| (1) Mechanical hazards to persons (Tick box for each applicable) |
| Hazard type |
|
Notes |
| Cutting hazard (cutting tools, sharp edges of moving materials) |
|
|
| Stabbing or puncture hazard (sharp point of machinery or material) |
|
|
| Friction or abrasion (fast-moving surface, eg abrasive wheel) |
|
|
| Contact or entanglement (with machinery/material in motion) |
|
|
| Impact hazard (impact from parts of machinery in motion) |
|
|
| Crushing hazard (between moving machinery and static machinery/structure) |
|
|
| Drawing-in hazards (eg rollers, conveyor belts, pulleys) |
|
|
| Being struck by ejected parts of machinery |
|
|
| Being struck by material ejected from machinery |
|
|
| High pressure fluid ejection |
|
|
| (2) Other hazards (Tick box for each applicable) |
| Hazard type |
|
Notes |
| Falling or moving objects (eg insecure storage or poor material handling) |
|
|
| Obstructions caused by poor storage or insufficient space |
|
|
| Poor handling and lifting facilities |
|
|
| Electricity (shock or burns) |
|
|
| Chemicals or substances that may be toxic, irritant, flammable, corrosive or explosive |
|
|
| Fire |
|
|
| Explosion (due to pressure build-up) |
|
|
| Noise (leading to loss of hearing, interference with communication) |
|
|
| Vibration |
|
|
| Radiation |
|
|
| Hot or cold surfaces (burn, scald or sear hazards) |
|
|
| Hot or cold work environment (causing health damaging effects) |
|
|
| Mists, dust and fumes that can cause ill health or disease |
|
|
| Poor lighting |
|
|
| Poor ergonomic design (leading to long-term musculoskeletal problems) |
|
|
| Instability (risk of toppling or overturning) |
|
|
| (3) Risk control measures in place (Tick box for each applicable) |
| Control measure |
|
Notes |
| Guards |
Fixed enclosing guard (held in place securely by suitable fastenings) |
|
|
| Adjustable guard |
|
|
| Distance or perimeter guard (not completely enclosing the danger zone but keeping persons at a distance from it) |
|
|
| Interlocking guard (interconnected with the power/control system) |
|
|
| Trip guard |
|
|
| Protection appliances to distance parts of body/clothing from dangerous parts, eg jigs and mechanical holding devices |
|
|
| Controls |
Adequate operating controls, positioned outside any danger zone, for starting, stopping and controlling the equipment |
|
|
| Emergency stop controls at every control position |
|
|
| Controls clearly marked to avoid confusion |
|
|
| Controls constructed and positioned to prevent accidental operation |
|
|
| Clear view from operating position that no one is at risk when starting equipment |
|
|
| Overload protection devices |
|
|
| Warnings |
Warning signals for starting equipment (visual/audible signals) |
|
|
| Warning signals for operating equipment (visual/audible signals) |
|
|
| Warning notices (instructions or prohibitions) |
|
|
| Isolations |
Adequate means of isolation from electrical energy supply (isolating switch) |
|
|
| Adequate means of isolation from hydraulic or pneumatic pressure (valve) |
|
|
| Stability |
Suitable foundations or supporting structure |
|
|
| Securing bolts or other fastenings |
|
|
| Lashing or tying to a supporting structure |
|
|
| Ballasting or counterbalancing |
|
|
| Outriggers |
|
|
| Mobile work equipment |
Rollover protective structures |
|
|
| Falling object protective structures |
|
|
| Restraining systems (seat belts or specific restraint systems) |
|
|
| Means to prevent unauthorised starting |
|
|
| Lighting |
Adequate general/local lighting for safe operation |
|
|
| Additional lighting for maintenance/repairs |
|
|
| Environment |
Ventilation |
|
|
| Heating |
|
|
| Weather protection |
|
|
| Personal protective equipment |
Mandatory personal protective equipment for users of work equipment |
|
|
| Instructions |
Rules, procedures or work instructions for a safe system of work |
|
|
| Electrical |
Electrical inspection and testing regime in place |
|
|
| Maintenance |
Maintenance programme in place |
|
|
| Pressure vessel |
Pressure vessel inspection and testing regime in place |
|
|
| Energy services |
Other energy supply inspection and testing regime in place |
|
|
| Statutory inspections and test |
Statutory thorough inspection and testing regime in place |
|
|
| Other measures |
|
|
|
| (4) Risk assessment |
| For the intended use and the working environment: |
Do hazards associated with the work equipment present significant risks of injury or ill health to the user? |
Yes |
|
No |
|
| Do hazards associated with the work equipment present significant risks of injury or ill health to others (eg fellow workers, passers-by, pedestrians)? |
Yes |
|
No |
|
| Do engineering controls (guards and other protective devices) reduce risks, as far as practicable, to users and others? |
Yes |
|
No |
|
| Are risk control measures taken together (including personal protective equipment and other measures) suitable and sufficient to reduce risks to users and others to insignificant/acceptable levels? |
Yes |
|
No |
|
Use
this document to record work equipment assessments.