Air Compressor Risk MG T Form
Air Compressor Risk MG T Form
Air Compressor Risk MG T Form
Page Number: 1 of 8
CENTRAL OFFICE USE ONLY
Make/Model No.:
Region:
Serial No.:
Date Conducted:
2. Documentation
Pressurised content
Electricity
Ergonomics
Noise
Slips/trips/falls
Page Number: 2 of 8
CENTRAL OFFICE USE ONLY
Y/N
N
Comments
Plant Documentation
Are operators manuals accessible?
Y/N
N
Comments
3. Hazard Identification
Hazards Inspected
ENTANGLEMENT
Can anyones hair, clothing, gloves, cleaning brushes,
tools, rags or other materials become entangled with
moving parts of the plant or materials?
Risk Assessment
Cons
Like
Risk
Level
Description of Risk
Control Measures
Risk Assessment
Cons
Like
Risk
Level
Description of Risk
Control Measures
Hazards Inspected
Moderate
Possible
Medium
Page Number: 3 of 8
CENTRAL OFFICE USE ONLY
Risk Assessment
Other
Hazards Inspected
SHEARING
Can anyones body parts be sheared between two
parts of plant, or between a part of the plant and a work
piece or structure?
PRESSURISED CONTENT
Can anyone come into contact with fluids or gases
under high pressure, due to plant failure or misuse of
the plant?
ELECTRICITY
Can anyone be injured or burnt due to:
Moderate
Possible
Description of Risk
Control Measures
N
Moderate
Control Measures
Medium
Risk Assessment
Cons
Like
Risk
Level
Y
Description of Risk
Possible
Medium
Page Number: 4 of 8
CENTRAL OFFICE USE ONLY
Access to electricity?
Other
Risk Assessment
Y
Hazards Inspected
Major
Unlikely
Medium
Risk Assessment
Cons
Like
Risk
Level
Control Measures
Ensure equipment is serviced on a
regular basis, tested and tagged,
and appropriate isolation
procedures (e.g. lock out tags) are
in place.
ERGONOMICS
Can anyone be injured due to:
Description of Risk
Description of Risk
Moderate
Unlikely
Medium
Control Measures
Page Number: 5 of 8
CENTRAL OFFICE USE ONLY
Hazards Inspected
Inadequate or poorly placed lighting?
Does the plant impact on the surrounding
workplace and create potential hazards? (Consider
safe access and egress from plant, workflow and
design of the workplace)
Is the location of the plant inappropriate? (Consider
potential effects due to environmental conditions
and terrain)
Other
Hazards Inspected
RADIATION
Can anyone using the plant, or in the vicinity of the
plant suffer injury or illness due to exposure to radiation
in the form of any of the following:
infra-red radiation
ultra violet light
microwaves
NOISE
Can anyone using the plant, or in the vicinity of the
plant, suffer injury due to exposure to noise?
VIBRATION
Can anyone be injured or suffer ill-health from
exposure to vibration?
Risk Assessment
Description of Risk
Control Measures
Risk Assessment
Cons
Like
Risk
Level
Description of Risk
Control Measures
Moderate
Y
Unlikely
Medium
Page Number: 6 of 8
CENTRAL OFFICE USE ONLY
Hazards Inspected
SLIPS/TRIPS/FALLS
Can anyone using the plant, or in the vicinity of the
plant, slip, trip or fall due to:
Uneven, slippery or steep work surfaces?
Risk Assessment
Description of Risk
Control Measures
Risk Assessment
Cons
Like
Risk
Level
Description of Risk
Control Measures
Possible
Medium
Minor
Possible
Medium
Inappropriate placement of
objects (e.g. spare materials,
bags etc.) in the immediate
vicinity of the equipment may
result in a trip hazard.
Page Number: 7 of 8
CENTRAL OFFICE USE ONLY
Hazards Inspected
Risk Assessment
Description of Risk
Control Measures
Risk Assessment
Cons
Like
Risk
Level
Description of Risk
Control Measures
Page Number: 8 of 8
CENTRAL OFFICE USE ONLY
Hazards Inspected
Fumes/Dusts?
Other? (please specify)
Risk Assessment
Y
Description of Risk
Signature:
Date:
Control Measures