Information

  • Document No.

  • Risk Assessment number

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Part A- Assessment Summary

Assessment Summary

  • Assessment Title (Plant Description)

  • Plant ID No.

  • Licence/Registration number

  • Has plant been entered into asset register?

  • Make

  • Model

  • Serial Number

  • Site:

  • Concept

  • New/initial/commissioning

  • Alteration

  • Re-location

  • Revised assessment

  • Department:

  • Construction

  • Town Maintenance

  • Location:

  • Loxton

  • Waikerie

  • Plant/Project No:

  • Date of purchase

  • Used for

  • Used by

  • Incident history (incident numbers):

Risk Assessment Team

  • 1. Name

  • Position

  • Waikerie Works Manager

  • Loxton Works Manager

  • Loxton Town Maintenance Team Coordinator

  • Loxton Construction Team Coordinator

  • Waikerie Works Manager

  • Waikerie Town Maintenance Team Coordinator

  • Signature

  • Date

  • 2. Name

  • Position

  • Loxton Works Manager

  • Loxton Town Maintenance Team Coordinator

  • Loxton Construction Team Coordinator

  • Waikerie Works Manager

  • Waikerie Town Maintenance Team Coordinator

  • Signature

  • Date

  • 3. Name

  • Position

  • Loxton Works Manager

  • Loxton Town Maintenance Team Coordinator

  • Loxton Construction Team Coordinator

  • Waikerie Works Manager

  • Waikerie Town Maintenance Team Coordinator

  • Signature

  • Date

  • 4. Name

  • Position

  • Loxton Works Manager

  • Loxton Town Maintenance Team Coordinator

  • Loxton Construction Team Coordinator

  • Waikerie Works Manager

  • Waikerie Town Maintenance Team Coordinator

  • Signature

  • Date

Part B- Sign Off

Department Manager/Supervisor

  • Name

  • Signature

  • Date

OHS Rep, Team Leader or Operator

  • Name

  • Signature

  • Date

OHS/Risk Coordinator

  • Name

  • Signature

  • Date

Part C- Operator Training

Training

  • Is a Licence or Training needed to operate this plant?

  • Details:

  • Is a Trade Certificate needed to operate this plant?

  • Details:

  • Is there a SOP associated with this plant?

  • Details:

  • Is there an Induction procedure associated with this plant?

  • Details:

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

Part D- Hazards & Controls

Hazards, Controls & Improvements

  • Risk Matrix

    no label

A. Entanglement- Due to...

  • A1 Can anyone's hair, clothing, gloves, jewellery, cleaning materials become entangled in moving or spinning parts?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • A2 Can someone/something become crushed between objects?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • A3 Can someone/something get Cuts, Stabbed, Abrasions or Puncture wounds from using this plant?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • A4 Can someone/something become amputated from using this plant?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • A5 Can someone/something become injured due to friction while using this plant?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • A6 Other (specify)?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

B. Crushing- Due to...

  • B1 Material falling off the plant

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • B2 Uncontrolled or unexpected movement of the plant?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • B3 Lack of capacity of the plant to be slowed, stopped or imobilised?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • B4 The plant tipping or rolling over?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • B5 Parts of the plant collapsing?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • B6 Coming into contact with moving parts during testing, inspection, operation, maintenance, cleaning or repair?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemen

  • Is this an acceptable level of risk?

  • Why?

  • B7 Being thrown off or under the plant?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • B8 Other (Specify)?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

C. Cutting, Stabbing & Puncturing- Due to...

  • C1 Coming into contact with sharp or flying objects?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • C2 Coming into contact with moving parts of plant during testing, inspection, maintenance, cleaning or repair of the plant?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • C3 The plant or work pieces disintegrating?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • C4 Work pieces or plant pieces being ejected?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • C5 The mobility of the plant?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • C6 Uncontrolled or unexpected start-up or movement of the plant?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • C7 Other (specify)?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

D. Shearing- Due to..

  • D1 Body parts being sheared between two parts of the plant or parts of the plant and a work piece or structure?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

E. Friction Burn- Due to...

  • E1 Contact with friction heated moving parts/surfaces of plant or materials?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

F. Striking by Moving Objects- Due to...

  • F1 Uncontrolled or unexpected movement of the plant or materials?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • F2 The plant, parts or works pieces disintegrating?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • F3 Work pieces being ejected?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • F4 Mobility or movement of the plant or plant parts?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • F5 Other (specify)?

  • Details:

  • Existing control measures in place?

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

G. High Pressure Fluid Injury- Due to...

  • G1 Coming into contact with fluids under high pressure due to plant or hose failure or misuse of the plant?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

H. Suffocation- Due to...

  • H1 Lack of oxygen or atmospheric contamination?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

I. High Temperature Injury- Due to...

  • I1 Coming into contact with objects at high temperatures?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • I2 Fire?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

J. Thermal Discomfort- Due to...

  • J1 Exposure to high or low temperatures?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

K. Electrical Shock or Electrical Burn- Due to...

  • K1 The plant contacting live electrical conductors?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • K2 The plant working in close proximity to electrical conductors?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • K3 Overload of electrical circuits?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • K4 Damaged or worn electrical cables, leads or switches?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • K5 Water near electrical equipment?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • K6 Inadequate isolation of electrical power supply?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • K7 Residual electrical energy?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

L. Explosion- Due to...

  • L1 Explosion of flammable or explosive gases, vapours, liquids, dust or other substances triggered by operation of the plant or material?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • L2 High pressure build up?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

M. Slipping, Tripping or Falling- Due to...

  • M1 Uneven or slippery surfaces?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • M2 Poor housekeeping, e.g. equipment, etc. not stored properly?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • M3 Obstacles being placed in the vicinity of the plant?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • M4 Other (specify)?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

N. Falling from Height- Due to...

  • N1 Lack of a proper work platform?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • N2 Lack of proper stairs or ladder?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • N3 Lack of guardrails or suitable edge protection?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • N4 Unprotected holes, penetrations or gaps?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • N5 Poor floor or walking surfaces, not slip resistant?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • N6 Steep or sloping walking surfaces?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • N7 Collapse of the supporting structure?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • N8 Other (specify)?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

O. Ergonomics or Plant Environment Injury- Due to...

  • O1 Poorly designed seating?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • O2 Repetitive body movements?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • O3 Constrained body posture or the need for excessive effort?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • O4 Design deficiency causing mental or psychological stress?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • O5 Inadequate or poorly placed lighting?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • O6 Lack of consideration given to human error or human behaviour?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • O7 Mismatch of the plant with human traits and natural limitations?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • O8 Other (specify)?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

P. Other Hazards- Injuries or ill health due to...

  • P1 Chemicals?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • P2 Dust?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • P3 Radiation?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • P4 Toxic gases?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • P5 Noise?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • P6 Fumes?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

  • P7 Vibration?

  • Details:

  • Existing control measures in place:

  • Risk rating before controls

  • Improvements needed to ensure safety:

  • Risk Score after controls implemented:

  • Is this an acceptable level of risk?

  • Why?

Part E- Action Plan

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:

Part F- Media

Photos/drawings of Plant

  • Photos of plant:

  • - Photo
  • Description of photo:

  • Drawing(s) of plant:

  • - Drawing
  • Description of drawing

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