Title Page
-
Site conducted
-
Conducted on
-
Location
-
Assessor Name
-
Equipment
-
Area
Suitability of Work Equipment
-
Is the equipment suitable for it's intended purpose?
-
Does the equipment location pose a risk to health and safety of persons?
Maintenance
-
Is the procedure and frequency of maintenance (jobs) entered in the TPM
-
Is the equipment inspected for any deterioration that may result in risks to personnel?
-
Where fitted, are the safety and protection devices periodically tested and recorded?
-
Is the maintenance history available?
Specific Risks
-
If this is "Specific Risk Equipment", are there measures in place to ensure that only authorized/trained personnel use/maintain the equipment?
Information & Instruction
-
Do you consider all relevant health and safety information, and where required written instructions have been made available at the work site?
Conformity with Community Requirements
-
Is the equipment CE marked?
Dangerous Parts of Machinery
-
Are the "Dangerous Parts" of this equipment suitably guarded?
-
Is it possible to bypass any guards or protective devices without the need for a tool?
-
Where guards are not fitted, are suitable risk reduction measures in place to control danger to personnel?
Protection Against Specific Hazards
-
Is there any reasonable probability of any article or substance being ejected, falling, rupturing, breaking, being thrown out, disintegrating, catching fire, overheating or exploding?
High or Very Low Temperature
-
Are there parts of the equipment that could cause a burn, scald or sear protected?
Controls
-
Are the controls for starting, stopping and controlling the equipment clearly identifiable and safe to use?
-
Is it likely the controls could be inadvertently, accidentally or self activated?
-
Are combined stop and start controls designed so that the stop function has priority following release of the control?
-
Is the stop control easy to use and will its activation bring the equipment to a safe condition in a safe manner?
-
Where fitted confirm that the Emergency Stop is readily accessible and NOT combined with the Stop control.
-
Would any failure of a control system result in a "fail safe" condition which would not impede the operation of the Stop or Emergency Stop Controls?
Isolations
-
Is it possible to safely isolate the equipment's energy supplies?
Stability
-
Is the equipment securely mounted and stable?
Lighting
-
Is the local lighting sufficient?
Maintenance Operations
-
Can maintenance be performed without risk to persons (using appropriate measures)?
-
Are there likely to be any hazardous substances generated by the equipment or equipment near by that may cause harm whilst performing maintenance?
Markings & Warnings
-
Is the equipment appropriately marked for reasons of health and safety, and so that the equipment can't be confused with similar equipment?
-
Are any warning signs or warning signals for the reasons of health and safety clearly visible/audible?
Mobile Work Equipment
-
Is the equipment suitable for carrying persons safely?
-
Is the operator protected by roll over protection?
Lifting Equipment
-
Is the equipment used for lifting and subject to independent inspection (LOLER)?