Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Checklist
ENTANGLEMENT
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Can anyone’s hair, clothing, gloves, necktie, jewelry etc. become entangled with moving parts of the plant, or materials in motion?
CRUSHING
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Can anyone be crushed due to:<br><br>a) material falling off the plant?
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b) uncontrolled or unexpected movement of the plant or its load?
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c) lack of capacity for the plant to be slowed, stopped, or immobilized?
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d) the plant tipping or rolling over?
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e) parts of the plant collapsing?
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f) coming in contact with moving parts of the plant during testing, inspection, operation, maintenance, cleaning, or repair?
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g) being thrown off or under the plant?
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h) being trapped between the plant and materials or fixed structures?
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i) other factors not mentioned?
CUTTING, STABBING & PUNCTURING
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Can anyone be cut, stabbed, or punctured due to: <br><br>a) coming in contact with sharp or flying objects?
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b) coming in contact with moving parts of the plant during testing, inspection, operation, maintenance, cleaning, or repair of the plant?
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c) the plant, parts of the plant or work pieces disintegrating?
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d) work pieces being ejected?
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e) the mobility of the plant?
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f) uncontrolled or unexpected movement of the plant?
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g) other factors not mentioned?
SHEARING
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Can anyone’s body parts be sheared between two parts of the plant, or between a part of the plant and a work piece or structure?
FRICTION
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Can anyone be burnt due to contact with moving parts or surfaces of the plant, or material handled by the plant?
STRIKING
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Can anyone be struck by moving objects due to: <br><br>a) uncontrolled or unexpected movement of the plant or material handled by the plant?
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b) the plant, parts of the plant or work pieces disintegrating?
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c) work pieces being ejected?
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d) mobility of the plant?
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e) other factors not mentioned?
HIGH PRESSURE FLUID
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Can anyone come into contact with fluids under high pressure?
ELECTRICAL
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Can anyone be injured by electrical shock or burnt due to?<br><br>a) the plant contacting live electrical conductors?
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b) the plant working in close proximity to electrical conductors?
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c) overload of electrical circuits?
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d) damaged or poorly maintained electrical leads and cables?
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e) damaged electrical switches?
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f) water near electrical equipment?
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g) lack of isolation procedures?
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h) other factors not mentioned?
EXPLOSION
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Can anyone be injured by explosion of gases, vapors, liquids, dust or other substances, triggered by the operation of the plant or materials?
SLIPPING, TRIPPING AND FALLING
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Can anyone using the plant, or in the vicinity of the plant, slip, trip or fall due to:<br><br>a) uneven or slippery work surfaces?
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b) poor housekeeping, e.g., swarf in the vicinity of the plant, spillage not cleaned up?
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c) obstacles being placed in the vicinity of the plant?
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d) inadequate access methods?
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e) inadequate edge protection?
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f) fragile roofs?
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g) other factors not mentioned?
ERGONOMIC Note: For more information refer to the Manual Handling Code of Practice.
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Can anyone to be injured due to: <br><br>a) poorly designed seating?
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b) repetitive body movement?
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c) constrained body posture or the need for excessive effort?
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d) design deficiency causing mental or psychological stress?
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e) inadequate or poorly placed lighting?
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f) lack of consideration given to human error or human behavior?
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g) mismatch of the plant with human traits and natural limitations?
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g) other factors not mentioned?
SUFFOCATION
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Can anyone be suffocated due to lack of oxygen, restricted space or atmospheric contamination?
HIGH TEMPERATURE OR FIRE
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Can anyone come into contact with objects at high temperatures?
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Can anyone be injured by fire?
TEMPERATURE (THERMAL COMFORT)
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Can anyone suffer ill-health due to exposure to high or low temperatures?
OTHER HAZARDS
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Can anyone be injured or suffer ill-health from exposure to: <br><br>a) chemicals?
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b) toxic gases or vapors?
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c) fumes?
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d) dust?
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e) noise? Note: For more information refer to the Victorian Noise Code of Practice
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f) vibration?
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g) radiation?
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h) other factors not mentioned?