2. Documentation Relevant Legislation/Standards Y / N Comments Is plant required to be registered? Y N Is a user license required? Y N Key Reference material AS4024.1 Safety of machinery AS/NZS 3760 In service safety inspection and testing of electrical equipment Plant Documentation Y / N Comments Are operator’s manuals accessible? Y N Is this a restricted use item? Y N Does this item require safe use documents/test? Y N 3. Hazard Identification Hazards Inspected Risk Assessment Description of Risk Control Measures Cons Like Risk Level ENTANGLEMENT Can anyone’s hair, clothing, gloves, cleaning brushes, tools, rags or other materials become entangled with moving parts of the plant or materials? Y N Hazards Inspected Risk Assessment Description of Risk Control Measures
Hazards Inspected Risk Assessment Description of Risk Control Measures Cons Like Risk Level SHEARING Can anyone’s body parts be sheared between two parts of plant, or between a part of the plant and a work piece or structure? Y N PRESSURISED CONTENT Can anyone come into contact with fluids or gases under high pressure, due to plant failure or misuse of the plant? Y N ELECTRICITY Can anyone be injured or burnt due to: Damaged or frayed electrical pose an electrical hazard. Operator to check for damaged electrical cords prior to use. Ensure equipment is serviced on a regular basis, tested and tagged and appropriate isolation procedures (e.g. lock out tags) are in place. Live electrical conductors? (e.g. exposed wires) Y N Working in close proximity to electrical conductors? Y N Access to electricity? Y N Major Unlikely Medium Damaged or poorly maintained electrical leads, cables or switches? Y N Major Possible High Water near electrical equipment? Y N Major Rare Medium Lack of isolation procedures? Y N Other Y N Hazards Inspected Risk Assessment Description of Risk Control Measures Cons Like Risk Level
ERGONOMICS Can anyone be injured due to: The use of the vacuum cleaner may involve repetitive body movements and awkward positions. The electric lead or extension cord may pose a slip/trip hazard Take regular breaks if the task entails long duration time. Undertake task during times of low pedestrian traffic. (E.g. outside school hours). Poorly designed workstation? Y N Repetitive body movement? Y N Minor Possible Medium Constrained body posture or the need for excessive effort? Y N Design deficiency causing psychological stress? Y N Inadequate or poorly placed lighting? Y N Does the plant impact on the surrounding workplace and create potential hazards? (Consider potential impact on the design and layout of the workplace) Y N Minor Possible Medium Is the location of the plant inappropriate? (Consider potential effects due to environmental conditions and terrain) Y N Other Y N Hazards Inspected Risk Assessment Description of Risk Control Measures Cons Like Risk Level
Can anyone be injured by explosion of vapours, liquids, dusts, or other substances? Y N TEMPERATURE/MOISTURE Can anyone come into contact with objects at high or low temperatures? Y N Can anyone suffer ill health due to exposure to high or low temperatures? Y N Can anyone be injured or suffer ill health due to exposure to moisture? Y N OTHER Can anyone be injured or suffer ill health from exposure to: The operator may be exposed to inhalation of dust particles when emptying container or bag containing dust. Empty the vacuum cleaner in an outdoor environment or an area with adequate ventilation. Select a vacuum cleaner with HEPA (High Efficiency Particulate Air) filter system. Chemicals? Y N Toxic gases or vapours? Y N Fumes / Dusts? Y N Minor Possible Medium (please specify) Y N 4. Risk Assessment Signoff Authorised By: Signature: Date:
Consequence - Evaluate the consequences of a risk occurring according to the ratings in the top row 3. Risk level - Calculate the level of risk by finding the intersection between the likelihood and the consequences Likelihood - Evaluate the likelihood of an incident occurring according to the ratings in the left hand column 4. Risk Level/Rating and Actions