Vicky - Machinery Safety Assessment

• Conducted on

  Date
• Department
  Address

• Assessor/s Name

• Assessor Guide (If applicable)

• Work Equipment

• Area

1.0 Suitability of Work Equipment

• 1.1 Is the equipment suitable for it's intended purpose?

  Yes

  No

  N/A

• 1.2 Does the equipment location pose a risk to health and safety of persons?

  Yes

  No

  N/A

2.0 Maintenance

• 2.1 Is the procedure and frequency of maintenance (jobs) entered into a recordable system?

  Yes

  No

  N/A

• 2.2 Is the equipment inspected for any deterioration that may result in risks to personnel?

  Yes

  No

  N/A

• 2.3 Where fitted, are the safety and protection devices periodically tested and recorded?

  Yes

  No

  N/A

• 2.4 Is the maintenance history available?

  Yes

  No

  N/A

3.0 Specific Risks

• 3.1 If this is "Specific Risk Equipment", are there measures in place to ensure that only authorised/trained personnel use/maintain the equipment?

  Yes

  No

  N/A

4.0 Information & Instruction

• 4.1 Do you consider all relevant health and safety information, and where required written instructions have been made available at the work site?

  Yes

  No

  N/A

5.0 Conformity with Community Requirements

• 5.1 Is the equipment CE marked?

  Yes

  No

  N/A

6.0 Dangerous Parts of Machinery

• 6.1 Are the "Dangerous Parts" of this equipment suitably guarded?

  Yes

  No

  N/A

• 6.2 Is it possible to bypass any guards or protective devices without the need for a tool?

  Yes

  No

  N/A

• 6.3 Where guards are not fitted, are suitable risk reduction measures in place to control danger to personnel?

  Yes

  No

  N/A

7.0 Protection Against Specific Hazards

• 7.1 Is there any reasonable probability of any article or substance being ejected, falling, rupturing, breaking, being thrown out, disintegrating, catching fire, overheating or exploding?

  Yes

  No

  N/A

8.0 High or Very Low Temperature

• 8.1 Are there parts of the equipment that could cause a burn, scald or sear protected?

  Yes

  No

  N/A

9.0 Controls

• 9.1 Are the controls for starting, stopping and controlling the equipment clearly identifiable and safe to use?

  Yes

  No

  N/A

• 9.2 Is it likely the controls could be inadvertently, accidentally or self activated?

  Yes

  No

  N/A

• 9.3 Are combined stop and start controls designed so that the stop function has priority following release of the control?

  Yes

  No

  N/A

• 9.4 Is the stop control easy to use and will its activation bring the equipment to a safe condition in a safe manner?

  Yes

  No

  N/A

• 9.5 Where fitted confirm that the Emergency Stop is readily accessible and NOT combined with the Stop control.

  Yes

  No

  N/A

• 9.6 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?

  Yes

  No

  N/A

10.0 Isolations

• 10.1Is it possible to safely isolate the equipment's energy supplies?

  Yes

  No

  N/A

11.0 Stability

• 11.1 Is the equipment securely mounted and stable?

  Yes

  No

  N/A

12.0 Lighting

• 12.1 Is the local lighting sufficient?

  Yes

  No

  N/A

13.0 Maintenance Operations

• 13.1 Can maintenance be performed without risk to persons (using appropriate measures)?

  Yes

  No

  N/A

• 13.2 Are there likely to be any hazardous substances generated by the equipment or equipment near by that may cause harm whilst performing maintenance?

  Yes

  No

  N/A

14.0 Markings & Warnings

• 14.1 Is the equipment appropriately marked for reasons of health and safety, and so that the equipment can't be confused with similar equipment?

  Yes

  No

  N/A

• 14.2 Are any warning signs or warning signals for the reasons of health and safety clearly visible/audible?

  Yes

  No

  N/A

15.0 Mobile Work Equipment

• 15.1 Is the equipment suitable for carrying persons safely?

  Yes

  No

  N/A

• 15.2 Is the operator protected by roll over protection?

  Yes

  No

  N/A

16.0 Lifting Equipment

• 16.1 Is the equipment used for lifting and subject to independent inspection (LOLER)?

  Yes

  No

  N/A

17.0 Sign Off

• 17.1 Name and signature of assessor

  Sign

• 17.2 Review date for assessment

  Date