Download Plant and Equipment Risk Management Form

No: DET ESWB-10-2-2
Authorised By: Manager ESWB
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Last Reviewed: August 2015
Next Review Date: August 2017
Page Number: 1 of 7
CENTRAL OFFICE USE ONLY
1. Hazard Management Details – General
Plant/Equipment Item: VEHICLE JACK
Make/Model No.:
School / Work Location:
Region:
Name of Person(s) Conducting Activity:
Serial No.:
Date Conducted:
Description of Use:
A vehicle jack is a piece of hydraulic lifting
equipment that is used to raise cars/vehicles
off the ground to enable the operator to gain
access to the underparts of the vehicle.
One end of the jack is placed under the
vehicle at a suitable load bearing point and
then the long handle is used to ‘pump’ the
hydraulic fluid causing the vehicle to be
raised.
Summary of Key Risks:


Impact and cutting
Slips/trips/falls
2. Documentation
Relevant Legislation/Standards
Y/N
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Comments
No: DET ESWB-10-2-2
Authorised By: Manager ESWB
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Last Reviewed: August 2015
Next Review Date: August 2017
Page Number: 2 of 7
CENTRAL OFFICE USE ONLY
Is plant required to be registered?
Y
N
Is a user license required?
Y
N
Key reference material:
Plant Documentation
AS 2693 Vehicle jacks
Are operator’s manuals accessible?
Y/N
Y
N
Is this a restricted use item?
Y
N
Does this item require safe use documents/test?
Y
N
Comments
3. Hazard Identification
Hazards Inspected
Risk Assessment
Cons
ENTANGLEMENT
Can anyone’s hair, clothing, gloves, cleaning brushes,
tools, rags or other materials become entangled with
moving parts of the plant or materials?
Y
Like
Like
Uncontrolled/unexpected movement of plant/load?

Control Measures
Vehicle may fall onto a person
working underneath the vehicle
In the event that:
 the jack is not positioned
correctly
 an axle stand is not
used after lifting the
vehicle up
 the jack is placed on an
uneven surface.
Ensure that operator is trained in
the safe operation of a vehicle jack.
Risk
Level
Impact and Cutting Injuries
Can anyone be crushed/cut/struck etc. due to:

Description of Risk
Risk
Level
Risk Assessment
Cons
Material falling off the plant?
Control Measures
N
Hazards Inspected

Description of Risk
N
Severe
Unlikely
High
Y
N
Severe
Unlikely
High
Lack of capacity to slow, stop or immobilise plant?
Y
N

The plant tipping or rolling over?
Y
N

Parts of the plant disintegrating or collapsing?
Y
N
Y
Major
Rare
Medium
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Ensure the vehicle jack and
associated equipment (e.g. axle
stands) are serviced appropriately.
Ensure jacks only used where the
surface conditions are firm, stable
and level.
No: DET ESWB-10-2-2
Authorised By: Manager ESWB
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Last Reviewed: August 2015
Next Review Date: August 2017
Page Number: 3 of 7
CENTRAL OFFICE USE ONLY
Hazards Inspected



Contact with moving parts during testing,
inspection, operation, maintenance, cleaning or
repair?
Being thrown off or under the plant?
Risk Assessment
Y
N
Y
N
Y
N
Y
N

Contact with sharp or flying objects? (e.g. work
pieces being ejected)
The mobility of the plant?

Inappropriate parts and accessories being used?
Y
N

Other
Y
N
Ensure axle stands are used once
the vehicle has been lifted up.
Ensure safe working loads are not
exceeded.
Risk Assessment
Cons

Live electrical conductors? (e.g. exposed wires)

Working in close proximity to electrical conductors?

Access to electricity?
Y
N
Y
N
Y
N
Y
N
Y
N
Control Measures
Ensure handbrake/footbrake is
operation.
Hazards Inspected
SHEARING
Can anyone’s 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:
Description of Risk
Like
Risk
Level
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Description of Risk
Control Measures
No: DET ESWB-10-2-2
Authorised By: Manager ESWB
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Last Reviewed: August 2015
Next Review Date: August 2017
Page Number: 4 of 7
CENTRAL OFFICE USE ONLY
Hazards Inspected

Damaged or poorly maintained electrical leads,
cables or switches?

Water near electrical equipment?

Lack of isolation procedures?

Other
Risk Assessment
Y
N
Y
N
Y
N
Y
N
Hazards Inspected
Risk Assessment
Cons
Like
Description of Risk
Risk
Level
ERGONOMICS
Can anyone be injured due to:

Poorly designed workstation?

Repetitive body movement?

Constrained body posture or the need for
excessive effort?

Design deficiency causing psychological stress?

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)
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Description of Risk
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Control Measures
Control Measures
No: DET ESWB-10-2-2
Authorised By: Manager ESWB
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Last Reviewed: August 2015
Next Review Date: August 2017
Page Number: 5 of 7
CENTRAL OFFICE USE ONLY
Hazards Inspected


Is the location of the plant inappropriate? (Consider
potential effects due to environmental conditions
and terrain)
Other
Y
N
Y
N
Hazards Inspected
Risk Assessment
Description of Risk
Control Measures
Risk Assessment
Description of Risk
Control Measures
Cons
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:
 infrared radiation
 ultraviolet 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?
FRICTION
Can anyone be burnt due to contact with moving parts,
materials or surfaces of the plant?
SUFFOCATION
Can anyone be suffocated due to lack of oxygen, or
atmospheric contamination?
CONDITION
Is a hazard likely due to the age and condition of the
plant? (Consider how hard the machine has been
worked, and whether it is used constantly or rarely).
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Like
Risk
Level
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
No: DET ESWB-10-2-2
Authorised By: Manager ESWB
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Last Reviewed: August 2015
Next Review Date: August 2017
Page Number: 6 of 7
CENTRAL OFFICE USE ONLY
Hazards Inspected

Can anyone be injured as a result of the plant not
serviced appropriately and/or maintained in line
with manufacturer’s recommendations?
Y
Risk Assessment
Description of Risk
Control Measures
Risk Assessment
Description of Risk
Control Measures
Poor housekeeping allowing the
build-up of waste materials or
failure to immediately clean up
spills could result in a slip
hazard.
Ensure appropriate cleaning and
housekeeping practices are
maintained to minimise the risk of a
slip, trip or fall.
N
Hazards Inspected
Cons
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?

Poor housekeeping, e.g. spillage in the vicinity?

Obstacles being placed in the vicinity of the plant?
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Like
Risk
Level
Minor
Possible
Medium
Minor
Possible
Medium

Inappropriate or poorly maintained floor or walking
surfaces (i.e. lack of a slip-resistant surface,
unprotected holes, penetrations or gaps?)
If operating or maintaining plant at height can anyone
slip, trip or fall due to:

Use of work platforms, stairs or ladders?

Lack of guardrails or other suitable edge
protection?

Other
Hazards Inspected
Inappropriate placement of
objects (e.g. spare materials,
electrical cords, school bags
etc.) in the immediate vicinity of
the plant equipment may result
in a trip hazard.
Risk Assessment
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Description of Risk
Control Measures
No: DET ESWB-10-2-2
Authorised By: Manager ESWB
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Last Reviewed: August 2015
Next Review Date: August 2017
Page Number: 7 of 7
CENTRAL OFFICE USE ONLY
Hazards Inspected
Risk Assessment
Cons
FIRE AND EXPLOSION
Can anyone be injured by fire?

Can anyone be injured by explosion of gases,
vapours, liquids, dusts, or other substances?
TEMPERATURE/MOISTURE
Can anyone come into contact with objects at high or
low temperatures?
 Can anyone suffer ill-health due to exposure to
high or low temperatures?
 Can anyone be injured or suffer ill-health due to
exposure to moisture?
OTHER
Can anyone be injured or suffer ill-health from
exposure to:
 Chemicals?
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N

Toxic gases or vapours?
Y
N

Fumes/Dusts?
Y
N

Other? (please specify)
Y
N
Like
Description of Risk
Risk
Level
4. Risk Assessment Signoff
Authorised By:
Signature:
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Date:
Control Measures