Linfox Plant Risk Assessment.

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Business unit?

  FMCG

  Retail

  Resources and Industrial

  Linehaul

• Assessment type?

  initial

  Follow Up

Initial questions.

• What is the scope or work of the plant/equipment?

• Is the plant/equipment designed to perform the work outlined in the scope?

  Yes

  No

  N/A

• Is the plant/equipment in good condition?

  Yes

  No

  N/A

• Has the plant/equipment been modified from its original condition?

  Yes

  No

• 

Risk assessment questions.

• Can anyone become entangled in the plant? (e.g. Hair caught in moving parts, PPE or clothing caught in moving parts)

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for completing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Can anyone be crushed by or during the operation of the plant? (e.g. Material falling off the plant, plant falling over, being trapped).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for completing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Can anyone be cut, stabbed or punctured? (flying objects, moving parts, pinch points).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for completing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Are there any shearing hazards present? (between two moving parts).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for completing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Can injuries related to friction occur? (continuous contact with moving surfaces or parts).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for completing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Is there a chance that anyone can be struck by the plant/equipment, by moving parts or by items being ejected/thrown from the plant?

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Can a hazardous pressure be produced? (e.g. hydraulic, pneumatic pressure).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Can an electrical hazard be created? (e.g. Lack of insulation, contact with electrical conductors, poor earthing).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Can an explosion occur? (e.g. gas emissions, combustible dusts, flammable vapours).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Can anyone using or near the plant slip, trip or fall? (e.g. uneven surfaces, falls from heights, tripping hazards).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Are there ergonomic and/or manual handling hazards associated with the plant? (e.g. poor posture, repetitive movements, awkward positions, strained movements).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Are there ergonomic hazards associated with control of the plant? (e.g. difficult to understand controls, inappropriate colouring, function not identified).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Can anyone be suffocated? (e.g. lack of oxygen, contaminated atmosphere).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Does operation of the plant cause extreme temperature changes? (e.g. fire, burns through conduction, convection, cryogenic burns).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Can certain weather hazards create a hazard? (e.g. hypothermia, heat stroke, wet conditions).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for completing control measures/corrective actions?

• Completion date?

  Date

• Corrective actions status?

  Completed

  Not completed

  in progress

  Ongoing

• Does vibration of the plant create a hazard? (e.g. plant becomes unstable, causes physical problems for the operator).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Can the plant emit toxic fumes or vapours? (e.g. exhaust fumes, chemicals).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Does the plant emit radiation? (e.g. X-rays, EMR, laser).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Completion date?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Can operation of the plant create dust? (e.g. explosive atmosphere, breathing hazard, reduced visibility).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Date for completion?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Can the plant become unstable during operation? (e.g. working on uneven ground, shifting load).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

  Yes

  No

  N/A

• Date for completion?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Could loss of load occur? (e.g. failure of ropes/slings, overloading, entanglement in surrounding structures).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for completing control measures/corrective actions?

• Date for completion?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Is there anything in the surrounding environment that may produce a hazard? (e.g. Power lines, low ceilings, other plant, MHE, third party traffic, pedestrians).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Date for completion?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Can chemicals create a hazard? (e.g. Leaking from plant, splashing, explosions).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Date for completion?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Are there any other hazards generated by or created during the use of the plant or any attachments?

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Date for completion?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

Occupational hygiene.

• Is there a noise hazard associated with the operation of the plant/equipment?

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Date for completion?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing

• Is there risk associated with lighting? (e.g. poor visibility due to position of lighting, globes blown).

  Safe

  At Risk

  N/A

• Risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Control measures/corrective actions?

• Residual risk rating?

  Select 1 High 2 High 3 Medium 4 Medium 5 Low 6 Low N/A

  • 1 High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • N/A

• Person responsible for implementing control measures/corrective actions?

• Date for completion?

  Date

• Corrective action status?

  Completed

  Not completed

  in progress

  Ongoing