Machinery safety risk assessment checklist

Template Questions

• Description of location:
• Describe how the equipment/machinery is used:
• Description of Work Equipment/Machinery:
• Photograph(s) of equipment/machinery
• Identify the mechanical hazards present
• Identify the non mechanical hazards present
• What is the duration/frequency of use of equipment/machine
• Description of users of equipment (experience, age etc.)
• Identify Engineering Controls in place
• Describe/outline the Engineering Controls
• Describe/outline the Procedural and Behavioural Controls
• PPE/RPE Required
• Description of Type(s) of PPE/RPE required
• Likelihood x Severity
• ASSESSMENT OF RISK
• Additional Control Measures required
• ADDITIONAL CONTROL MEASURES
• Other Risk Assessments Associated with Equipment
• Environmental Risk Assessment Required?
• Environmental controls for use and disposal:
• SIGN OFF
• Select date Date
• Assessor Name & Signature
• Date for Re-assessment Date