Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Task

  • Key hazards identified

  • Additional hazards identified

(1). Crushing - 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?

  • Other factors?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(2). Entanglement

  • Can be entangled due to:

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

  • Other factors?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(3). Cutting, Stabbing and Puncturing

  • 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?

  • Other factors?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(4). Shearing / Burning / Friction

  • Can anyone’s body parts be:

  • Burnt, gain abrasions, etc?

  • Sheared in operation of plant?

  • Other factors?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(5). Striking

  • 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?

  • Other factors?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(6). High Pressure Fluid /Gases

  • Can anyone come into contact with?

  • Fluids/Gases under high pressure in normal use?

  • In the instance of plant failure?

  • Other factors?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(7). Electrical

  • 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?

  • Other factors?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(8). Gases or Vapors

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

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

  • Other factors?

  • Other factors?

  • Add drawing

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(9). Slips, Trips or Falls

  • 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?

  • Other factors?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(10). Manual Handling

  • Does use of the plant or equipment involve repetitive or sustained postures?

  • Does use of the plant or equipment involve high force actions?

  • Does use of the plant or equipment involve an jerking actions?

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

  • Does this task require employees to be working with their hands above their shoulder?

  • Other factors?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(11). Suffocation

  • Can anyone be suffocated due to:

  • lack of oxygen

  • Atmospheric contamination?

  • Other factors?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(12). Temperature

  • 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?

  • Other factors?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(14). Light

  • Is lighting acceptable in this area?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

Noise

  • Is noise acceptable in this area?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(13). Other Hazards

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

  • Explosions?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

  • Most probable result of the potential accident. <br> <br><br><br><br><br>

1. CONSEQUENCE

Most probable result of the potential accident.

  • a. Catastrophe; numerous fatalities; major disruption of activities 100

  • b. Disaster; multiple fatalities; 50

  • c. Very serious; Fatality; 25

  • d. Serious; serious injury (amputation, permanent disability) 15

  • e. Important; disabling injury; 5

  • f. Noticeable; minor cuts, bruises, bumps; minor damage. 1

2. EXPOSURE

The frequency of exposure to the hazard.

  • a. Continuously (or many times daily) 10

  • b. Frequently (approximately once daily). 6

  • c. Occasionally (from once per week to once per month) 3

  • d. Infrequent (from once per month to once per year). 2

  • e. Rarely (it has been known to occur) 1

  • f. Very rarely (not known to have occurred) 0.5

3. PROBABILITY

Likelihood that the consequence will occur once the individual is exposed to the hazard.

  • a. Almost certain likely or expected result; 1 in 10 chance. 10

  • b. Quite possible/not unusual; 1 in 10 to 1 in 100 chance 6

  • c. Would be an unusual sequence or coincidence; 1 in 100 to 1 in 1000 chance 3

  • d. Would be a remotely possible coincidence 1 in 1000 to 1 in 10,000 chance. 1

  • e. Has never happened after many years of exposure, but is conceivably possible; 1 in 10 000 to 1 in 100,0000 0.5

  • f. Practically impossible sequence (has never happened) 1 in 100,000 chance or lower 0.1

Risk Score: CONSEQUENCE X EXPOSURE X PROBABILITY. = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

Hierarchy of Risk Controls

1. Eliminate

  • - Is it possible to eliminate the risk?

2. Reduce

  • - Is it possible to reduce the level of risk posed by the hazard by (priority order.

  • · Substitution (using less hazardous alternatives)

  • · Isolation (separating the operator from the risk)

  • · Engineering controls (re-designing plant or equipment).

3. Administration

  • - Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, training, supervision, providing information etc

4. Personal Protection

  • - Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment and clothing?

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Select date

  • Auditor to sign here

  • Auditor to sign here

  • Auditor to sign here

  • Auditor to sign here

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