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19/7/23, 18:30 Evaluación mensual de riesgos de fabricación - SafetyCulture

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Información

Título de la auditoría

Cliente / Sitio

Realizado sobre 

Preparado por

Ubicación 

Aplastante

¿Quiere auditar riesgos de aplastamiento?

Sí No N/A

¿Alguien puede ser aplastado debido a:

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19/7/23, 18:30 Evaluación mensual de riesgos de fabricación - SafetyCulture

¿Caída de material de la planta?

Seguro En riesgo N/A

¿Falta de capacidad para ralentizar, detener o inmovilizar la planta?

Seguro En riesgo N/A

¿La planta se vuelca o se vuelca?

Seguro En riesgo N/A

¿Movimiento incontrolado o inesperado de la planta o su carga?

Seguro En riesgo N/A

¿Partes de la planta colapsando?

Seguro En riesgo N/A

¿Ha entrado en contacto con partes móviles de la planta durante la prueba, inspección,
uso, mantenimiento, limpieza o reparación?

Seguro En riesgo N/A

¿Ser arrojado o debajo de la planta?

Seguro En riesgo N/A

¿Quedarse atrapado entre la planta y los materiales o estructuras fijas?

Seguro En riesgo N/A

Add any additional crushing risks:

Risk

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Is this risk urgent?

Urgent Non-Urgent

Describe the risk

Do any of the crushing risks need mitigation?

Yes No N/A

Add mitigation strategies:

Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

Please describe the mitigation strategy

Entanglement

Do you want to audit entanglement risks?

Yes No N/A

Can anyone be entangled due to:

Body parts, clothing, equipment or other materials being in contact with moving parts
of the plant?

Safe At Risk N/A

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Loose ropes, cords or cables?

Safe At Risk N/A

Add any additional entanglement risks:

Risk

Is this risk urgent?

Urgent Non-Urgent

Describe the risk

Do any of the entanglement risks need mitigation?

Yes No N/A

Add mitigation strategies:

Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

Please describe the mitigation strategy

Cutting, Stabbing and Puncturing

Do you want to audit cutting, stabbing or puncturing risks?

Yes No N/A

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Can anyone be cut, stabbed or punctured due to:

Coming in contact with sharp or flying objects?

Safe At Risk N/A

Coming in contact with moving parts of the plant during testing, inspection, operation,
maintenance, cleaning or repair of the plant?

Safe At Risk N/A

Parts of plant disintegrating?

Safe At Risk N/A

The mobility of the plant?

Safe At Risk N/A

Uncontrolled or unexpected movement of the plant?

Safe At Risk N/A

Add any additional cutting, stabbing or puncturing risks:

Risk

Is this risk urgent?

Urgent Non-Urgent

Describe the risk

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Do any of the cutting, stabbing or pucturing risks need mitigation?

Yes No N/A

Add mitigation strategies:

Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

Please describe the mitigation strategy

Shearing, Burning or Friction

Do you want to audit shearing, burning or friction risks?

Yes No N/A

Can anyone’s body parts be:

Burnt, gain abrasions, etc?

Safe At Risk N/A

Sheared in operation of plant?

Safe At Risk N/A

Add any additional shearing, burning or friction risks:

Risk

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Is this risk urgent?

Urgent Non-Urgent

Describe the risk

Do any of the shearing, burning or friction risks need mitigation?

Yes No N/A

Add mitigation strategies:

Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

Please describe the mitigation strategy

Striking

Do you want to audit striking risks?

Yes No N/A

Can anyone be struck by moving objects due to:

Uncontrolled or unexpected movement of the plant or material handled by the plant?

Safe At Risk N/A

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Plant, parts of the plant or work pieces disintegrating?

Safe At Risk N/A

Work pieces being ejected?

Safe At Risk N/A

Mobility of the plant?

Safe At Risk N/A

Add any additional striking risks:

Risk

Is this risk urgent?

Urgent Non-Urgent

Describe the risk

Do any of the striking risks need mitigation?

Yes No N/A

Add mitigation strategies:

Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

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Please describe the mitigation strategy

High Pressure Fluid /Gases

Do you want to audit high pressure fluid or gas risks?

Yes No N/A

Can anyone come into contact with:

Fluids/Gases under high pressure in normal use?

Safe At Risk N/A

In the instance of plant failure?

Safe At Risk N/A

Add any additional high pressure fluid/gases risks:

Risk

Is this risk urgent?

Urgent Non-Urgent

Describe the risk

Do any of the high pressure fluid/gases risks need mitigation?

Yes No N/A

Add mitigation strategies:

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Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

Please describe the mitigation strategy

Electrical

Do you want to audit electrical risks?

Yes No N/A

Can anyone be injured by electrical shock due to:

The plant contacting live electrical conductors?

Safe At Risk N/A

Electrical Leads on the ground

Safe At Risk N/A

Plant working close to electrical conductors?

Safe At Risk N/A

Overload of electrical circuits?

Yes No N/A

Damaged or poorly maintenance electrical components &/or cables?

Safe At Risk N/A

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Water near electrical equipment?

Safe At Risk N/A

Lack of isolation procedures?

Safe At Risk N/A

Add any additional electrical risks:

Risk

Is this risk urgent?

Urgent Non-Urgent

Describe the risk

Do any of the electrical risks need mitigation?

Yes No N/A

Add mitigation strategies:

Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

Please describe the mitigation strategy

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Gases or Vapours

Do you want to gas or vapour risks?

Yes No N/A

Can anyone’s health be affected by exposure to:

Gases, vapours, liquids, dusts or other hazardous substances by the operation of the
plant?

Safe At Risk N/A

Add any additional gas/vapour risks:

Risk

Is this risk urgent?

Urgent Non-Urgent

Describe the risk

Do any of the gas/vapour risks need mitigation?

Yes No N/A

Add mitigation strategies:

Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

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Please describe the mitigation strategy

Slips, Trips or Falls

Do you want to audit slip, trip or fall risks?

Yes No N/A

Can anyone using the plant, or in the vicinity of the plant, slip, trip or fall due to:

Uneven or slippery work surfaces?

Safe At Risk N/A

Poor housekeeping, such as shavings in the vicinity of the plant, spillage not cleaned
up?

Safe At Risk N/A

Obstacles being placed in the vicinity of the plant?

Safe At Risk N/A

Add any additional slip, trip or fall risks:

Risk

Is this risk urgent?

Urgent Non-Urgent

Describe the risk

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Do any of the slip, trip or fall risks need mitigation?

Yes No N/A

Add mitigation strategies:

Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

Please describe the mitigation strategy

Manual Handling

Do you want to audit manual handling risks?

Yes No N/A

Does use of the plant or equipment involve:

Repetitive or sustained postures?

Safe At Risk N/A

High force actions?

Safe At Risk N/A

Jerking actions?

Safe At Risk N/A

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Employees working with their hands above their shoulder?

Safe At Risk N/A

Has there been a report of musculoskeletal disorder associated with the task?

Safe At Risk N/A

Add any additional manual handling risks:

Risk

Is this risk urgent?

Urgent Non-Urgent

Describe the risk

Do any of the manual handling risks need mitigation?

Yes No N/A

Add mitigation strategies:

Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

Please describe the mitigation strategy

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Suffocation

Do you want to audit suffocation risks?

Yes No N/A

Can anyone be suffocated due to:

Lack of oxygen?

Safe At Risk N/A

Atmospheric contamination?

Safe At Risk N/A

Add any additional suffocation risks:

Risk

Is this risk urgent?

Urgent Non-Urgent

Describe the risk

Do any of the suffocation risks need mitigation?

Yes No N/A

Add mitigation strategies:

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Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

Please describe the mitigation strategy

Temperature

Do you want to audit temperature risks?

Yes No N/A

Can anyone’s health be affected by extreme temperatures by:

Coming into contact with objects at high temperature?

Safe At Risk N/A

Coming into contact with objects at Low temperature?

Safe At Risk N/A

Add any additional temperature risks:

Risk

Is this risk urgent?

Urgent Non-Urgent

Describe the risk

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Do any of the temperature risks need mitigation?

Yes No N/A

Add mitigation strategies:

Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

Please describe the mitigation strategy

Light

Do you want to audit light risks?

Yes No N/A

Is the light in this area appropriate to:

Conduct work safely?

Safe At Risk N/A

Ensure hazards are visible?

Safe At Risk N/A

Exit the area safely in an emergency situation?

Safe At Risk N/A

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Add any additional light risks:

Risk

Is this risk urgent?

Urgent Non-Urgent

Describe the risk

Do any of the light risks need mitigation?

Yes No N/A

Add mitigation strategies:

Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

Please describe the mitigation strategy

Noise

Do you want to audit noise risks?

Yes No N/A

Is the noise acceptable in this area:

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To conduct work safely?

Safe At Risk N/A

To hear necessary instruction and warnings?

Safe At Risk N/A

To hear evacuation warnings?

Safe At Risk N/A

Add any additional noise risks:

Risk

Is this risk urgent?

Urgent Non-Urgent

Describe the risk

Do any of the noise risks need mitigation?

Yes No N/A

Add mitigation strategies:

Mitigation Strategy

How will these risks be mitigated?

Engineering Administrative
Elimination Substitution Controls Isolation Controls PPE

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Please describe the mitigation strategy

Other Hazards

Could the plant create hazardous conditions other than above mentioned categories?

Yes No N/A

Add any additional risks:

Risk

Is this risk urgent?

Urgent Non-Urgent

Describe the risk

Auditor Sign-off

Auditor to sign here 

Date completed 

Add additional auditor:

Auditor

Auditor to sign here 

Date completed 

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's
solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should
independently determine whether the template is suitable for your circumstances.

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