Maintenance Task Risk Assessment REV 2

• Document No.

• Audit Title

• Piraña Work Order Number

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Potential Risks

• Electricity

  Safe

  At Risk

  N/A

• Moving Parts

  Safe

  At Risk

  N/A

• Compressed Air

  Safe

  At Risk

  N/A

• Water/Fluids

  Safe

  At Risk

  N/A

• Manual Handling

  Safe

  At Risk

  N/A

• Restricted Access

  Safe

  At Risk

  N/A

• Stored Energy

  Safe

  At Risk

  N/A

• Fumes/Gas

  Safe

  At Risk

  N/A

• Slips and Trips

  Safe

  At Risk

  N/A

• Molten Metal

  Safe

  At Risk

  N/A

• Weather Conditions

  Safe

  At Risk

  N/A

• Working at Height

  Safe

  At Risk

  N/A

• Dust

  Safe

  At Risk

  N/A

• Chemicals

  Safe

  At Risk

  N/A

• High/Low Temperature

  Safe

  At Risk

  N/A

• Workplace Transport

  Safe

  At Risk

  N/A

• Falling Objects

  Safe

  At Risk

  N/A

• Lighting Levels

  Safe

  At Risk

  N/A

Evaluation

• Likelihood

  Always

  Likely

  Possible

  Unlikely

  Never

• Severity

  Fatality

  Major Injury

  > 3 Day Injury

  Minor Injury

  Trivial

• Evaluation = Likelihood x Severity

  Low 1-5

  Medium 6-10

  High 11-25

• DATE TIME

  Date

• Pirana Works Order Number

• Name

• Add signature

  Sign

PPE Requirements

• PPE being worn

  Select Standard Issue (T-Shirt and Trousers) Safety shoes Safety Glasses Nitrile Gloves Other Gloves Overalls Bump Cap (For Use Inside Machines and Paint Plant) Hearing Protection Full Face Mask Harness Goggles Dust Mask Disposable Overalls Long Arm Gloves Welding Gloves / Welding Mask Air Fed Mask Hard Hat

  • Standard Issue (T-Shirt and Trousers)
  • Safety shoes
  • Safety Glasses
  • Nitrile Gloves
  • Other Gloves
  • Overalls
  • Bump Cap (For Use Inside Machines and Paint Plant)
  • Hearing Protection
  • Full Face Mask
  • Harness
  • Goggles
  • Dust Mask
  • Disposable Overalls
  • Long Arm Gloves
  • Welding Gloves / Welding Mask
  • Air Fed Mask
  • Hard Hat

• Ear protection

  Safe

  At Risk

  N/A

• Faces mask / goggles required

  Yes

  No

  N/A

• Harness required to be worn

  Yes

  No

  N/A

• Air feed mask, solvent mask or air feed mask required

  Yes

  No

  N/A

Working area

• Is a barrier in place to stop un authorised access to working area

  Yes

  No

  N/A

• Is the area clear and free of obstruction

  Yes

  No

  N/A

• Is there safe access and egress

  Yes

  No

  N/A

• Additional information

  Drawing

• Photo of working area / risk

  Media

Electrical systems

• Has the system been made dead prior to start of work

  Yes

  No

  N/A

• Lock off and prove system dead prior to starting work

  Yes

  No

  N/A

• If lock off applicable, show correct lock off device being used

  Media

Hydraulic systems

• Working on high pressure systems, are systems made dead prior to start of work

  Yes

  No

  N/A

• Floors clean with no slip hazards

  Safe

  At Risk

  N/A

• Are any manual handling tasks involved

  Safe

  At Risk

  N/A

Working at height

• Use of mobile boom or scissor lift, does operator have current Ipath licence?

  Yes

  No

  N/A

• Harness required?

  Yes

  No

  N/A

• Is there a work area barrier in place?

  Yes

  No

  N/A

• Does the ladder being used have a current scaf-tag?

  Yes

  No

  N/A

Lifting / movement of equipment and materials

• Fork lift use, does the driver hold a current KPM licence for the equipment being used?

  Yes

  No

  N/A

• Is all lifting equipment identified with correct inspection tag, and is the SWL correct for task being carried out

  Yes

  No

  N/A

Hot work taking place

• Type of hot work, are fire extinguishers available, 30 min fire watch on completion of work

  Yes

  No

  N/A

Tools being used

• Are all electrical tools covered by a PAT test

  Yes

  No

  N/A

• Are all tools fit for purpose and not damaged?

  Yes

  No

  N/A

Working with chemicals

• Are COSHH data sheets available?

  Yes

  No

  N/A

• Are additional PPE requirements needed?

  Safe

  At Risk

  N/A

Movement of plant and equipment

• Use of trolley jacks?

  Yes

  No

  N/A

• Are skates fit for purpose?

  Yes

  No

  N/A

• Is there a layout for new location?

  Yes

  No

  N/A

• Is the route clear of obstruction, floor clean and smooth?

  Yes

  No

  N/A

• Are other members of staff being kept off the route of transport

  Yes

  No

  N/A

• Are there any height restrictions?

  Yes

  No

  N/A

• Show how load is secured

  Media

• Show plan

  Media

Additional information as job progresses.

• Additional information (e.g. Additional PPE)

• Additional photographs

  Media

• Sign for amendments

  Sign