OHSW Plant Specific Hazard Identification

Plant Hazard Identification & Risk Assessment Form
Company:
Section/Area:
Risk Assessor (s): Assessment Date: / /

Section 1. Hazards: Potential Damaging Energies
Mechanical hazards Radiation Restoration of energy supply after Interuption 
Machine parts or work pieces eg,  Low-frequency, radio frequency  External influences on electrical equipment 
shape, relative location, mass and radiation; microwaves
stability
Accumulation of energy inside  Infrared, visible and UV radiation  Other external influences (gravity, wind etc.) 
machinery eg elastic elements
(springs), liquids of gases under
pressure, the effect of vacuum
Crushing hazard  X-rays and gamma rays  Errors in software 
Shearing hazard  Lasers  Errors made by operator (human/machine 
mismatch)
Cutting or severing hazard  Alpha and beta rays, electron beams  Relating to travelling function
neutrons
Entanglement hazards  Materials and Substances Movement when starting Engine 
Drawing in or trapping hazard  Contact with or inhalation of harmful  Movement without driver at driving position 
fluids, gases, mists, fumes and dusts
Impact hazard  Fire and explosion  Movement without all parts in a safe position 
Stabbing puncture  Biological or microbiological hazards  Excessive speed of pedestrian-controlled 
machinery
Friction or abrasion hazard  Ergonomics Excessive oscillations when moving 
High pressure  Unhealthy postures or excessive  Insufficient ability of machinery to be slowed 
effort down, stopped and immobilised
Electrical Hazards Inadequate consideration of hand-  From handling of the machine (lack of stability) 
arm or foot-leg anatomy
Contact of persons with live parts  Neglected use of PPE  Mechanical hazard and hazardous events
(direct contact
Contact of persons with Parts which  Inadequate lighting  From load falls, collisions, machine tipping (lack of 
have become live under faulty stability)
conditions (indirect contact)
Approach to live parts under high  Mental overload and underload,  Uncontrolled loading-oveloading-overturning 
voltage stress moments exceeded
Electrostatic phenomena  Human error, human behaviour  Unexpected/unintended movement of loads 
Thermal radiation or other  Inadequate design, location or  Due to power source and to the transmission
phenomena such as projection of identification of manual controls of power
molten particles and chemical
effects from short circuits, overloads
Thermal hazards  Inadequate design or location of  Hazards from engine and the batteries 
visual display units
Burns, scalds and other injuries by  Hazards from transmission of power between 
possible contact with objects or Vibration machines
materials (hot or cold)
Damage to health by hot or cold  Use of hands held machines  Hazards from coupling and towing 
working environment
Noise  Whole body vibration 
Hearing Loss or other physiological  Unexpected startup, Unexpected
disorders Overrun/OverSpeed
Interference with speech, acoustic  Failure/Display of control system 
signals
Page 1 of 3
Section 2. - Summary of Identified Hazards
1. Hazards: Associated Risks:
2.
3.
Any specific circumstances:
Persons at Risks: (list)
Is the risk (Tick one)

 Minimal risk exposure
 Adequately controlled. No further action required
 In adequately controlled. Further Action/Investigation Required. Proceed with Risk Assessment (Section 3)
 Covered by Regulation/Standard/Code Specify:
Section 3. – Risk Assessment

Existing Controls (if any)
Likelihood (tick one): Very Likely  Likely  Unlikely  Highly Unlikely 

Consequence (tick one): Life Threatening  Detrimental  Harmful  Negligible 
Risk Rating: High  Medium  Low 
Section 4. – Risk Controls Preferred Hierarchy of Controls
Possible Controls: 1. Elimination

2.Substitution
3. Engineering (Isolation, Guarding,
Redesign) AS 4024:2006
Preferred Controls:
4. Administrative (SOP’s,Training)
5. Personal Protective Equipment
Section 5 – Implementation Plan

Control Option Associated activities Resources Person (s) Proposed
Responsible Implementation
date
Page 2 of 3
Section 6 – Comments and Endorsements
Comments of Person carrying out the assessment:
Name: Signature: Date:
Line manager to endorse the assessment:
Name: Signature: Date:
Page 3 of 3

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OHSW Plant Specific Hazard Identification

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Copyright:

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Plant Hazard Identification & Risk Assessment Form

Risk Assessor (s): Assessment Date: / /

Persons at Risks: (list)

Is the risk (Tick one)

Section 3. – Risk Assessment

Likelihood (tick one): Very Likely  Likely  Unlikely  Highly Unlikely 

Section 4. – Risk Controls Preferred Hierarchy of Controls

Possible Controls: 1. Elimination

Section 5 – Implementation Plan

Name: Signature: Date:

Line manager to endorse the assessment:

Name: Signature: Date:

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