Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
Crushing
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Do you want to audit crushing risks?
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Can anyone be crushed due to:
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Material falling from plant?
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Lack of capacity for the plant to be slowed, stopped or immobilised?
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The plant tipping or rolling over?
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Uncontrolled or unexpected movement of the plant or its load?
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Parts of the plant collapsing?
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Coming in contact with moving parts of the plant during testing, inspection, use, maintenance, cleaning or repair?
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Being thrown off or under the plant?
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Being trapped between the plant and materials or fixed structures?
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Add any additional crushing risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the crushing risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
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Please describe the mitigation strategy
Entanglement
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Do you want to audit entanglement risks?
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Can anyone be entangled due to:
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Body parts, clothing, equipment or other materials being in contact with moving parts of the plant?
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Loose ropes, cords or cables?
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Add any additional entanglement risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the entanglement risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
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Please describe the mitigation strategy
Cutting, Stabbing and Puncturing
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Do you want to audit cutting, stabbing or puncturing risks?
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Can anyone be cut, stabbed or punctured due to:
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Coming in contact with sharp or flying objects?
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Coming in contact with moving parts of the plant during testing, inspection, operation, maintenance, cleaning or repair of the plant?
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Parts of plant disintegrating?
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The mobility of the plant?
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Uncontrolled or unexpected movement of the plant?
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Add any additional cutting, stabbing or puncturing risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the cutting, stabbing or pucturing risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
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Please describe the mitigation strategy
Shearing, Burning or Friction
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Do you want to audit shearing, burning or friction risks?
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Can anyone’s body parts be:
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Burnt, gain abrasions, etc?
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Sheared in operation of plant?
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Add any additional shearing, burning or friction risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the shearing, burning or friction risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
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Please describe the mitigation strategy
Striking
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Do you want to audit striking risks?
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Can anyone be struck by moving objects due to:
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Uncontrolled or unexpected movement of the plant or material handled by the plant?
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Plant, parts of the plant or work pieces disintegrating?
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Work pieces being ejected?
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Mobility of the plant?
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Add any additional striking risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the striking risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
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Please describe the mitigation strategy
High Pressure Fluid /Gases
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Do you want to audit high pressure fluid or gas risks?
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Can anyone come into contact with:
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Fluids/Gases under high pressure in normal use?
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In the instance of plant failure?
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Add any additional high pressure fluid/gases risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the high pressure fluid/gases risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
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Please describe the mitigation strategy
Electrical
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Do you want to audit electrical risks?
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Can anyone be injured by electrical shock due to:
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The plant contacting live electrical conductors?
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Electrical Leads on the ground
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Plant working close to electrical conductors?
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Overload of electrical circuits?
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Damaged or poorly maintenance electrical components &/or cables?
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Water near electrical equipment?
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Lack of isolation procedures?
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Add any additional electrical risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the electrical risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
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Please describe the mitigation strategy
Gases or Vapours
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Do you want to gas or vapour risks?
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Can anyone’s health be affected by exposure to:
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Gases, vapours, liquids, dusts or other hazardous substances by the operation of the plant?
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Add any additional gas/vapour risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the gas/vapour risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
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Please describe the mitigation strategy
Slips, Trips or Falls
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Do you want to audit slip, trip or fall risks?
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Can anyone using the plant, or in the vicinity of the plant, slip, trip or fall due to:
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Uneven or slippery work surfaces?
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Poor housekeeping, such as shavings in the vicinity of the plant, spillage not cleaned up?
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Obstacles being placed in the vicinity of the plant?
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Add any additional slip, trip or fall risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the slip, trip or fall risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
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Please describe the mitigation strategy
Manual Handling
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Do you want to audit manual handling risks?
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Does use of the plant or equipment involve:
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Repetitive or sustained postures?
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High force actions?
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Jerking actions?
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Employees working with their hands above their shoulder?
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Has there been a report of musculoskeletal disorder associated with the task?
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Add any additional manual handling risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the manual handling risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
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Please describe the mitigation strategy
Suffocation
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Do you want to audit suffocation risks?
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Can anyone be suffocated due to:
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Lack of oxygen?
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Atmospheric contamination?
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Add any additional suffocation risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the suffocation risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
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Please describe the mitigation strategy
Temperature
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Do you want to audit temperature risks?
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Can anyone’s health be affected by extreme temperatures by:
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Coming into contact with objects at high temperature?
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Coming into contact with objects at Low temperature?
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Add any additional temperature risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the temperature risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
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Please describe the mitigation strategy
Light
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Do you want to audit light risks?
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Is the light in this area appropriate to:
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Conduct work safely?
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Ensure hazards are visible?
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Exit the area safely in an emergency situation?
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Add any additional light risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the light risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
-
Please describe the mitigation strategy
Noise
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Do you want to audit noise risks?
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Is the noise acceptable in this area:
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To conduct work safely?
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To hear necessary instruction and warnings?
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To hear evacuation warnings?
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Add any additional noise risks:
Risk
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Is this risk urgent?
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Describe the risk
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Do any of the noise risks need mitigation?
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Add mitigation strategies:
Mitigation Strategy
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How will these risks be mitigated?
- Elimination
- Substitution
- Engineering Controls
- Isolation
- Administrative Controls
- PPE
-
Please describe the mitigation strategy
Other Hazards
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Could the plant create hazardous conditions other than above mentioned categories?
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Add any additional risks:
Risk
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Is this risk urgent?
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Describe the risk
Auditor Sign-off
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Auditor to sign here
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Date completed
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Add additional auditor:
Auditor
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Auditor to sign here
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Date completed