PUWER Pre-use Inspection

• Audit Title

• Conducted on

  Date

• Prepared by

Mechanical Hazards

• Are the hazards listed below adequately controlled. Answer Y, N or N/A

• Crushing

  Yes

  No

  Not Applicable

• Shearing

  Yes

  No

  N/A

• Cutting/severing

  Yes

  No

  N/A

• Entanglement

  Yes

  No

  N/A

• Drawing in/trapping

  Yes

  No

  N/A

• Impact

  Yes

  No

  Not Applicable

• Stabbing/puncture

  Yes

  No

  Not Applicable

• Friction/abrasion

  Yes

  No

  Not Applicable

• High pressure fluid injection

  Yes

  No

  Not Applicable

• Slips, trips or falls

  Yes

  No

  Not Applicable

• Falling objects

  Yes

  No

  Not Applicable

• Moving objects

  Yes

  No

  Not Applicable

• Other mechanical hazards

  Yes

  No

  Not Applicable

• Pressurised air (check fittings are correct and adequate)

  Yes

  No

  Not Applicable

Electrical hazards

• Are the hazards listed below adequately controlled. Answer Y, N or N/A

• Indirect contact

  Yes

  No

  Not Applicable

• Electrostatic

  Yes

  No

  Not Applicable

• Short circuit/overload

  Yes

  No

  Not Applicable

• Direct contact

  Yes

  No

  Not Applicable

• Source of ignition

  Yes

  No

  Not Applicable

• Other electrical hazards

  Yes

  No

  Not Applicable

Radiation hazards

• Are the hazards listed below adequately controlled. Answer Y, N or N/A

• Lasers

  Yes

  No

  Not Applicable

• Electromagnetic effects

  Yes

  No

  Not Applicable

• Ionising/non ionising radiation

  Yes

  No

  Not Applicable

• Other radiation hazards

  Yes

  No

  Not Applicable

Hazardous substances

• Are the hazards listed below adequately controlled. Answer Y, N or N/A

• Toxic fluids

  Yes

  No

  Not Applicable

• Toxic gas, mist, fumes or dust

  Yes

  No

  Not Applicable

• Flammable fluids

  Yes

  No

  Not Applicable

• Flammable gas, mist fumes or fluid

  Yes

  No

  Not Applicable

• Explosive substances

  Yes

  No

  Not Applicable

• Biological substances

  Yes

  No

  Not Applicable

• Other hazardous substances

  Yes

  No

  Not Applicable

Work activities hazards

• Are the hazards listed below adequately controlled. Answer Y, N or N/A

• Highly repetitive actions

  Yes

  No

  Not Applicable

• Stressful position

  Yes

  No

  Not Applicable

• Lifting/Handling

  Yes

  No

  Not Applicable

• Mental overload/stress

  Yes

  No

  Not Applicable

• Visual fatigue

  Yes

  No

  Not Applicable

• Poor workplace design (space, etc.)

  Yes

  No

  Not Applicable

• Stairs or elevated work platforms

  Yes

  No

  Not Applicable

• Other workplace hazards

  Yes

  No

  Not Applicable

Work environment hazards

• Are the hazards listed below adequately controlled. Answer Y, N or N/A

• Localised hot surfaces

  Yes

  No

  Not Applicable

• Localised cold surfaces

  Yes

  No

  Not Applicable

• Significant noise

  Yes

  No

  Not Applicable

• Significant vibration

  Yes

  No

  Not Applicable

• Poor lighting

  Yes

  No

  Not Applicable

• Hot or cold ambient temperature

  Yes

  No

  Not Applicable

• Other environmental hazards

  Yes

  No

  Not Applicable

Operating information and controls

• Control information clear

  Yes

  No

  Not Applicable

• Emergency stopping devices

  Yes

  No

  Not Applicable

• Warning notices

  Yes

  No

  Not Applicable

• Adequate and accessible control points

  Yes

  No

  Not Applicable