Information
ASSESSMENT DETAILS
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Plant name
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Manufacturer, Model Number
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Plant function and scope
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Building; Location
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Assessment Date
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Assessed by
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Persons consulted
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Manufacturers conditions of use
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Incident history
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Photos
BASIC RISK ASSESSMENT (Hazard, Risk Factor)
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Entanglement
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Hair, clothing, gloves, neck tie, jewelry, cleaning brushes, rags or other materials
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Crushing, striking, cutting
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Material falling off the plant
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Material falling off the plant
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Uncontrolled or unexpected movement of plant or load
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Inability for plant to be slowed, stopped or immobilized
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Plant tipping or rolling or collapsing
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Coming into contact with moving parts
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Being trapped between the plant, materials or structure
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Being caught , thrown off or under plant
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Coming into contact with sharp or flying objects
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Plant, or parts or work pieces disintegrating
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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The mobility of the plant
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Work pieces being ejected
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Body parts being sheared between two parts of the plant, or between a part of the plant and a work piece or structure
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Other crush
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Friction, burns, temperature
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Material falling off the plant
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Material falling off the plant
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Other friction
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Electrical risks
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The plant contacting live electrical conductors
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Close proximity to electrical conductors or services
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Overload of electrical circuits
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Damaged or poorly maintained electrical leads and cables
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Damaged electrical switches
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Water near electrical equipment
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Lack of electrical isolation procedures
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Other electrical causes
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Noise and Vibration
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Noise risk > 85dBAeq8h for operator
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Noise risk > 85dBAeq8h for nearby persons
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Distracting Noise for nearby persons
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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The plant creates significant, prolonged or frequent vibration to operator or nearby persons
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
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Other Noise
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Risk Event / Harm
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Likelihood
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Consequences
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Control measures
