Risk Assessment

Extruder Risk Assessment

• Conducted on

  Date

Hazard Assessment

• Please explain the task to be performed:

• Push select at the right to identify the risks associated with the task

  Select Motion-Movement,Change in position Chemical-Lime,acids,fires,etc. Radiation-Lasers,lights,flash burn, sun light Gravity-Falls, moving material,heights, Heat/Cold-temperature, burns, environment Biological-Mold,blood,insect bites Pressure-Noise,pipes,tanks, hydraulics, force

  • Motion-Movement,Change in position
  • Chemical-Lime,acids,fires,etc.
  • Radiation-Lasers,lights,flash burn, sun light
  • Gravity-Falls, moving material,heights,
  • Heat/Cold-temperature, burns, environment
  • Biological-Mold,blood,insect bites
  • Pressure-Noise,pipes,tanks, hydraulics, force

• Unit?

• Add photo of area where task is to be performed by pushing media button then + button.

  Media

• What solutions were implemented to Eliminate, Control, Protect, the task?

• What are the Stop The Job Triggers?

• Are you absolutely certain the task you are performing is isolated/locked out?

  Yes

  No

  N/A

Sign Off

• Please print all names participating!

  Sign