Title Page

  • Where is the machine located

  • Document number

  • Conducted on

  • Prepared by

  • Machine

  • Image

  • Serial Number or Identification

Risk Assessment

    Hazard, Risks and Controls
  • What is the hazard?

  • Who Might be Harmed

  • What are the control measures?

  • What is the likelihood?

  • What are the consequences?

  • What is the risk level?

  • Is the risk level acceptable?

  • Specify the extra control measures required to ensure the risk level becomes acceptable.

Supporting Questions

  • Is right equipment being used for job?

  • Are guards in place and working properly?

  • Are they properly affixed (tools should be required to remove them)?

  • If a moveable guard, is it interlocked with the drive?

  • Are guards protected against bypass?

  • Is interlocking mechanism/trip device in place and working properly?

  • Is guard adequately constructed and of sound design?

  • Where guards cannot give full protection, are holders, push sticks etc. used to move the work-piece?

  • Is local exhaust ventilation in place and functioning correctly?

  • Are controls positioned at a safe distance from the danger area?

  • Is a special hold to run or two-hand control in place or necessary?

  • Are controls clearly marked?

  • Are controls designed to avoid accidental operation e.g. shrouding start buttons/pedals?

  • Where operators/maintenance workers enter a danger area, are interlocked or trapped key systems in place?

  • Are emergency stop controls in place and within easy reach?

  • Are overrun devices fitted/required/fully operational?

Cleaning & Maintenance

  • Are manufacturer’s instructions being followed?

  • Is a formal safe system of work in place (e.g. permit to work)?

  • Is routine cleaning and maintenance taking place?

  • Are those items requiring statutory examination (e.g. pressure systems, power presses, LEV) being examined by a competent person?

  • Are guards/other safety devices being regularly checked?

  • Is power to machine disconnected during maintenance?

  • Is equipment and pipelines containing pressurised fluid, gas etc. isolated?

  • Is moving equipment allowed to stop?

  • Is time allowed for equipment to cool down?

Operatives

  • Are operatives aware of manufacturer’s instructions/operating procedures?

  • Have they been given any instruction on use of the machine (the greater the danger, the more in-depth training needs to be)?

  • Do they know of the hazards and the safeguards in place (e.g. stop control)?

  • If PPE is required have operatives received instruction in care and use of relevant PPE?

  • Has hair, clothing etc. been tied back/secure?

  • Has all jewellery such as necklaces which could get caught in machinery been removed?

General Considerations

  • Is area around the machine clean and tidy?

  • Is lighting adequate?

  • Is signage in place and of correct design?

  • Is machine circuitry tested and maintained on a regular basis?

  • Is spacing around machinery adequate to provide access for operation, supervision, maintenance and cleaning?

  • Is safe means provided for the removal of swarf, leaking oil, spilled material etc.

  • Is cabling around machine managed satisfactorily?

  • Is machinery and its components stable and securely bolted down?

Completion

  • Are there any other issues that might need to addressed in future

  • Specify

  • Signature

  • Staff Sign Off
  • Name

  • Signature

  • Date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.