Information
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Document No.
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Audit Title
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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
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Reference number:
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Asset Tag No:
Section 1 - Suitability
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1.1 Does the equipment comply with statutory requirements?
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1.2 Is the equipment suitable for the work?
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1.3 Has the equipment been modified or adapted?
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1.4 Are written manufacturers specifications and instructions available?
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1.5 is the equipment accessible to operate without over reaching/over stretching?
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1.6 Are highly repetitive tasks eliminated or avoided?
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1.7 Can the equipment be used without exerting excessive force?
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1.8 Do operating positions, working heights and reach distances accommodate the operator?
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1.9 Is the equipment established or secured to prevent hazards from movement?
Section 2 - Maintenance
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2.1 What periodic inspection is required?
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2.2 Has the equipment been added to the maintenance schedule?
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2.3 Is all maintenance restricted to designated competent staff?
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2.4 Is all maintenance carried out with equipment stopped?
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2.5 Is maintenance carried out in a zone clearly marked to warn staff of the danger?
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2.6 Is the equipment subject to a lock and tag out procedure?
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2.7 Are pre-use inspection checks carried out?
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2.8 Is equipment capable of being isolated from all of its energy sources and supplies by safe clearly identifiable means?
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2.9 Can equipment be re-energised without exposing any person to risk from danger that may affect health and safety?
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2.10 Is all maintenance carried out subject to equipment isolation?
Section 3 - Restrictions
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3.1 Is the equipment restricted to nominated staff whose duties require them to use it?
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3.2 Is training available in the safety requirements for all staff who use or manage the equipment?
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3.3 Can the equipment be secured from inappropriate use by untrained staff?
Section 4 - Environment
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4.1 Is sufficient lighting provided to illuminate the working area?
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4.2 Is illumination sufficient to prevent hazards arising from poor visibility when the equipment is in use?
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4.3 Is sufficient space available to operate around the equipment without risk to health or safety?
Section 5 - Guarding
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5.1 Are all dangerous parts of the equipment guarded or interlocked?
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5.2 Where guarding cannot be used are other protective devices or protocols implemented?
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5.3 Where protection cannot be provided in 5.1 or 5.2, are risks adequately controlled by provision of information, instruction, training and supervision?
Section 6 - Specific Hazards
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6.1 Are risks from specific hazards controlled and reduced ALARP by means other than PPE?
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6.2 Have you prevented articles or substance falling or ejecting from equipment?
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6.3 Have you considered hazards and risks from rupture or disintegration of the equipment?
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6.4 Have you considered the risks from fire or overheating?
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6.5 have you considered the risk from unintended discharge of any article, gas, dust, liquid, vapour or other substance?
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6.6 Have you considered the risk of explosion, ATEX, DSEAR?
Section 7 - Effects of temperature High/Low
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7.1 Are all hot/cold parts of the equipment likely to cause harm or injury protected?
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7.2 Are all hot/cold substances or article associated with the equipment protected?
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7.3 Are hot/cold parts of equipment clearly marked with warning signs?
Section 8 - Controls
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8.1 Is the control system designed to reduce the risk to operators or equipment safety?
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8.2 Is the equipment provided with clearly marked start, stop or level controls, are visible and clearly marked?
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8.3 Are controls designed to require a deliberate action to operate them?
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8.4 Are all controls outside any danger zone?
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8.5 Are controls positioned to prevent any inadvertent operation?
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8.6 Are controls shrouded or have a lock off facility?
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8.7 Do control operators have a full and clear view of the equipment?
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8.8 Is the equipment fitted with a clearly marked emergency stop in the event of a hazard occurring?
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8.9 Are automatic sensor devices fitted to the equipment to switch it off in event of a hazard occurring?
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8.10 Are audible or visible warning lights fitted to the equipment linked to Start, Stop or Danger sensors?
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8.11 Is the control system designed to fail safe in the event of power loss or machine instability?
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8.12 Are lock off and permit to work systems in place where appropriate?
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8.13 Is the operation of the equipment carried out under a safe system of work or procedure document?
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Action plan
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Print name and Sign