Can the following items become ENTANGLED with moving parts of the plant, or materials in motion:

Hair, Jewellery, Rags, Gloves, clothing

Other materials – specify:

EMERGENCY STOP BUTTONS - can injury from interaction with the plant be caused by:

Lack of prominence of emergency stop Emergency stop not being fail safe

Emergency stop not red in colour

Stored energy being released slowly or at a sequent time

Lack of clarity of emergency stop markings

Restarting plant by resetting the emergency stop button

Other factors – specify:

Can anyone be CRUSHED due to:

Falling, uncontrolled or unexpected movement of plant

Lack of capacity to slow, stop or immobilize the plant

Falling, uncontrolled or unexpected movement of plant’s load

Under or trapped between plant and materials or fixed structure

Contact with moving parts during testing, inspection, maintenance, cleaning or repair

Tipping or rolling over Parts of plant collapsing

Being thrown off

Other factors – specify:

Can anyone be CUT, STABBED or PUNCTURED by coming in contact with:

Moving plant or parts

Sharp or flying objects

Work pieces disintegrated

Work pieces ejected

Other factors – specify:

SHEARING – Can anyone’s body parts be cut off between:

Two parts of the plant

A part of the plan and a work piece or structure

Other factors – specify:

Can anyone be injured by ELECTRICAL shock or burnt due to:

Damaged/poorly maintained leads or switch

Working near or contact with live electrical conductors

Water near electrical equipment Lack of isolation procedures

Other factors – specify:

Can anyone be injured by an EXPLOSION of the following items triggered by plant operation

Gas Dust

Vapours Liquids

Other factors – specify:

FRICTION - Can anyone be burnt due to:

Contact with moving parts or surfaces of the plant

Material handled by the plant

Other factors – specify:

Can anyone be STRUCK by moving objects due to:

Plant or work pieces being ejected or disintegrated Mobility

Uncontrolled or unexpected plant movement

Other factors – specify:

Can anyone using the plant or in the vicinity of the plant, SLIP, TRIP or FALL due to:

The working environment Uneven work surfaces Lack of guardrails

Uneven work surfaces Lack of guardrails

Slippery work surfaces

Poor housekeeping

Other factors – specify:

Lack of oxygen

Atmospheric contamination

Other factors – specify:

HIGH TEMPERATURE OR FIRE – Can anyone:

Come into contact with objects at high temperature

Be injured by fire

Other factors – specify:

Exposure to high temperatures

Exposure to low temperatures

Other factors – specify:

Can anyone come into contact with FLUIDS or GASES under HIGH PRESSURE due to:

Failure of the plant? Misuse of the plant?

Other factors – specify:

ERGONOMIC (incl Manual Handling) –

Seating design

Excessive effort

Poor lighting

Controls layout and design

Repetitive body movement or posture

Poor workplace or plant design

Lack of consideration for human behaviour causing mental or physical stress

Other factors – specify:

Can anyone be injured or suffer ill health from exposure to OTHER HAZARDS:

Chemicals Fumes Dusts

Vibration Noise Biologicals

Toxic gases or vapours

Ionising Radiation Non-Ionising Radiation

Other factors – specify:

Does the plant generate significant environmental aspects due to:

Energy consumption Hazardous emissions Water consumption

Nuisance noise Hazardous waste Dust

Other factors – specify:

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.