Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Crushing

  • Do you want to audit crushing risks?

  • Can anyone be crushed due to:

  • Material falling from plant?

  • Lack of capacity for the plant to be slowed, stopped or immobilised?

  • The plant tipping or rolling over?

  • Uncontrolled or unexpected movement of the plant or its load?

  • Parts of the plant collapsing?

  • Coming in contact with moving parts of the plant during testing, inspection, use, maintenance, cleaning or repair?

  • Being thrown off or under the plant?

  • Being trapped between the plant and materials or fixed structures?

  • Add any additional crushing risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the crushing risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

Entanglement

  • Do you want to audit entanglement risks?

  • Can anyone be entangled due to:

  • Body parts, clothing, equipment or other materials being in contact with moving parts of the plant?

  • Loose ropes, cords or cables?

  • Add any additional entanglement risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the entanglement risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

Cutting, Stabbing and Puncturing

  • Do you want to audit cutting, stabbing or puncturing risks?

  • Can anyone be cut, stabbed or punctured due to:

  • Coming in contact with sharp or flying objects?

  • Coming in contact with moving parts of the plant during testing, inspection, operation, maintenance, cleaning or repair of the plant?

  • Parts of plant disintegrating?

  • The mobility of the plant?

  • Uncontrolled or unexpected movement of the plant?

  • Add any additional cutting, stabbing or puncturing risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the cutting, stabbing or pucturing risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

Shearing, Burning or Friction

  • Do you want to audit shearing, burning or friction risks?

  • Can anyone’s body parts be:

  • Burnt, gain abrasions, etc?

  • Sheared in operation of plant?

  • Add any additional shearing, burning or friction risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the shearing, burning or friction risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

Striking

  • Do you want to audit striking risks?

  • Can anyone be struck by moving objects due to:

  • Uncontrolled or unexpected movement of the plant or material handled by the plant?

  • Plant, parts of the plant or work pieces disintegrating?

  • Work pieces being ejected?

  • Mobility of the plant?

  • Add any additional striking risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the striking risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

High Pressure Fluid /Gases

  • Do you want to audit high pressure fluid or gas risks?

  • Can anyone come into contact with:

  • Fluids/Gases under high pressure in normal use?

  • In the instance of plant failure?

  • Add any additional high pressure fluid/gases risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the high pressure fluid/gases risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

Electrical

  • Do you want to audit electrical risks?

  • Can anyone be injured by electrical shock due to:

  • The plant contacting live electrical conductors?

  • Electrical Leads on the ground

  • Plant working close to electrical conductors?

  • Overload of electrical circuits?

  • Damaged or poorly maintenance electrical components &/or cables?

  • Water near electrical equipment?

  • Lack of isolation procedures?

  • Add any additional electrical risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the electrical risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

Gases or Vapours

  • Do you want to gas or vapour risks?

  • Can anyone’s health be affected by exposure to:

  • Gases, vapours, liquids, dusts or other hazardous substances by the operation of the plant?

  • Add any additional gas/vapour risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the gas/vapour risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

Slips, Trips or Falls

  • Do you want to audit slip, trip or fall risks?

  • Can anyone using the plant, or in the vicinity of the plant, slip, trip or fall due to:

  • Uneven or slippery work surfaces?

  • Poor housekeeping, such as shavings in the vicinity of the plant, spillage not cleaned up?

  • Obstacles being placed in the vicinity of the plant?

  • Add any additional slip, trip or fall risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the slip, trip or fall risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

Manual Handling

  • Do you want to audit manual handling risks?

  • Does use of the plant or equipment involve:

  • Repetitive or sustained postures?

  • High force actions?

  • Jerking actions?

  • Employees working with their hands above their shoulder?

  • Has there been a report of musculoskeletal disorder associated with the task?

  • Add any additional manual handling risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the manual handling risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

Suffocation

  • Do you want to audit suffocation risks?

  • Can anyone be suffocated due to:

  • Lack of oxygen?

  • Atmospheric contamination?

  • Add any additional suffocation risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the suffocation risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

Temperature

  • Do you want to audit temperature risks?

  • Can anyone’s health be affected by extreme temperatures by:

  • Coming into contact with objects at high temperature?

  • Coming into contact with objects at Low temperature?

  • Add any additional temperature risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the temperature risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

Light

  • Do you want to audit light risks?

  • Is the light in this area appropriate to:

  • Conduct work safely?

  • Ensure hazards are visible?

  • Exit the area safely in an emergency situation?

  • Add any additional light risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the light risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

Noise

  • Do you want to audit noise risks?

  • Is the noise acceptable in this area:

  • To conduct work safely?

  • To hear necessary instruction and warnings?

  • To hear evacuation warnings?

  • Add any additional noise risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

  • Do any of the noise risks need mitigation?

  • Add mitigation strategies:

  • Mitigation Strategy
  • How will these risks be mitigated?

  • Please describe the mitigation strategy

Other Hazards

  • Could the plant create hazardous conditions other than above mentioned categories?

  • Add any additional risks:

  • Risk
  • Is this risk urgent?

  • Describe the risk

Auditor Sign-off

  • Auditor to sign here

  • Date completed

  • Add additional auditor:

  • Auditor
  • Auditor to sign here

  • Date completed

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.