MESS Machine Guarding

• Document No.

• Site

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Auditor Contacts

• Lead Auditor Name

• Title

• Phone Number

• E-Mail

• Additional Team Members Name

Identification of Plant/Equipment

• Make / Model / Identification Markers on Plant/Equipment

• SAP Machine Number

• Plant/Equipment Intended Use

MESS Risk Assessment

• Does the plant have a MESS Risk Assessment Document

  Select Yes (Please record document number) No N/A

  • Yes (Please record document number)
  • No
  • N/A

• Are hazards present on the plant which may cause harm?

  Yes

  No

  N/A

• Description of Hazard

• Mechanical Hazards

  Yes

  No

  N/A

Type of Task

• Normal Operation

  Yes

  No

  N/A

• Load/Unload

  Yes

  No

  N/A

• Clear Jam

  Yes

  No

  N/A

• Inspect

  Yes

  No

  N/A

• Products/Materials Adjustment

  Yes

  No

  N/A

• Set up/changeover

  Yes

  No

  N/A

• Cleaning and Sanitation

  Yes

  No

  N/A

• Mechanical Adjustments/maintenance

  Yes

  No

  N/A

• Electrical Control/maintenance

  Yes

  No

  N/A

• Pneumatic Adjustments/maintenance

  Yes

  No

  N/A

• Hydraulic Adjustments/maintenance

  Yes

  No

  N/A

Description of Task

• undefined

Hazard Impacts

• Operations

  Yes

  No

  N/A

• Maintenance

  Yes

  No

  N/A

• Setup & Clean

  Yes

  No

  N/A

Task Shift Hours

• Hours_8

  Yes

  No

  N/A

• Hours_12

  Yes

  No

  N/A

• Hours_24

  Yes

  No

  N/A

Number of times task is performed per shift

• undefined

Minutes exposed to hazard per task

• undefined

Total minutes exposed to hazards per shift

• undefined

Frequency of Exposure

• Annually

  Yes

  No

  N/A

• Monthly

  Yes

  No

  N/A

• Weekly

  Yes

  No

  N/A

• Hourly - Duration of task < = to 24 mins

  Yes

  No

  N/A

• Hourly - Duration of task is > 24mins

  Yes

  No

  N/A

• Constantly or Greater than once each 15 minutes

  Yes

  No

  N/A

Degree of Possible Harm (DPH)

• Scratch/Bruise

  Yes

  No

  N/A

• Laceration/Mild-ill effect

  Yes

  No

  N/A

• Break Bone minor bone or minor illness/Muscle skeletal/Temporary

  Yes

  No

  N/A

• Break Major Bone or Major Illness/Injury (Permanent)

  Yes

  No

  N/A

• Loss of one limb, eye, hearing loss or permeant type injury

  Yes

  No

  N/A

• Loss of Two Limbs, eyes (permanent)

  Yes

  No

  N/A

• Fatality

  Yes

  No

  N/A

No. Persons Exposed (NP)

• 1-2

  Yes

  No

  N/A

• 3-7

  Yes

  No

  N/A

• 8-15

  Yes

  No

  N/A

• 16-50

  Yes

  No

  N/A

• 50+

  Yes

  No

  N/A

Likelihood of Occurence (LO)

• Almost Impossible - possible only under extreme circumstances

  Yes

  No

  N/A

• Highly unlikely - though conceivable

  Yes

  No

  N/A

• Possible but unusual

  Yes

  No

  N/A

• Even Chance - could happen

  Yes

  No

  N/A

• Probable

  Yes

  No

  N/A

• Describe Existing Control Measures

• Electrical Hazards

  Select Yes No N/A

  • Yes
  • No
  • N/A

Type of Task

• Normal Operation

  Yes

  No

  N/A

• Load/Unload

  Yes

  No

  N/A

• Clear Jam

  Yes

  No

  N/A

• Inspect

  Yes

  No

  N/A

• Products/Materials Adjustment

  Yes

  No

  N/A

• Set up/changeover

  Yes

  No

  N/A

• Cleaning and Sanitation

  Yes

  No

  N/A

• Mechanical Adjustments/maintenance

  Yes

  No

  N/A

• Electrical Control/maintenance

  Yes

  No

  N/A

• Pneumatic Adjustments/maintenance

  Yes

  No

  N/A

• Hydraulic Adjustments/maintenance

  Yes

  No

  N/A

Description of Task

• undefined

Hazard Impacts

• Operations

  Yes

  No

  N/A

• Maintenance

  Yes

  No

  N/A

• Setup & Clean

  Yes

  No

  N/A

Task Shift Hours

• Hours_8

  Yes

  No

  N/A

• Hours_12

  Yes

  No

  N/A

• Hours_24

  Yes

  No

  N/A

Number of times task is performed per shift

• undefined

Minutes exposed to hazard per task

• undefined

Total minutes exposed to hazards per shift

• undefined

Frequency of Exposure

• Annually

  Yes

  No

  N/A

• Monthly

  Yes

  No

  N/A

• Weekly

  Yes

  No

  N/A

• Hourly - Duration of task < = to 24 mins

  Yes

  No

  N/A

• Hourly - Duration of task is > 24mins

  Yes

  No

  N/A

• Constantly or Greater than once each 15 minutes

  Yes

  No

  N/A

Degree of Possible Harm (DPH)

• Scratch/Bruise

  Yes

  No

  N/A

• Laceration/Mild-ill effect

  Yes

  No

  N/A

• Break Bone minor bone or minor illness/Muscle skeletal/Temporary

  Yes

  No

  N/A

• Break Major Bone or Major Illness/Injury (Permanent)

  Yes

  No

  N/A

• Loss of one limb, eye, hearing loss or permeant type injury

  Yes

  No

  N/A

• Loss of Two Limbs, eyes (permanent)

  Yes

  No

  N/A

• Fatality

  Yes

  No

  N/A

No. Persons Exposed (NP)

• 1-2

  Yes

  No

  N/A

• 3-7

  Yes

  No

  N/A

• 8-15

  Yes

  No

  N/A

• 16-50

  Yes

  No

  N/A

• 50+

  Yes

  No

  N/A

Likelihood of Occurence (LO)

• Almost Impossible - possible only under extreme circumstances

  Yes

  No

  N/A

• Highly unlikely - though conceivable

  Yes

  No

  N/A

• Possible but unusual

  Yes

  No

  N/A

• Even Chance - could happen

  Yes

  No

  N/A

• Probable

  Yes

  No

  N/A

• Describe existing control measures

• Thermal Hazards

  Select Yes No N/A

  • Yes
  • No
  • N/A

Type of Task

• Normal Operation

  Yes

  No

  N/A

• Load/Unload

  Yes

  No

  N/A

• Clear Jam

  Yes

  No

  N/A

• Inspect

  Yes

  No

  N/A

• Products/Materials Adjustment

  Yes

  No

  N/A

• Set up/changeover

  Yes

  No

  N/A

• Cleaning and Sanitation

  Yes

  No

  N/A

• Mechanical Adjustments/maintenance

  Yes

  No

  N/A

• Electrical Control/maintenance

  Yes

  No

  N/A

• Pneumatic Adjustments/maintenance

  Yes

  No

  N/A

• Hydraulic Adjustments/maintenance

  Yes

  No

  N/A

Description of Task

• undefined

Hazard Impacts

• Operations

  Yes

  No

  N/A

• Maintenance

  Yes

  No

  N/A

• Setup & Clean

  Yes

  No

  N/A

Task Shift Hours

• Hours_8

  Yes

  No

  N/A

• Hours_12

  Yes

  No

  N/A

• Hours_24

  Yes

  No

  N/A

Number of times task is performed per shift

• undefined

Minutes exposed to hazard per task

• undefined

Total minutes exposed to hazards per shift

• undefined

Frequency of Exposure

• Annually

  Yes

  No

  N/A

• Monthly

  Yes

  No

  N/A

• Weekly

  Yes

  No

  N/A

• Hourly - Duration of task < = to 24 mins

  Yes

  No

  N/A

• Hourly - Duration of task is > 24mins

  Yes

  No

  N/A

• Constantly or Greater than once each 15 minutes

  Yes

  No

  N/A

Degree of Possible Harm (DPH)

• Scratch/Bruise

  Yes

  No

  N/A

• Laceration/Mild-ill effect

  Yes

  No

  N/A

• Break Bone minor bone or minor illness/Muscle skeletal/Temporary

  Yes

  No

  N/A

• Break Major Bone or Major Illness/Injury (Permanent)

  Yes

  No

  N/A

• Loss of one limb, eye, hearing loss or permeant type injury

  Yes

  No

  N/A

• Loss of Two Limbs, eyes (permanent)

  Yes

  No

  N/A

• Fatality

  Yes

  No

  N/A

No. Persons Exposed (NP)

• 1-2

  Yes

  No

  N/A

• 3-7

  Yes

  No

  N/A

• 8-15

  Yes

  No

  N/A

• 16-50

  Yes

  No

  N/A

• 50+

  Yes

  No

  N/A

Likelihood of Occurence (LO)

• Almost Impossible - possible only under extreme circumstances

  Yes

  No

  N/A

• Highly unlikely - though conceivable

  Yes

  No

  N/A

• Possible but unusual

  Yes

  No

  N/A

• Even Chance - could happen

  Yes

  No

  N/A

• Probable

  Yes

  No

  N/A

• Describe existing control measures

• Noise Hazards

  Yes

  No

  N/A

Type of Task

• Normal Operation

  Yes

  No

  N/A

• Load/Unload

  Yes

  No

  N/A

• Clear Jam

  Yes

  No

  N/A

• Inspect

  Yes

  No

  N/A

• Products/Materials Adjustment

  Yes

  No

  N/A

• Set up/changeover

  Yes

  No

  N/A

• Cleaning and Sanitation

  Yes

  No

  N/A

• Mechanical Adjustments/maintenance

  Yes

  No

  N/A

• Electrical Control/maintenance

  Yes

  No

  N/A

• Pneumatic Adjustments/maintenance

  Yes

  No

  N/A

• Hydraulic Adjustments/maintenance

  Yes

  No

  N/A

Description of Task

• undefined

Hazard Impacts

• Operations

  Yes

  No

  N/A

• Maintenance

  Yes

  No

  N/A

• Setup & Clean

  Yes

  No

  N/A

Task Shift Hours

• Hours_8

  Yes

  No

  N/A

• Hours_12

  Yes

  No

  N/A

• Hours_24

  Yes

  No

  N/A

Number of times task is performed per shift

• undefined

Minutes exposed to hazard per task

• undefined

Total minutes exposed to hazards per shift

• undefined

Frequency of Exposure

• Annually

  Yes

  No

  N/A

• Monthly

  Yes

  No

  N/A

• Weekly

  Yes

  No

  N/A

• Hourly - Duration of task < = to 24 mins

  Yes

  No

  N/A

• Hourly - Duration of task is > 24mins

  Yes

  No

  N/A

• Constantly or Greater than once each 15 minutes

  Yes

  No

  N/A

Degree of Possible Harm (DPH)

• Scratch/Bruise

  Yes

  No

  N/A

• Laceration/Mild-ill effect

  Yes

  No

  N/A

• Break Bone minor bone or minor illness/Muscle skeletal/Temporary

  Yes

  No

  N/A

• Break Major Bone or Major Illness/Injury (Permanent)

  Yes

  No

  N/A

• Loss of one limb, eye, hearing loss or permeant type injury

  Yes

  No

  N/A

• Loss of Two Limbs, eyes (permanent)

  Yes

  No

  N/A

• Fatality

  Yes

  No

  N/A

No. Persons Exposed (NP)

• 1-2

  Yes

  No

  N/A

• 3-7

  Yes

  No

  N/A

• 8-15

  Yes

  No

  N/A

• 16-50

  Yes

  No

  N/A

• 50+

  Yes

  No

  N/A

Likelihood of Occurence (LO)

• Almost Impossible - possible only under extreme circumstances

  Yes

  No

  N/A

• Highly unlikely - though conceivable

  Yes

  No

  N/A

• Possible but unusual

  Yes

  No

  N/A

• Even Chance - could happen

  Yes

  No

  N/A

• Probable

  Yes

  No

  N/A

• Describe existing control measures

• Slip_Trip_Fall Hazards

  Yes

  No

  N/A

Type of Task

• Normal Operation

  Yes

  No

  N/A

• Load/Unload

  Yes

  No

  N/A

• Clear Jam

  Yes

  No

  N/A

• Inspect

  Yes

  No

  N/A

• Products/Materials Adjustment

  Yes

  No

  N/A

• Set up/changeover

  Yes

  No

  N/A

• Cleaning and Sanitation

  Yes

  No

  N/A

• Mechanical Adjustments/maintenance

  Yes

  No

  N/A

• Electrical Control/maintenance

  Yes

  No

  N/A

• Pneumatic Adjustments/maintenance

  Yes

  No

  N/A

• Hydraulic Adjustments/maintenance

  Yes

  No

  N/A

Description of Task

• undefined

Hazard Impacts

• Operations

  Yes

  No

  N/A

• Maintenance

  Yes

  No

  N/A

• Setup & Clean

  Yes

  No

  N/A

Task Shift Hours

• Hours_8

  Yes

  No

  N/A

• Hours_12

  Yes

  No

  N/A

• Hours_24

  Yes

  No

  N/A

Number of times task is performed per shift

• undefined

Minutes exposed to hazard per task

• undefined

Total minutes exposed to hazards per shift

• undefined

Frequency of Exposure

• Annually

  Yes

  No

  N/A

• Monthly

  Yes

  No

  N/A

• Weekly

  Yes

  No

  N/A

• Hourly - Duration of task < = to 24 mins

  Yes

  No

  N/A

• Hourly - Duration of task is > 24mins

  Yes

  No

  N/A

• Constantly or Greater than once each 15 minutes

  Yes

  No

  N/A

Degree of Possible Harm (DPH)

• Scratch/Bruise

  Yes

  No

  N/A

• Laceration/Mild-ill effect

  Yes

  No

  N/A

• Break Bone minor bone or minor illness/Muscle skeletal/Temporary

  Yes

  No

  N/A

• Break Major Bone or Major Illness/Injury (Permanent)

  Yes

  No

  N/A

• Loss of one limb, eye, hearing loss or permeant type injury

  Yes

  No

  N/A

• Loss of Two Limbs, eyes (permanent)

  Yes

  No

  N/A

• Fatality

  Yes

  No

  N/A

No. Persons Exposed (NP)

• 1-2

  Yes

  No

  N/A

• 3-7

  Yes

  No

  N/A

• 8-15

  Yes

  No

  N/A

• 16-50

  Yes

  No

  N/A

• 50+

  Yes

  No

  N/A

Likelihood of Occurence (LO)

• Almost Impossible - possible only under extreme circumstances

  Yes

  No

  N/A

• Highly unlikely - though conceivable

  Yes

  No

  N/A

• Possible but unusual

  Yes

  No

  N/A

• Even Chance - could happen

  Yes

  No

  N/A

• Probable

  Yes

  No

  N/A

• Describe existing control measures

• Radiation

  Yes

  No

  N/A

Type of Task

• Normal Operation

  Yes

  No

  N/A

• Load/Unload

  Yes

  No

  N/A

• Clear Jam

  Yes

  No

  N/A

• Inspect

  Yes

  No

  N/A

• Products/Materials Adjustment

  Yes

  No

  N/A

• Set up/changeover

  Yes

  No

  N/A

• Cleaning and Sanitation

  Yes

  No

  N/A

• Mechanical Adjustments/maintenance

  Yes

  No

  N/A

• Electrical Control/maintenance

  Yes

  No

  N/A

• Pneumatic Adjustments/maintenance

  Yes

  No

  N/A

• Hydraulic Adjustments/maintenance

  Yes

  No

  N/A

Description of Task

• undefined

Hazard Impacts

• Operations

  Yes

  No

  N/A

• Maintenance

  Yes

  No

  N/A

• Setup & Clean

  Yes

  No

  N/A

Task Shift Hours

• Hours_8

  Yes

  No

  N/A

• Hours_12

  Yes

  No

  N/A

• Hours_24

  Yes

  No

  N/A

Number of times task is performed per shift

• undefined

Minutes exposed to hazard per task

• undefined

Total minutes exposed to hazards per shift

• undefined

Frequency of Exposure

• Annually

  Yes

  No

  N/A

• Monthly

  Yes

  No

  N/A

• Weekly

  Yes

  No

  N/A

• Hourly - Duration of task < = to 24 mins

  Yes

  No

  N/A

• Hourly - Duration of task is > 24mins

  Yes

  No

  N/A

• Constantly or Greater than once each 15 minutes

  Yes

  No

  N/A

Degree of Possible Harm (DPH)

• Scratch/Bruise

  Yes

  No

  N/A

• Laceration/Mild-ill effect

  Yes

  No

  N/A

• Break Bone minor bone or minor illness/Muscle skeletal/Temporary

  Yes

  No

  N/A

• Break Major Bone or Major Illness/Injury (Permanent)

  Yes

  No

  N/A

• Loss of one limb, eye, hearing loss or permeant type injury

  Yes

  No

  N/A

• Loss of Two Limbs, eyes (permanent)

  Yes

  No

  N/A

• Fatality

  Yes

  No

  N/A

No. Persons Exposed (NP)

• 1-2

  Yes

  No

  N/A

• 3-7

  Yes

  No

  N/A

• 8-15

  Yes

  No

  N/A

• 16-50

  Yes

  No

  N/A

• 50+

  Yes

  No

  N/A

Likelihood of Occurence (LO)

• Almost Impossible - possible only under extreme circumstances

  Yes

  No

  N/A

• Highly unlikely - though conceivable

  Yes

  No

  N/A

• Possible but unusual

  Yes

  No

  N/A

• Even Chance - could happen

  Yes

  No

  N/A

• Probable

  Yes

  No

  N/A

• Describe existing control measures

• Material_Substances

  Yes

  No

  N/A

Type of Task

• Normal Operation

  Yes

  No

  N/A

• Load/Unload

  Yes

  No

  N/A

• Clear Jam

  Yes

  No

  N/A

• Inspect

  Yes

  No

  N/A

• Products/Materials Adjustment

  Yes

  No

  N/A

• Set up/changeover

  Yes

  No

  N/A

• Cleaning and Sanitation

  Yes

  No

  N/A

• Mechanical Adjustments/maintenance

  Yes

  No

  N/A

• Electrical Control/maintenance

  Yes

  No

  N/A

• Pneumatic Adjustments/maintenance

  Yes

  No

  N/A

• Hydraulic Adjustments/maintenance

  Yes

  No

  N/A

Description of Task

• undefined

Hazard Impacts

• Operations

  Yes

  No

  N/A

• Maintenance

  Yes

  No

  N/A

• Setup & Clean

  Yes

  No

  N/A

Task Shift Hours

• Hours_8

  Yes

  No

  N/A

• Hours_12

  Yes

  No

  N/A

• Hours_24

  Yes

  No

  N/A

Number of times task is performed per shift

• undefined

Minutes exposed to hazard per task

• undefined

Total minutes exposed to hazards per shift

• undefined

Frequency of Exposure

• Annually

  Yes

  No

  N/A

• Monthly

  Yes

  No

  N/A

• Weekly

  Yes

  No

  N/A

• Hourly - Duration of task < = to 24 mins

  Yes

  No

  N/A

• Hourly - Duration of task is > 24mins

  Yes

  No

  N/A

• Constantly or Greater than once each 15 minutes

  Yes

  No

  N/A

Degree of Possible Harm (DPH)

• Scratch/Bruise

  Yes

  No

  N/A

• Laceration/Mild-ill effect

  Yes

  No

  N/A

• Break Bone minor bone or minor illness/Muscle skeletal/Temporary

  Yes

  No

  N/A

• Break Major Bone or Major Illness/Injury (Permanent)

  Yes

  No

  N/A

• Loss of one limb, eye, hearing loss or permeant type injury

  Yes

  No

  N/A

• Loss of Two Limbs, eyes (permanent)

  Yes

  No

  N/A

• Fatality

  Yes

  No

  N/A

No. Persons Exposed (NP)

• 1-2

  Yes

  No

  N/A

• 3-7

  Yes

  No

  N/A

• 8-15

  Yes

  No

  N/A

• 16-50

  Yes

  No

  N/A

• 50+

  Yes

  No

  N/A

Likelihood of Occurence (LO)

• Almost Impossible - possible only under extreme circumstances

  Yes

  No

  N/A

• Highly unlikely - though conceivable

  Yes

  No

  N/A

• Possible but unusual

  Yes

  No

  N/A

• Even Chance - could happen

  Yes

  No

  N/A

• Probable

  Yes

  No

  N/A

• Describe existing control measures

• Ergonomics

  Yes

  No

  N/A

Type of Task

• Normal Operation

  Yes

  No

  N/A

• Load/Unload

  Yes

  No

  N/A

• Clear Jam

  Yes

  No

  N/A

• Inspect

  Yes

  No

  N/A

• Products/Materials Adjustment

  Yes

  No

  N/A

• Set up/changeover

  Yes

  No

  N/A

• Cleaning and Sanitation

  Yes

  No

  N/A

• Mechanical Adjustments/maintenance

  Yes

  No

  N/A

• Electrical Control/maintenance

  Yes

  No

  N/A

• Pneumatic Adjustments/maintenance

  Yes

  No

  N/A

• Hydraulic Adjustments/maintenance

  Yes

  No

  N/A

Description of Task

• undefined

Hazard Impacts

• Operations

  Yes

  No

  N/A

• Maintenance

  Yes

  No

  N/A

• Setup & Clean

  Yes

  No

  N/A

Task Shift Hours

• Hours_8

  Yes

  No

  N/A

• Hours_12

  Yes

  No

  N/A

• Hours_24

  Yes

  No

  N/A

Number of times task is performed per shift

• undefined

Minutes exposed to hazard per task

• undefined

Total minutes exposed to hazards per shift

• undefined

Frequency of Exposure

• Annually

  Yes

  No

  N/A

• Monthly

  Yes

  No

  N/A

• Weekly

  Yes

  No

  N/A

• Hourly - Duration of task < = to 24 mins

  Yes

  No

  N/A

• Hourly - Duration of task is > 24mins

  Yes

  No

  N/A

• Constantly or Greater than once each 15 minutes

  Yes

  No

  N/A

Degree of Possible Harm (DPH)

• Scratch/Bruise

  Yes

  No

  N/A

• Laceration/Mild-ill effect

  Yes

  No

  N/A

• Break Bone minor bone or minor illness/Muscle skeletal/Temporary

  Yes

  No

  N/A

• Break Major Bone or Major Illness/Injury (Permanent)

  Yes

  No

  N/A

• Loss of one limb, eye, hearing loss or permeant type injury

  Yes

  No

  N/A

• Loss of Two Limbs, eyes (permanent)

  Yes

  No

  N/A

• Fatality

  Yes

  No

  N/A

No. Persons Exposed (NP)

• 1-2

  Yes

  No

  N/A

• 3-7

  Yes

  No

  N/A

• 8-15

  Yes

  No

  N/A

• 16-50

  Yes

  No

  N/A

• 50+

  Yes

  No

  N/A

Likelihood of Occurence (LO)

• Almost Impossible - possible only under extreme circumstances

  Yes

  No

  N/A

• Highly unlikely - though conceivable

  Yes

  No

  N/A

• Possible but unusual

  Yes

  No

  N/A

• Even Chance - could happen

  Yes

  No

  N/A

• Probable

  Yes

  No

  N/A

• Describe existing control measures

• Environment

  Yes

  No

  N/A

Type of Task

• Normal Operation

  Yes

  No

  N/A

• Load/Unload

  Yes

  No

  N/A

• Clear Jam

  Yes

  No

  N/A

• Inspect

  Yes

  No

  N/A

• Products/Materials Adjustment

  Yes

  No

  N/A

• Set up/changeover

  Yes

  No

  N/A

• Cleaning and Sanitation

  Yes

  No

  N/A

• Mechanical Adjustments/maintenance

  Yes

  No

  N/A

• Electrical Control/maintenance

  Yes

  No

  N/A

• Pneumatic Adjustments/maintenance

  Yes

  No

  N/A

• Hydraulic Adjustments/maintenance

  Yes

  No

  N/A

Description of Task

• undefined

Hazard Impacts

• Operations

  Yes

  No

  N/A

• Maintenance

  Yes

  No

  N/A

• Setup & Clean

  Yes

  No

  N/A

Task Shift Hours

• Hours_8

  Yes

  No

  N/A

• Hours_12

  Yes

  No

  N/A

• Hours_24

  Yes

  No

  N/A

Number of times task is performed per shift

• undefined

Minutes exposed to hazard per task

• undefined

Total minutes exposed to hazards per shift

• undefined

Frequency of Exposure

• Annually

  Yes

  No

  N/A

• Monthly

  Yes

  No

  N/A

• Weekly

  Yes

  No

  N/A

• Hourly - Duration of task < = to 24 mins

  Yes

  No

  N/A

• Hourly - Duration of task is > 24mins

  Yes

  No

  N/A

• Constantly or Greater than once each 15 minutes

  Yes

  No

  N/A

Degree of Possible Harm (DPH)

• Scratch/Bruise

  Yes

  No

  N/A

• Laceration/Mild-ill effect

  Yes

  No

  N/A

• Break Bone minor bone or minor illness/Muscle skeletal/Temporary

  Yes

  No

  N/A

• Break Major Bone or Major Illness/Injury (Permanent)

  Yes

  No

  N/A

• Loss of one limb, eye, hearing loss or permeant type injury

  Yes

  No

  N/A

• Loss of Two Limbs, eyes (permanent)

  Yes

  No

  N/A

• Fatality

  Yes

  No

  N/A

No. Persons Exposed (NP)

• 1-2

  Yes

  No

  N/A

• 3-7

  Yes

  No

  N/A

• 8-15

  Yes

  No

  N/A

• 16-50

  Yes

  No

  N/A

• 50+

  Yes

  No

  N/A

Likelihood of Occurence (LO)

• Almost Impossible - possible only under extreme circumstances

  Yes

  No

  N/A

• Highly unlikely - though conceivable

  Yes

  No

  N/A

• Possible but unusual

  Yes

  No

  N/A

• Even Chance - could happen

  Yes

  No

  N/A

• Probable

  Yes

  No

  N/A

• Describe existing control measures