Information
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Site conducted
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
(1). Crushing - Can anyone be crushed due to:
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Material falling from plant?
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Lack of capacity for the plant to be slowed, stopped or immobilised?
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The plant tipping or rolling over?
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Uncontrolled or unexpected movement of the plant or its load?
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Parts of the plant collapsing?
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Coming in contact with moving parts of the plant during testing, inspection, use, maintenance, cleaning or repair?
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Being thrown off or under the plant?
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Being trapped between the plant and materials or fixed structures?
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Other factors?
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Other factors?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
(2). Entanglement
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Can be entangled due to:
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Body parts, clothing, equipment or other materials being in contact with moving parts of the plant?
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Other factors?
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Other factors?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
(3). Cutting, Stabbing and Puncturing
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Can anyone be cut, stabbed or punctured due to?
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Coming in contact with sharp or flying objects?
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Coming in contact with moving parts of the plant during testing, inspection, operation, maintenance, cleaning or repair of the plant?
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Parts of plant disintegrating?
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The mobility of the plant?
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Uncontrolled or unexpected movement of the plant?
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Other factors?
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Other factors?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
(4). Shearing / Burning / Friction
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Can anyone’s body parts be:
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Burnt, gain abrasions, etc?
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Sheared in operation of plant?
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Other factors?
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Other factors?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
(5). Striking
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Can anyone be struck by moving objects due to:
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Uncontrolled or unexpected movement of the plant or material handled by the plant?
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Plant, parts of the plant or work pieces disintegrating?
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Work pieces being ejected?
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Mobility of the plant?
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Other factors?
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Other factors?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
(6). High Pressure Fluid /Gases
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Can anyone come into contact with?
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Fluids/Gases under high pressure in normal use?
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In the instance of plant failure?
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Other factors?
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Other factors?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
(7). Electrical
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Can anyone be injured by electrical shock due to:
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The plant contacting live electrical conductors?
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Electrical Leads on the ground
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Plant working close to electrical conductors?
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Overload of electrical circuits?
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Damaged or poorly maintenance electrical components &/or cables?
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Water near electrical equipment?
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Lack of isolation procedures?
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Other factors?
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Other factors?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
(8). Gases or Vapors
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Can anyone’s health be affected by exposure to:
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Gases, vapours, liquids, dusts or other hazardous substances by the operation of the plant?
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Other factors?
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Other factors?
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Add drawing
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
(9). Slips, Trips or Falls
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Can anyone using the plant, or in the vicinity of the plant, slip, trip or fall due to:
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Uneven or slippery work surfaces?
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Poor housekeeping, such as shavings in the vicinity of the plant, spillage not cleaned up?
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Obstacles being placed in the vicinity of the plant?
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Other factors?
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Other factors?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
(10). Manual Handling
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Does use of the plant or equipment involve repetitive or sustained postures?
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Does use of the plant or equipment involve high force actions?
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Does use of the plant or equipment involve an jerking actions?
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Has there been a report of musculoskeletal disorder associated with the task?
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Does this task require employees to be working with their hands above their shoulder?
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Other factors?
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Other factors?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
(11). Suffocation
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Can anyone be suffocated due to:
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lack of oxygen
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Atmospheric contamination?
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Other factors?
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Other factors?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
(12). Temperature
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Can anyone’s health be affected by extreme temperatures by:
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Coming into contact with objects at high temperature?
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Coming into contact with objects at Low temperature?
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Other factors?
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Other factors?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
(14). Light
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Is lighting acceptable in this area?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
Noise
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Is noise acceptable in this area?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
(13). Other Hazards
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Could the plant create hazardous conditions other than above mentioned categories including:
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Explosions?
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1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
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Most probable result of the potential accident. <br> <br><br><br><br><br>
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CLASSIFICATION1. FACTOR
1. CONSEQUENCE
Most probable result of the potential accident.
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a. Catastrophe; numerous fatalities; major disruption of activities 100
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b. Disaster; multiple fatalities; 50
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c. Very serious; Fatality; 25
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d. Serious; serious injury (amputation, permanent disability) 15
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e. Important; disabling injury; 5
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f. Noticeable; minor cuts, bruises, bumps; minor damage. 1
2. EXPOSURE
The frequency of exposure to the hazard.
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a. Continuously (or many times daily) 10
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b. Frequently (approximately once daily). 6
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c. Occasionally (from once per week to once per month) 3
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d. Infrequent (from once per month to once per year). 2
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e. Rarely (it has been known to occur) 1
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f. Very rarely (not known to have occurred) 0.5
3. PROBABILITY
Likelihood that the consequence will occur once the individual is exposed to the hazard.
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a. Almost certain likely or expected result; 1 in 10 chance. 10
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b. Quite possible/not unusual; 1 in 10 to 1 in 100 chance 6
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c. Would be an unusual sequence or coincidence; 1 in 100 to 1 in 1000 chance 3
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d. Would be a remotely possible coincidence 1 in 1000 to 1 in 10,000 chance. 1
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e. Has never happened after many years of exposure, but is conceivably possible; 1 in 10 000 to 1 in 100,0000 0.5
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f. Practically impossible sequence (has never happened) 1 in 100,000 chance or lower 0.1
Risk Score: CONSEQUENCE X EXPOSURE X PROBABILITY. = RISK SCORE
RISK SCORE DEFINITION ACTION
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500 Very high risk Immediate action required. HIGH PRIORITY.
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300- 499 High risk Management attention needed. Hazards NOT adequately controlled.
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150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.
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60- 149 Moderate risk Hazard must be examined against current standards
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0- 59 Low risk Manage by routine procedures.
Hierarchy of Risk Controls
1. Eliminate
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- Is it possible to eliminate the risk?
2. Reduce
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- Is it possible to reduce the level of risk posed by the hazard by (priority order.
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· Substitution (using less hazardous alternatives)
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· Isolation (separating the operator from the risk)
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· Engineering controls (re-designing plant or equipment).
3. Administration
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- Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, training, supervision, providing information etc
4. Personal Protection
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- Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment and clothing?
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Risk Control Action Plan Risk 1
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Completed by date/time
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Responsibility
- Health and Safety Department
- Maintenance
- Blending
- Production
- Warehouse
- Brewhouse
- Line Managers
- Manager
- Contractor,
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Issue identified. Comment on progress/update for actions
Risk Control Action Plan Risk 2
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Completed by date/time
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Responsibility
- Health and Safety Department
- Maintenance
- Blending
- Production
- Warehouse
- Brewhouse
- Line Managers
- Manager
- Contractor,
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Issue identified. Comment on progress/update for actions
Risk Control Action Plan Risk 3
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Completed by date/time
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Responsibility
- Health and Safety Department
- Maintenance
- Blending
- Production
- Warehouse
- Brewhouse
- Line Managers
- Manager
- Contractor,
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Issue identified. Comment on progress/update for actions
Risk Control Action Plan Risk 4
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Completed by date/time
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Responsibility
- Health and Safety Department
- Maintenance
- Blending
- Production
- Warehouse
- Brewhouse
- Line Managers
- Manager
- Contractor,
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Issue identified. Comment on progress/update for actions
Risk Control Action Plan Risk 5
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Completed by date/time
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Responsibility
- Health and Safety Department
- Maintenance
- Blending
- Production
- Warehouse
- Brewhouse
- Line Managers
- Manager
- Contractor,
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Issue identified. Comment on progress/update for actions
Risk Control Action Plan Risk 6
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Completed by date/time
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Responsibility
- Health and Safety Department
- Maintenance
- Blending
- Production
- Warehouse
- Brewhouse
- Line Managers
- Manager
- Contractor,
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Issue identified. Comment on progress/update for actions
Risk Control Action Plan Risk 7
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Completed by date/time
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Responsibility
- Health and Safety Department
- Maintenance
- Blending
- Production
- Warehouse
- Brewhouse
- Line Managers
- Manager
- Contractor,
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Issue identified. Comment on progress/update for actions
Risk Control Action Plan Risk 8
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Completed by date/time
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Responsibility
- Health and Safety Department
- Maintenance
- Blending
- Production
- Warehouse
- Brewhouse
- Line Managers
- Manager
- Contractor,
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Issue identified. Comment on progress/update for actions
Risk Control Action Plan Risk 9
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Completed by date/time
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Responsibility
- Health and Safety Department
- Maintenance
- Blending
- Production
- Warehouse
- Brewhouse
- Line Managers
- Manager
- Contractor,
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Issue identified. Comment on progress/update for actions
Risk Control Action Plan Risk 10
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Completed by date/time
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Responsibility
- Health and Safety Department
- Maintenance
- Blending
- Production
- Warehouse
- Brewhouse
- Line Managers
- Manager
- Contractor,
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Issue identified. Comment on progress/update for actions
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