Plant Details
Plant Identifier #
Has plant been entered into asset register?
Make
Model
Serial Number
Licence/Registration number:
Used for
Used by
Operator 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
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?
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?
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?
Are there fluids under high pressure?
Are there any confined spaces where any quantity of fluid build up could cause drowning and/or entrapment?
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?
Are any flammable chemicals used in conjunction with this unit?
Are any flammable/hazardous chemicals stored on this unit?
During operation, does the noise interrupt conversations?
Is there intermittent high level noise?
Is there impact noise? (from hitting, striking)
Does whole body vibration occur?
Is there Hand/Arm vibration?
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?
Are there any HOT parts?
Is there an Engine?
Is heat generated through friction or moving parts?
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)?
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
Controls in place:
Control in place:
Controls in place:
Controls in place:
Controls in place:
Controls in place:
Action Plan
Description of improvement, person responsible, timeframe, date of completion & signed off.
Description of improvement:
Person responsible:
Media
Photos of plant:
Drawing(s) of plant:
Communications
Client Representative:
Comments:
Company Safety Representative:
Comments:
Company Employee:
Comments:
Company Management:
Comments:
Closed out: