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Hired From All Master Hire Stores Generator - Diesel Assessed By: Steven Jose
Equipment:
Equipment Signature:
Location: Manufacturer Make: Various
Details
Risk Level
Risk Level after Risk
Hazard Action Required Hierarchy of Hazard and Risk Treatment (Complete Hazard Treatment
(Refer to risk
Yes/No Control Report Form) (Refer to risk
matrix)
matrix)
Entanglement
Can anyone’s hair, clothing, gloves, necktie, jewellery, cleaning Yes MEDIUM Elimination Observe all safety instructions in MEDIUM
No Substitution
brushes, rags or other materials become entangled with moving Isolation owners’ manual
parts of the plant, or materials in motion? Engineering Wear appropriate PPE
Administration
PPE Check area is clear before starting
machine
Crushing
Can anyone be crushed due to: Yes MEDIUM Elimination Observe all safety instructions in MEDIUM
No Substitution
Material falling off the plant? Isolation owners’ manual
Uncontrolled or unexpected movement of the plant or its Engineering Wear appropriate PPE
Administration
load? PPE Check area is clear before starting
Lack of capacity for the plant to be slowed, stopped or machine
immobilized? Do not remove guards or operate with
The plant tipping or rolling over? doors open
Parts of the plant collapsing? Stop engine before conducting
Coming in contact with moving parts of the plant during maintenance
testing, inspection, use, maintenance, cleaning or repair? Keep body parts away from rotating
Being thrown off or under the plant? parts
Being trapped between the plant and materials or fixed
structures?
Other factors?
Cutting, Stabbing and Puncturing
Can anyone be cut, stabbed or punctured due to? Yes MEDIUM Elimination Observe all safety instructions in MEDIUM
No Substitution
Coming in contact with sharp or flying objects? Isolation owners’ manual
Coming in contact with moving parts of the plant during Engineering Wear appropriate PPE
Administration
testing, inspection, operation, maintenance, cleaning or PPE Check area is clear before starting
repair of the plant? machine
Plant, parts of the plant or work pieces disintegrating? Do not remove guards or operate with
Work pieces being ejected? doors open
Authorised by: General Manager - Safety & Personnel Date: 4/07/2013 Review Date: JULY 2015 Issue No: 1 Page 1 of 6
Authorised by: General Manager - Safety & Personnel Date: 4/07/2013 Review Date: JULY 2015 Issue No: 1 Page 2 of 6
Electrical
Can anyone be injured by electrical shock or burnt due to: Yes HIGH Elimination Observe all safety instructions in HIGH
No Substitution
The plant contacting live electrical conductors? Isolation owners’ manual
Plant working close to electrical conductors? Engineering Wear appropriate PPE
Administration
Overload of electrical circuits? PPE Check area is clear before starting
Damaged or poorly maintenance electrical leads or machine
cables? Only qualified electrical personnel to
Damaged electrical switches? conduct electrical work or repairs on
Water near electrical equipment? machine
Lack of isolation procedures?
Other factors
Explosion
Gases, vapors, liquids, dusts or other substances triggered by the Yes MEDIUM Elimination Observe all safety instructions in MEDIUM
No Substitution
operation of the plant or by materials handled by the plant? Isolation owners’ manual
Engineering Check pressure lines/systems are clear
Administration
PPE before conducting repairs or
maintenance and correctly connected
before starting machine
Wear appropriate PPE
Slipping, tripping and Falling
Can anyone using the plant, or in the vicinity of the plant, slip, Yes LOW Elimination Observe all safety instructions in LOW
No Substitution
trip or fall due to: Isolation owners’ manual
Uneven or slippery work surfaces? Engineering Wear appropriate PPE
Administration
Poor housekeeping, such as shavings in the vicinity of the PPE Check area is clear before starting
plant, spillage not cleaned up? machine
Obstacles being placed in the vicinity of the plant?
Other factors?
Authorised by: General Manager - Safety & Personnel Date: 4/07/2013 Review Date: JULY 2015 Issue No: 1 Page 3 of 6
High Temperature
Can anyone: Yes MEDIUM Elimination Observe all safety instructions in MEDIUM
No Substitution
Come into contact with objects at high temperature? Isolation owners’ manual
Be injured by fire? Engineering Wear appropriate PPE
Administration
PPE Check area is clear before starting
machine
Temperature and Thermal Comfort
Can anyone suffer ill-health due to: Yes Elimination
No Substitution
Exposure to high or low temperatures? Isolation
Failure of air conditioning equipment? Engineering
Administration
PPE
Suffocation
Can anyone be suffocated due to: Yes HIGH Elimination Observe all safety instructions in owners’ HIGH
No Substitution
Lack of oxygen, or atmospheric contamination? Isolation manual
Engineering Wear appropriate PPE
Administration
PPE Check area is clear before starting
machine
Use in well-ventilated area
Ergonomics
Can anyone be injured due to: Yes LOW Elimination Observe all safety instructions in owners’ LOW
No Substitution
Poorly designed seating? Isolation manual
Repetitive body movements? Engineering Wear appropriate PPE
Administration
Constrained body posture or the need for excessive PPE Check area is clear before starting
effort? machine
Design deficiency causing physical or personal stress?
Inadequate or poorly placed lighting?
Lack of consideration given to human error or human
behavior?
Mismatch of the plant with human traits and natural
limitations?
Other factors?
Authorised by: General Manager - Safety & Personnel Date: 4/07/2013 Review Date: JULY 2015 Issue No: 1 Page 4 of 6
Other Hazards
Can anyone be injured or suffer ill-health from exposure to: Yes MEDIUM Elimination Observe all safety instructions in owners’ MEDIUM
No Substitution
Chemicals? Isolation manual
Toxic gases or vapors? Engineering
Administration
Wear appropriate PPE
Fumes? PPE Check area is clear before starting
Dust? machine
Noise? Use in well-ventilated area
Vibration?
Radiation?
Other Factors?
Further Comments: A Specific Risk Assessment on site must been undertaken prior to plant operation?
Authorised by: General Manager - Safety & Personnel Date: 4/07/2013 Review Date: JULY 2015 Issue No: 1 Page 5 of 6
Step 2 Determine Consequence - What will be the result if it happens? Step 3 Determine the risk score
Authorised by: General Manager - Safety & Personnel Date: 4/07/2013 Review Date: JULY 2015 Issue No: 1 Page 6 of 6