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Hazard Risk Assessment

    Machinery/Working Area Safety Risk Assessment

    Machine (Type, Serial No. etc)

    Location

    Assessor's Name

    Date

    Hazard Type (Mechanical)
    EntanglementCuttingStabbing/PuncturingFriction/AbrasionShearingImpactEjectionHigh Pressure Fluid InjectionDrawing in/TrappingCrushingOverhanging Obstructions

    Hazard Type (Non-Mechanical)
    ElectricityOther Power MediumsRadiationNoiseVibrationEmissions (dusts, fumes etc)ErgonomicUnexpected/Unintended Start upFire and ExplosionThermal, i.e Hot and ColdBurns

    Hazard Type (Substances)
    ToxicIrritatingSensitisingFlammableCorrosiveCarcinogensBlood Bourne Pathogens

    Hazard Type (Organisational)
    P.P.E. Requirements

    Hazard Type (Others)
    Sharp EdgesRough SurfacesAngular PartsWeightSlips, Trips, FallsBreakagesFalling ObjectsInsect Bites

    Hazard Type (Environmental)
    Risk of SpillageMaterial RecyclingEnergy ConservationLand Fill

    Environmental Subjects
    Recycle FilmRecycle PlasticRecycle ProductRecycle MetalsRecycle Ink CassettesRecycle Cardboard

    Energy Control
    Switch Off Bench LightsSwitch Off Cell LightsSwitch Off PCsSwitch Off Cell Machines and EquipmentLeaking Air Supplies

    Spillage Control
    Oil SpillageSubstance CabinetSolvents

    Hazardous Waste
    Produces Hazardous Waste

    Assessment Form
    You can add more hazards by checking the 'Add Another Hazard' box at the bottom of the form

    Hazard ref: 1

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    + Add: Add another Hazard

    Hazard ref: 2

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    Hazard ref: 3

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    Hazard ref: 4

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    Hazard ref: 5

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    Hazard ref: 6

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    + Add: Add another Hazard

    Hazard ref: 7

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    Hazard ref: 8

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    Hazard ref: 9

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    Hazard ref: 10

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    Hazard ref: 11

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    Hazard ref: 12

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    Due (date):

    You cannot add any more items, please fill in another form

    Name

    Date

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