Plant risk assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Plant information

• Registration number

  Yes

  No

  N/A

• Registration date

  Yes

  No

  N/A

• Type

  Yes

  No

  N/A

• Make/model<br>

  Yes

  No

  N/A

• Location of plant

  Yes

  No

  N/A

• Year

  Yes

  No

  N/A

• Does plant require registration from safe work SA?

  Yes

  No

  N/A

• Licence / competences required?

  Yes

  No

  N/A

• PPE requirements

  Yes

  No

  N/A

Entanglement

• Can anyone's hair, clothing, gloves, necktie, jewellery, cleaning brushes, rags or other materials become entangled with moving parts of plant?

  Yes

  No

  N/A

Crushing

• Can anyone's be crushed due to;<br><br>- material falling off plant <br>- uncontrolled or unexpected movement <br>- lack of capacity for e plant to be slowed, stopped or immobilised <br>- parts of plant collapsing <br>- coming into contact with moving parts<br>- being thrown off or under plant<br>- other factors

  Yes

  No

  N/A

Can anyone be cut, stabbed or punctured due to;

• - material falling off plant <br>- uncontrolled or unexpected movement <br>- lack of capacity for e plant to be slowed, stopped or immobilised <br>- parts of plant collapsing <br>- coming into contact with moving parts<br>- being thrown off or under plant<br>- parts being ejected<br>- mobility of plant<br>- other factors<br>- other factors

  Yes

  No

  N/A

Shearing

• Can anyone's body parts be ;<br>- sheared between parts, structure and plant

  Yes

  No

  N/A

Friction

• Can anyone be burnt due to ;<br>- contact with moving parts or surfaces of the plant

  Yes

  No

  N/A

Striking

• Can anyone be struck by moving objects due to;<br>- material falling off plant <br>- uncontrolled or unexpected movement <br>- lack of capacity for e plant to be slowed, stopped or immobilised <br>- parts of plant collapsing <br>- coming into contact with moving parts<br>- other factors

  Yes

  No

  N/A

High pressure fluid

• Can anyone come into contact with;<br>- fluid under high pressure in normal use, in the instance of plant failure

  Yes

  No

  N/A

Electrical

• Can anyone be injured due to electrical shock or burnt due to;<br>- plant contacting live electricity <br>- working close to electrical conductors <br>- damaged electrical switches, leads, power sockets<br>- lack of isolations procedures <br>- water near electrical equipment <br>- other factors

  Yes

  No

  N/A

Explosion

• Can an explosion be trigger by gases, vapours, liquids, dust or other substances

  Yes

  No

  N/A

Slip trip fall

• Can anyone slip trip fall due to ;<br>- uneven or slippery work surface<br>- poor housekeeping, such as shaving in the vicinity of the plant <br>- obstacles being placed in the vicinity of plant <br>- other factors

  Yes

  No

  N/A

High temperature

• Can anyone;<br>- come into contact with objects of high temperature <br>- be injured by fire

  Yes

  No

  N/A

Temperature (hot cold)

• Can anyone suffer ill health due to;<br>- exposure to high or low temperatures <br>- failure to provide air conditioning

  Yes

  No

  N/A

Suffocation

• Can anyone be suffocated due to;<br>- lack of oxygen or atmospheric containments

  Yes

  No

  N/A

Ergonomics

• Can anyone be injured due to;<br>- poor designed housekeeping<br>- damaged seating <br>- design deficiency <br>- mismatch of plant with human traits <br>- other factors

  Yes

  No

  N/A

Other hazards

• Can anyone be injured or suffer harm from;<br>- chemicals<br>- fumes<br>- dust<br>- radiation<br>- noise<br>- vibration<br>- other

  Yes

  No

  N/A