Title Page
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DIVISION
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State
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Site
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Plant / Item
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Conducted on
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Completed by
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Location
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Enter any changes needed as a maintenance request or in Vault as a hazard.
Relevant Standard: AS4024 Series Safety of Machinery
Guarding Requirements
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1. Guards must prevent workers’ hands, arms, and other body parts from making contact with dangerous moving parts
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2. Guards must be firmly secured and not easily removable
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3. Guards must ensure that no objects will fall into the moving parts or explode out
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4. Guards must permit safe, comfortable, and relatively easy operation of the machine
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5. Can the machine be oiled or greased without removing the guard?
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6. The machine must automatically shut down when the guard is removed
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7. Can the existing guards be improved?
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Enter improvement.
Mechanical Hazards: Point of Operation
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1. Emergency Stop Buttons / Emergency Lanyards must be fitted to the plant (Emergency stop buttons must be a mushroom type (AS4024-2006 Part 5.4.1)
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2. Emergency Stop Buttons / Emergency Lanyards must be tested at 6 monthly intervals
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3. Guards must not be tampered with or removed
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4. Can you suggest a more practical effective Guard?
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5. Can you make changes on the machine to eliminate the hazard entirely?
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Enter improvement.
Mechanical Hazards: Power Transmission Apparatus
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1. Gears, sprockets, pulleys or flywheels must not be unguarded
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2. Belts or chain drives must not be exposed
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3. Set screws, key ways, collars, etc. must not be exposed
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4. Starting and stopping controls must be within easy reach of the operator
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5. If there is more than one operator separate controls must be provided to prevent reactivation of the machine
Mechanical Hazards: Other Moving Parts
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1. Guards must be provided for all hazardous moving parts of the machine, including auxiliary parts
Education and Training
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1. Operators and skilled trades workers must have the necessary education and training in how to use the guards
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2. The education must include hazards and risks associated with tasks and controls in place
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3. Production workers and skilled trades workers must be trained in where the guards are located, how they provide protection, and what hazards they protect against
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4. Production workers and skilled trades workers must be trained in how and under what circumstances guards can be removed
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5. Workers must be trained in the procedure to follow if they notice guards that are damaged, missing, or inadequate
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6. Skilled trades workers must have the necessary education and training in how to build the safety aspects of guards
PPE
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1. If protective equipment is required, it must be appropriate for the job, in good condition, kept clean and sanitary, and stored carefully when not in use.
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2. The operator must be dressed safely for the job (no loose fitting clothing or jewellery)
Maintenance and Repair
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1. Skilled trades workers must receive up-to-date instructions on the machines they service
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2. Skilled trades workers must lock out the machine from all of its energy sources before beginning repairs
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3. The maintenance equipment itself must be properly guarded
Changes
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Changes needed are entered as a maintenance request or in Vault as a hazard?
Sign Off
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Check conducted by:
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Check list reviewd by: