled and appropriately colour coded e.g. red- stop, green - start etc.

  Yes

  No

• 6.12 Suitable means of isolation from all foreseeable energy sources are in place, identifiable, accessible and aligned to a permit to work system.

  Yes

  No

• 6.13 One or more visible and accessible emergency stops in place.

  Yes

  No

• 6.14 Lighting installations are suitably located, of the correct type and provide a suitable level of lighting for the safe operation of the work equipment.

  Yes

  No

7.0 Assessment of Risk

• 7.1 Likelihood x Severity

  Select Low Likelihood Medium Likelihood High Likelihood Low Severity Medium Severity High Severity

  • Low Likelihood
  • Medium Likelihood
  • High Likelihood
  • Low Severity
  • Medium Severity
  • High Severity

• 7.2 Level of Risk

  Low

  Medium

  High

8.0 Additional Control Measures

• 8.1 Additional Control Measures required

  Yes

  No

• 8.2 Maintenance/cleaning Risk Assessment Required?

  Yes

  No

• 8.3 Noise or Vibration Risk Assessment required?

  Yes

  No

• 8.4 Manual Handling/Ergonomic Risk Assessment required?

  Yes

  No

• 8.5 COSHH Risk Assessment required? (if yes identify substance(s))

  Yes

  No

• 8.6 Other Risk Assessments Associated with Equipment

9.0 Environmental

• 9.1 Environmental Risk Assessment Required?

  Select Yes No

  • Yes
  • No

10.0 Sign off and acknowledgement

• Action arising from assessment have been agreed and accepted with timeframes based on the level of risk posed.

  Yes

  No

• Assessor name

• Departmental Owner of (asset) work equipment name.

• Agreed date for Assessment Review

  Date