(1). Certification, Documentation.

  • Is this machine or equipment brand new?

  • Does the equipment have a CE accreditation ?

  • If no say why.

  • If yes date of manufacture and details

  • Select date

  • Has the equipment been assigned a unique sap reference identification number?

  • Is there a fault, defect, problem reporting procedure in place?

  • Does the equipment have a suitable operating manual, user hand book

  • Has the equipment been assigned its own log book?

  • If the equipment been assigned its own log book,is it checked,audited by supervisory persons etc?

  • Will parts of the equipment require future examination and certification by a competent person?

(2). Environment

  • Will the machine or equipment be effected by any external source, ie extreme weather, leaking header tanks or vessels near by?

  • Is the machine securely fastened down?

  • Is the product being produced and or transferred secure and safe from overturning, collapsing, or sliding?

  • If no please say what.

  • Add media

  • Does the machine have its power supplies covered and safely fasten out of the way where possible?

  • Is there danger from, parts of the plant or work pieces disintegrating?

  • Does the machine or its equipment have any confined spaces present?

  • Does the machine or equipment emit any unacceptable levels of noise, dust, vibration, vapours, mist and or gasses?

  • Can anyone be struck by moving parts of the equipment or objects on it whilst it's moving?

  • If yes say what.

  • Does the machine or equipment have any sharp edges or protrusions

  • If yes say what

  • Is there any extreme hot or cold surfaces or process caused or used by the machine or equipment

  • If yes say what

(3). Control and signage

  • Is the risk of injury reduced because of the control methods in place?

  • Are controls designed to lead to a (fail safe) condition?

  • Is there a risk of another user starting the machine because there is more than one start button, or control panel

  • Can the machine only be started by the start button and by no other means?

  • Does the machine or equipment have an inching control facility?

  • Does the stop control Dissipate any stored or latent energy?

  • Does the stop bring the machine or equipment to a safe condition?

  • Does the machine or equipment require an ignition or key switch to start?

  • Is the machine or equipment adequately marked with all the correct Health and Safety signs and notices etc?

  • Please state if no.

(4). Emergency Devices and systems.

  • Are the emergency stops in the form of buttons?

  • Does the machine or equipment have more than one emergency stop button

  • How many?

  • Are there any other emergency systems on this machine?

  • Are these stops stops regularly checked and audited & recorded?

  • Is there a risk of injury or accident by uncontrolled or unexpected movement of the machine or materials when any the buttons are pressed?

  • Does resetting the emergency control system restart the machine or process automatically?

(5). Dangerous Parts.

  • What are the risks and dangers associated with this machine or equipment?

  • Indicate which guards are present on the machine.

  • List the types of guards present.

  • Are the guards or protection devices of good design, construction and strong enough?

  • Are guards or protection devices maintained in an effective and efficient state?

  • Are these stops regularly checked and audited and recorded?

  • Confirm there is no risk of injury or accident or Uncontrolled or unexpected movement of the machine or equipment when the stop button is pressed.

  • Will any operators maintenance or contractor be Coming in to contact with moving parts of the plant during testing, inspection, operation, maintenance, cleaning or repair of the plant?

  • The disengaging or a reset of the emergency control system does not restart the machine or process automatically

  • Can operators bypass or disable guards or protection devices.

  • Are the guards or protection devices at a sufficient distance from the danger zone are areas?

  • Do the guards or protection devices require a tool to reset or remove them?

  • Are there any trap hazards present?

  • Are there any entanglement hazards present?

  • Are there any trip hazards present?

  • Are there any impact hazards from moving parts or objects?

  • If yes for any of the above, please state.

  • If anyone’s body parts can be caught or entangled is there anything that could restrict the dangers?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(6). Isolation

  • Will setting up, cleaning down or maintenance work require a permit to work?

  • Is there an adequate and correct means of switching and isolating all forms energy off.

  • Is there locking off facilities available at the control panels and isolation units?

  • Does the machine or equipment need to have, or require an interlock system?

  • Are there any captivated key devices on this machine or equipment?

  • If so how many?

Is there any other energy source , i.e. Pneumatic, hydraulic, that need isolating?

  • Forms of stored energy

  • Are the hydraulic,oil,air pipes or pressure hoses as short as possible?

  • Are all hoses in good condition and and sound?

  • If any of the hoses inadvertently part will the loose ends flail about?

  • Is there any visible and notifiable gauges ?

  • Can any of these hoses be safety isolated and drained off?

  • Are any of these hoses free from snagging or abrasion, if they move with any of the machine or equipment?

  • Other dangers whilst operating machine or its equipment?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(7). Electrical.

  • Do the control and circuit cabinets have a securable and or lockable means of entry?


  • Are there electrical circuits diagrams present or available?

  • Is there adequate working area around the cabinets and are they suitably illuminated?

  • Are there any Damaged, missing or poorly maintained electrical components &/or cables?

  • Is there adequate isolation procedures?

  • Can anyone be injured by electrical shock due to?

  • Overload of electrical circuits?

  • Are there sufficient danger warning signs?

  • Electrical Leads on the ground?

  • Is there sufficient protection from accidental live contact?

  • Is there Water or any other liquids near electrical equipment?

  • Is the machine or equipment adequate earth bonded?

  • Can the process or machine and equipment build up static electricity, and if so can it be adequately discharged

  • Are the power sources and control systems separate?

  • Is there adequate notices of isolation and lock off procedures?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(8). General Slips, Trips or Falls

  • Can anyone using the plant, or in the vicinity of the plant, slip, trip or fall?

  • Uneven or slippery work surfaces?

  • Poor housekeeping, such as rubbish in the vicinity of the plant, spillage not cleaned up?

  • Obstacles being placed in the vicinity of the plant?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(9). Training

  • Has suitable training, instruction and information been given to all operators and personnel been given to those who will work on or come into contact with this machine or equipment?

  • Are there training records in place and maintained and reviewed?

  • Is there correct and up to date SOPs available and readily available near to or fixed to the machine or equipment?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(10). Manual Handling

  • Does the use of this plant or equipment involve repetitive body movement or sustained bad posture?

  • Does use of the plant or equipment involve high force actions?

  • Does use of the plant or equipment involve an jerking actions?

  • Has there been a report of musculoskeletal disorder associated with the task?

  • Does this task require employees to be working with their hands above their shoulder?

  • Other factors?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(11). General

  • Is there a defect fault reporting procedure?

  • Is there a list of recognised and recommend specified spares?

  • Are service, maintenance records kept?

  • Is there a routine maintenance schedule needed and in place?

  • Does the machine require adjusting when in operation to meet the task requirements?

  • Will a permit to work be required to do the work?

  • Please state if yes.

  • Is there any working at height associated risks with working on this machine or equipment?

  • Are service, maintenance records kept?

  • Is there any area which fitting of wrong equipment, tools or processes are clearly identified and marked?

  • Are hand tools required for everyday working on the machine or equipment?

  • Other factors?

  • Is there a requirement for seating?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(12). Temperature

  • Is there any danger from temperatures generated by this process or equipment? Or can it effect working conditions?

  • Can anyone’s health be affected by extreme temperatures by:

  • Coming into contact with objects at high temperature?

  • Coming into contact with objects at Low temperature?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

  • Other factors?

(13). Light

  • Is the lighting acceptable?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(14). Noise levels

  • Is the noise acceptable?

  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE

(15). Other Hazards

  • Could the plant create hazardous conditions other than above mentioned categories including:

  • Explosions, Environmental damage, etc.

  • Other hazards

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there any other risks?

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there any other risks?

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there any further risks

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Auditor to sign when completed

  • Auditor to sign here

  • Auditor to sign here

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