QAL - Critical Control Checklist - Hazardous Energy

• Site conducted

  Select

• Contractor / QAL Department

• Location
  Address

• Conducted on

  Date

• Prepared by

• Personnel

CONTROL: Exclusion zones PURPOSE: To prevent a worker entering an area where moving parts of operating plant or ejected parts of failed plant may strike them

• Tick "Yes" if applicable

  Yes

  No

  N/A

• Persons are not inside the exclusion zone?

  Yes

  No

  N/A

• Physical barrier / Painted or line marking / Cones, bollards or signage clearly identify exclusion zone?

  Yes

  No

  N/A

• Spotter / safety observer in place to prevent access (controlled access) where a physical barrier is not in place? (exclusion zone not applicable if the moving parts of the machine are encapsulated as part of the operating design)

  Yes

  No

  N/A

• If isolations have been made: Have isolations been performed or approved by QAL authority (This does not apply for simple isolations)

  Yes

  No

  N/A

CONTROL: Physical barrier in place? e.g. screens, curtains, cages or walls PURPOSE: To prevent a worker being struck by operating fixed plant or moving object

• Tick "Yes" if applicable

  Yes

  No

  N/A

• Clear signage in place?

  Yes

  No

  N/A

• Mesh, Perspex screening or cage delineates workers from the energy source?

  Yes

  No

  N/A

• Noise dampening system is in place?

  Yes

  No

  N/A

• Dedicated rooms in place to isolate plant?

  Yes

  No

  N/A

CONTROL: Isolation of hazardous energy PURPOSE: To prevent de-energised fixed plant / equipment from becoming energised or inadvertently operated

• Tick "Yes" if applicable

  Yes

  No

  N/A

• Do all workers conducting electrical isolations hold the relevant licenses / competencies? <br>*Take photo of electrical license for evidence

  Yes

  No

  N/A

• Click on link to check relevant electrical competency database
  https://fswqap.worksafe.qld.gov.au/elis/

• Isolation instruction completed?

  Yes

  No

  N/A

• Physical Locks / cables / blanking plate in place with isolation tags in place?

  Yes

  No

  N/A

• Lock board with personal or out of service lock(s)?

  Yes

  No

  N/A

• Plant or equipment de-energised?

  Yes

  No

  N/A

• Test for Dead documented and verified as effective?

  Yes

  No

  N/A

• Valve Caps (position, arrow and/or colour) indicating valve position?

  Yes

  No

  N/A

CONTROL: Emergency Response PURPOSE: To minimise the impact of interaction with hazardous energy on human life

• Tick "Yes" if applicable

  Yes

  No

  N/A

• E-stops - fully operational, signed, easy to access, clearly visible? e.g. Red button / Pull Cables

  Yes

  No

  N/A

• Emergency scenarios / Evacuation Drills conducted as per schedule?

  Yes

  No

  N/A

• First aid facilities available?

  Yes

  No

  N/A

• Communication available?

  Yes

  No

  N/A

Additional Information

• undefined