Plant Risk Assessment Form
Plant Risk Assessment Form
Plant Risk Assessment Form
NAME(S):
PLANT DESCRIPTION: Assessed by:
POSITION(S):
Assessment Area Supervisor:
RISK ASSESSMENT NO: Review Date: when circumstances, procedures
Date: &/or information change
Plant details (if relevant): *Associated / cross-reference documents (if relevant):
Location: Make/Model: HazChem RA(s) SWMS:
Serial #: Asset/EST Plant RA(s)
#:
2. Is this plant required to be registered under the Work Health and Safety Regulations?
If YES, is inspection and maintenance information available?
If further action is required, to be completed by: NAME: POSITION: DATE:
5. *Have you identified any hazardous chemicals used with this plant/equipment? You must risk assess all associated hazardous
chemicals.
If YES, please enter document cross-reference details on page 1.
If further action is required, to be completed by: NAME: POSITION: DATE:
6. *Have Safe Work Method Statements been developed for this plant/equipment?
If YES, please enter document cross-reference details on page 1.
If further action is required, to be completed by: NAME: POSITION: DATE:
SUMMARY OF RISK:
Review the risk measured, and the controls, then please select the relevant risk summary statement:
A The assessment reveals that the potential risk to health from the use of the plant is not currently significant
B The assessment reveals that the potential risk to health from the use of the plant is significant, however controls are in place that reduce
risk to acceptable levels
C The assessment reveals that the potential risk to health from the use of the plant is significant. Interim controls are in place to reduce risk to
acceptable levels.
Step A - Consider the consequences Step B - Consider the likelihood Step C Calculate the Risk Level
For each hazard, consider the consequences if How likely is it that something will happen as a 1. Take the Step A rating and select the correct line
something happens. Consider what could result of the hazard? 2. Take the Step B rating and select the correct column
reasonably have happened, as well as what 3. Circle the risk level where the two ratings cross in the matrix below
actually happened (if there was an Look at the descriptions below and choose the
accident/incident). Look at the descriptions most suitable Likelihood Risk level =
below and choose the most suitable
consequence