PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
Transcript of PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
1 ENTANGLEMENT 2M ELIMINATION
SUBSTITUTION
X ISOLATION
X ENGINEERING
X ADMINISTRATION
X PPE
Moving parts and loads
▪ All personnel that are on foot in the vicinity of
machine in operation shall be instructed to be a
minimum of 30meters clear of all plant, unless
otherwise stated by an approved site based risk
assessment of the operation.
▪ Guarding installed.
▪ Decals.
▪ PPE.
3L
Can anyone’s hair, clothing, gloves,
jewellery, cleaning brushes, rags or other
material become entangled with moving
parts of the plant or materials or motion?
Yes
2 CRUSHING & STRIKING
Can anyone be crushed or struck by moving
objects due to:
Yes 1H ELIMINATION
SUBSTITUTION
X ISOLATION
X ENGINEERING
Moving vehicle, parts and loads
▪ Operating controls to be manned at all times while
machine running.
▪ All personnel that are on foot in the vicinity of
2M
a) material falling off the plant? Yes
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
b) uncontrolled or unexpected movement of
the plant or its load?
Yes X ADMINISTRATION
X PPE
machine in operation shall be instructed to be a
minimum of 30meters clear of all plant, unless
otherwise stated by an approved site based risk
assessment of the operation.
▪ Operating procedures to be followed at all times
while operating.
▪ Experienced operator only.
▪ Repairs and maintenance to manufacturer’s
specifications.
▪ Qualified & experienced plant mechanic only to
repair. Plant to be isolated before performing
maintenance.
▪ SWMS to be completed and adhered to prior to
undertaking these functions.
c) lack of capacity for the plant to be
slowed, stopped or immobilised?
Yes
d) the plant tipping or rolling over? Yes
e) parts of the plant collapsing? Yes
f) coming in contact with moving parts of
the plant during testing, inspection,
operation, maintenance, cleaning or
repair?
Yes
g) being thrown off or under the plant? No
h) being trapped between the plant and
materials or fixed structures?
No
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
i) other factors not mentioned? ▪ Enclosed Operators Cab with restraint provided.
▪ 30meter clearance zone around machine in cut or
fill operation (for machines and vehicles not
involved in the activity), unless otherwise stated
by an approved site based risk assessment of the
operation.
3 CUTTING, STABBING AND
PUNCTURING
Can anyone be cut, stabbed or punctured
due to:
1H ELIMINATION
SUBSTITUTION
X ISOLATION
X ENGINEERING
X ADMINISTRATION
X PPE
Moving parts and loads
▪ 30meter clearance zone around machine in cut or
fill operation (for machines and vehicles not
involved in the activity), unless otherwise stated
by an approved site based risk assessment of the
operation.
▪ Operator in enclosed cab with restraint.
▪ Qualified & experienced plant mechanic only to
repair/maintain. Plant to be isolated before
2M
a) coming in contact with sharp or flying
objects?
No
b) coming in contact with moving parts of
the plant during testing, inspection,
operation, maintenance, cleaning or
repair?
Yes
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER
REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
c) the plant, parts of the plant or work
pieces disintegrating?
Yes performing maintenance.
▪ SWMS to be completed and adhered to prior to
undertaking these functions (b).
▪ Regular scheduled maintenance.
▪ All moving parts to be supported and stored energy
released before carrying out maintenance work.
▪ Experienced operator only.
d) work pieces being ejected? Yes
e) the mobility of the plant? Yes
f) uncontrolled or unexpected movement of
the plant?
No
g) other factors not mentioned?
4 SHEARING 2M ELIMINATION Moving parts and loads 2M
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
Can anyone’s body parts be sheared
between two parts of the plant, or between
a part of the plant and a work piece or
structure?
No SUBSTITUTION
X ISOLATION
X ENGINEERING
X ADMINISTRATION
PPE
▪ 30meter clearance zone around machine in cut or
fill operation (for machines and vehicles not
involved in the activity), unless otherwise stated
by an approved site based risk assessment of the
operation.
▪ Operator in enclosed cab with restraint.
▪ Experienced operator only.
▪ Qualified & experienced plant mechanic only to
repair/maintain. Plant to be isolated before
performing maintenance.
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
5 HIGH PRESSURE FLUID 2M ELIMINATION Hydraulic system 3L
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
Can anyone come into contact with fluids
under high pressure, due to plant failure or
misuse of the plant?
Yes SUBSTITUTION
X ISOLATION
X ENGINEERING
X ADMINISTRATION
X PPE
▪ 30meter clearance zone around machine in cut or
fill operation (for machines and vehicles not
involved in the activity), unless otherwise stated
by an approved site based risk assessment of the
operation.
▪ Operator in enclosed cab with restraint.
▪ No personnel on foot to be in immediate vicinity of
machine whilst travelling.
▪ Repairs and maintenance to manufacturer’s
specifications.
▪ All moving parts to be supported and stored energy
released before carrying out maintenance work.
▪ Qualified & experienced plant mechanic only to
repair. Plant to be isolated before performing
maintenance.
▪ PPE to be worn
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
6 ELECTRICAL
Can anyone be injured by electrical shock
or burnt due to:
2M ELIMINATION
SUBSTITUTION
X ISOLATION
ENGINEERING
X ADMINISTRATION
PPE
Power services above and in ground.
▪ SWMS to be completed before operation near power
services.
▪ Experienced Operator only.
▪ Repairs and maintenance to manufacturer’s
specifications.
▪ Qualified & experienced plant mechanic only to
repair. Plant to be isolated before performing
maintenance.
▪ Operation and Maintenance manual in cab of
machine.
3L
a) the plant contacting live electrical
conductors?
No
b) the plant working in close proximity to
electrical conductors?
No
c) overload of electrical circuits? No
d) damaged or poorly maintained electrical
leads and cables?
Yes
e) damaged electrical switches? No
f) water near electrical equipment? No
g) lack of isolation procedures? No
h) other factors not mentioned?
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
7 HIGH/LOW TEMPERATURE OR FIRE 2M ELIMINATION
SUBSTITUTION
X ISOLATION
ENGINEERING
Engine and hydraulic systems.
▪ Operator training.
▪ Experienced Operator only.
▪ Repairs and maintenance to manufacturer’s
3L
a) Can anyone come into contact with
objects at high temperatures?
Yes
b) Can anyone be injured by fire? Yes
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
c) Can anyone suffer ill-health due to
exposure to high or low temperatures?
No X ADMINISTRATION
PPE
specifications.
▪ Qualified & experienced plant mechanic only to
repair. Plant to be isolated before performing
maintenance.
▪ Guarding to exhaust system.
▪ Fire Extinguishers (approved and maintained)
mounted to machine.
8 EXPLOSION 2M X ELIMINATION ▪ Tyres 3L
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER
REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
Can anyone be injured by explosion of
gases, vapours, liquids, dusts, etc triggered
by the operation of the plant or by material
handled by the plant?
Yes
SUBSTITUTION
ISOLATION
ENGINEERING
X ADMINISTRATION
PPE
▪ Machine to be operated with in manufacturer’s
production guidelines.
▪ Tyres - to be operated within tyre manufacturer’s
operating guidelines.
▪ Operator Training.
▪ Experienced Operators only.
▪ SWMS to be completed prior to operation.
9 SLIPPING or TRIPPING
Can anyone using or near the plant, slip or
trip due to:
2M ELIMINATION
SUBSTITUTION
ISOLATION
X ENGINEERING
X ADMINISTRATION
X PPE
Operating environment, load.
▪ Steps/handrails provided for access.
▪ Non slip material fitted to access ways.
▪ Operator induction.
3L
a) Uneven or slippery work surfaces? Yes
b) poor housekeeping, eg spillage not
cleaned up?
No
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
c) obstacles being placed in the vicinity of
the plant?
Yes ▪ Experienced operator only.
▪ Qualified & experienced plant mechanic only to
repair. Plant to be isolated before performing
maintenance.
▪ Service personnel only to have contact with fuels
and oils.
▪ Any spills to be cleaned up immediately and
reported as per site protocol.
▪ Spill kits with all service vehicles and at workshop.
▪ Personnel to check surroundings before undertaking
inspections/maintenance to be aware any
potential obstacles.
▪ PPE
d) other factors not mentioned?
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
10 FALLING
Can anyone fall from a height due to:
2M ELIMINATION
SUBSTITUTION
ISOLATION
X ENGINEERING
X ADMINISTRATION
PPE
Access to load
▪ Steps/handrails provided for access.
▪ Non slip material fitted to access ways.
▪ Operator induction.
▪ Qualified & experienced plant mechanic only to
repair.
▪ Steps/handrails/access ways to be kept clean.
▪ Pressure wash available for cleaning.
▪ SWMS to be completed before operation.
3L
a) lack of proper work platform? No
b) lack of proper stairs or ladders? No
c) lack of guard rails or other suitable edge
protection?
No
d) unprotected holes, penetrations or gaps? No
e) poor floor or walking surfaces, such as
the lack of a slip-resistant surface?
No
f) steep walking surfaces? No
g) collapse of the supporting structure? No
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
h) other factors not mentioned? Mud/clay
on steps/access ways.
Yes
11 ERGONOMICS
Can anyone be injured due to:
3L ELIMINATION
SUBSTITUTION
ISOLATION
X ENGINEERING
X ADMINISTRATION
PPE
Operator.
▪ Operator induction/training
▪ Manufacturer’s specification meets relevant design
standards.
▪ Experienced Operator only.
▪ 30meter clearance zone around machine in cut or
fill operation (for machines and vehicles not
involved in the activity), unless otherwise stated
by an approved site based risk assessment of the
operation.
a) poorly designed seating? No
b) repetitive body movement? No
c) constrained body posture or the need for
excessive effort?
No
d) design deficiency causing mental or
psychological stress?
No
e) inadequate or poorly placed lighting? No
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
f) lack of consideration given to human
error or human behaviour?
No ▪ Operator in enclosed cab with restraint.
▪ No personnel on foot to be in immediate vicinity of
machine whilst travelling.g) mismatch of the plant with human traits
and natural limitations?
Yes
h) other factors not mentioned
12 SUFFOCATION ELIMINATION
SUBSTITUTION
ISOLATION
ENGINEERING
ADMINISTRATION
PPE
a) Can anyone be suffocated due to lack of
oxygen or atmospheric contamination?
No
b) other factors not mentioned?
13 FRICTION 2M ELIMINATION Moving parts and loads 3L
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
a) Can anyone be burnt due to contact with
moving parts or surfaces of the plant, or
material handled by the plant?
Yes SUBSTITUTION
X ISOLATION
ENGINEERING
X ADMINISTRATION
PPE
▪ Guards installed.
▪ Operator induction/training.
▪ Experienced Operator only.
▪ Repairs and maintenance to manufacturer’s
specifications.
▪ Qualified & experienced plant mechanic only to
repair. Plant to be isolated before performing
maintenance.
▪ Operation and Maintenance Manual in cab of
machine.
b) other factors not mentioned?
14 OTHER HAZARDS
Can anyone be injured or suffer ill-health
from exposure to:
3L ELIMINATION
SUBSTITUTION
X ISOLATION
ENGINEERING
Operating environment.
▪ Enclosed sealed operators cab.
▪ Operators cab enclosed sealed and lined to sound
3L
a) chemicals? No
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
b) toxic gases or vapours? No X ADMINISTRATION
X PPE
proof from noise.
▪ 30meter clearance zone around machine in cut or
fill operation and Operator in enclosed cab with
restraint.
▪ No personnel on foot to be in immediate vicinity of
machine whilst travelling.
▪ SWMS to be completed prior to operation.
▪ PPE
c) fumes? No
d) dust? Yes
e) noise? Yes
f) vibration? No
g) radiation? No
h) other factors not mentioned?
15 OTHER PLANT SPECIFIC HAZARDS NOT
COVERED ABOVE
ELIMINATION
SUBSTITUTION
X ISOLATION
Qualified & experienced plant mechanic only to repair.
Plant to be isolated before performing maintenance.
a) Repairs and maintenance
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
ITE
M
NO
POSSIBLE HAZARDS APPLY?
(Y/N) RISK LEVEL
RANKING
(REFER TO RISK
MATRIX)
HIERARCHY OF
CONTROL HOW ARE IDENTIFIED RISKS AND HAZARDS
CONTROLLED?
RESIDUAL
RISK
RANKING
b) ENGINEERING
X ADMINISTRATION
X PPE
Y/N Y/N COMMENTS: ALL DOCUMENTS SIGHTED
OPERATORS MANUAL WITH PLANT Yes DAILY CHECKLIST Yes
LAST SERVICE RECORDS Yes SWMS/SOP No
OVERALL COMMENTS:
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
A Safe Work Method Statement needs to be completed by the site that is utilising this equipment prior to machine going into operation and all required
personnel to be consulted in process and approval. ..................................................................................................................................................
The Site Plant Manager/Foreman is to review and sign off this Plant Hazard Identification Risk Assessment before this machine is sent into operation. A
copy of this document is to be kept in the operators cab as well as the Plant Site Office with the Plant Manager/Foreman. ................................................
RISK ASSESSMENT CARRIED-OUT BY:
NAME:e ROLE: S SIGNED: … …………… DATE:
PROJECT/PLANT MANAGERS REVIEW:
…………………………………………………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………………………………………………
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER
REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
NAME: ............................................ ROLE: ............................................. SIGNED: ......................................... DATE: ..........................................
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER REGO
NUMBER METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040
Risk Analysis
R = C x L
LIKELIHOOD 5
Extremely likely
Almost certain to
happen i.e. could occur
daily or more frequently
4
Very Likely
Could happen anytime
i.e. could occur weekly
or longer
3
Likely
Could happen sometime
i.e. could occur monthly
or longer
2
Unlikely
Could happen i.e. could
occur yearly or longer
1
Rarely
Could happen, but
probably never will i.e.
occur once each
10years or longer
CO
NS
EQ
UEN
CE
5 Catastrophic
Kill or cause permanent
disability or ill health
25
Class 1/H
20
Class 1/H
15
Class 1/H
10
Class 2/M
5
Class 3/L
4 Serious
Serious injury or long
term illness also includes
a Lost Time Injury
20
Class 1/H
16
Class 1/H
12
Class 2/M
8
Class 2/M
4
Class 3/L
3 Moderate
Medical Treatment Injury
or illness
15
Class 1/H
12
Class 2/M
9
Class 2/M
6
Class 2/M
3
Class 3/L
2 Minor
First aid needed
10
Class 2/M
8
Class 2/M
6
Class 2/M
4
Class 3/L
2
Class 3/L
1 Insignificant
No injury
5
Class 3/L
4
Class 3/L
3
Class 3/L
2
Class 3/L
1
Class 3/L
EXAMPLE DOCUMENT ONLY
PLANT HAZARD IDENTIFICATION RISK ASSESSMENT
PLANT
MAKE Caterpillar PLANT MODEL 637G PLANT
TYPE Scraper LOCATION TNR2 COMPANY Lend Lease Engineering Plant
SERIAL
NUMBER
REGO
NUMBER
METER
READING14311HRS DATE OF
INSPECTION 2/15 REVIEW DATE 9/17 UNIT
NUMBER7040 EXAMPLE DOCUMENT ONLY