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Work Equipment Assessment

    Equipment

    Equipment Name:

    Is the equipment suitable by design, construction or adaptation for the task in hand?

    Is it maintained in an efficient state, working order and in good repair?

    Do persons who are competent complete the maintenance?

    Could inadequate maintenance cause the equipment, guards or other protection devices fail to danger?

    If a positive answer to above question, is there formal planned maintenance?

    Is there a maintenance logbook?

    Is it up to date?

    Training

    Have all personnel who use the equipment had adequate information and where appropriate written instructions on the correct and safe use?

    Is additional care taken over the training of young and inexperienced users?

    Dangerous Parts of Machinery

    Have effective and suitable measures been taken to prevent contact with the dangerous parts of the machinery?

    A detailed risk assessment may be required to identify any particular hazards.

    Temperature

    Are there parts that require guarding to prevent injury from contact with extremes of temperature?

    Controls and Control Systems

    Are the start, stop and emergency controls located so those operators are not put at risk as a result of the position of the controls?

    Are the controls clearly visible and identifiable?

    So far as is reasonably practicable is the operator of any control able to ensure from that position that no person is put at risk as a result of the operation of that control?

    If the answer is "NO" are 'safe systems of work' in operation to prevent persons being put at risk?

    Isolation from energy source

    Is there adequate means for isolating sources of energy (Electrical / mechanical etc)?

    Are these (Electrical / mechanical etc) clearly identifiable and readily accessible?

    Are appropriate measures in place to prevent re connection to any energy source at times when persons can be put at risk?

    Stability

    Is the work equipment provided stable?


    Lighting

    Are the provided lighting levels satisfactory?

    Maintenance

    Can maintenance operations be completed without exposing users and maintenance persons to risks?

    If "NO" are 'safe systems of work' in place?

    Markings

    Are all necessary safety notices clearly visible?

    Warnings

    Are all warning notices and safety devices ambiguous?

    Assessment Form

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

    Hazard ref: 1

    Hazard:

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    + Add: Add another Hazard

    Hazard ref: 2

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    + Add: Add another Hazard

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    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 :

    Signature :