Plant Hazard ID & Risk Assessment Checklist

Plant Details

1: PLANT DETAILS

Plant Description

Plant Identifier #

Has plant been entered into asset register?

Make

Model

Serial Number

Licence/Registration number:

Used for

Used by

Operator Training

2: TRAINING

Is a Licence or Training needed to operate this plant?

Is a Trade Certificate needed to operate this plant?

Is there a SOP associated with this plant?

Is there an Induction procedure associated with this plant?

List of related Standards, ACOP's, SOP's, Operating manuals, Documents.

Hazards & Controls

3: HAZARDS, CONTROLS & IMPROVEMENTS

Mechanical Energy

Can someone/something become entangled in moving parts?

Can someone/something become crushed between objects?

Can someone/something get Cuts, Stabbed, Abrasions or Puncture wounds from using this plant?

Can someone/something become amputated from using this plant?

Can someone/something become injured due to friction while using this plant?

Potential Energy

Is there any loads greater than 5kg?

Are there any Springs?

Are there any Pneumatics?

Are there any Hydraulics?

Are there any Parts that could eject?

Are there any Rotating parts?

Are there anything that could drop to another level?

Are there anything that could tip over?

Are there anything that could swing?

Are there anything that could slide/roll?

Kinetic Energy

Can someone fall to another level?

Can plant or something on it move suddenly and/or unexpectedly?

Can this item fall apart due to wear & tear?

Fluid Energy

Are there fluids under high pressure?

Are there any confined spaces where any quantity of fluid build up could cause drowning and/or entrapment?

Electrical Energy

Are there any electrical cables 240v or greater?

Are they in good condition?

Have they been tested and tagged?

Will water come into contact with these cables?

Is power required while unit is being maintained?

Is there a risk of Lightning Strikes while using this unit?

Chemical Energy

Are any flammable chemicals used in conjunction with this unit?

Are any flammable/hazardous chemicals stored on this unit?

Acoustic Energy

During operation, does the noise interrupt conversations?

Is there intermittent high level noise?

Is there impact noise? (from hitting, striking)

Vibration Energy

Does whole body vibration occur?

Is there Hand/Arm vibration?

Ergonomic Factors

Is there any controls or displays?

Are there any operating procedures for use of controls?

Are there any repetitive movements?

Are there any seating requirements?

Is Manual Handling required?

During daylight operation, is artificial lighting required?

During night operation, is artificial lighting required?

Thermal Energy

Are there any HOT parts?

Is there an Engine?

Is heat generated through friction or moving parts?

Radiation Energy

Is anyone subjected to radiation via laser?

Is anyone subjected to radiation via welding arc?

Is anyone subjected to radiation via UV?

Is anyone subjected to radiation via Microwaves?

Is anyone subjected to radiation via X-Rays?

Is anyone subjected to radiation via Non-ionising (UV)?

Biological Energy

Are there waste products associated with this plant?

Is there any bacterial waste?

Are there any exhaust fumes?

Can dirt/rubbish/waste accumulate within the plant?

Are special disposal methods needed to dispose of waste produced by this plant?

Controls

4: EXISTING CONTROLS

Summary of existing controls

Controls in place:

- Elimination

Control in place:

- Substitution

Controls in place:

- Isolation

Controls in place:

- Engineering

Controls in place:

- Administrative

Controls in place:

- PPE

Action Plan

5: RECOMMENDED IMPROVEMENTS

Description of improvement, person responsible, timeframe, date of completion & signed off.

- Improvement

Description of improvement:

Person responsible:

Date to be completed by:

Actual date of completion:

Name of person completing improvement:

Media

6: PHOTOS/DRAWINGS of PLANT

Photos of plant:

- Photo

Description of photo:

Drawing(s) of plant:

- Drawing

Description of drawing

Communications

7: COMMUNICATION of ASSESSMENT

Client Representative:

- Client

Comments:

Time/Date:

Name & Position:

Company Safety Representative:

- Safety Rep

Comments:

Time/Date:

Name & Position:

Company Employee:

- Worker

Comments:

Time/Date:

Name & Position:

Company Management:

- Management

Comments:

Time/Date:

Name & Position:

Closed out:

Plant Hazard ID & Risk Assessment Checklist

Free Plant Hazard ID & Risk Assessment Checklist

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