Plant and Equipment Risk Management Form - Scissor Lift (Fuel)

No: DEE ESWB-10-2-2 Authorised By: Manager ESWB Title: Plant and Equipment Risk Management Form Issue Date: July 2010 Page Number: 1 of 10 Last Reviewed: January 2015 CENTRAL OFFICE USE ONLY Next Review Date: May 2015

1. Hazard Management Details – General

Plant/Equipment Item: SCISSOR LIFT (Fuel) Make/Model No.: Serial No.:

School / Work Location: Region:

Name of Person(s) Conducting Activity: Date Conducted:

THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED No: DEE ESWB-10-2-2 Authorised By: Manager ESWB Title: Plant and Equipment Risk Management Form Issue Date: July 2010 Page Number: 2 of 10 Last Reviewed: January 2015 CENTRAL OFFICE USE ONLY Next Review Date: May 2015

INCLUDEPICTURE Description: A scissor lift is a mobile Summary of Key Risks: "http://www.gtindu.com/pages/products/images for elevated work platform designed to allow  Entanglement web/electric-scissor-lift-52545.jpg" \* MERGEFORMATINET safe work at heights.  Impact and cutting INCLUDEPICTURE "http://www.gtindu.com/pages/products/images for  Shearing web/electric-scissor-lift-52545.jpg" \* MERGEFORMATINET  Electricity  Ergonomics  Slips, trips and falls  Fire and explosion  Other (exhaust fumes)

2. Documentation Relevant Legislation/Standards Y / N Comments Is a user licence required? Y N Operators must be licensed to perform Work at Height. Key reference material: AS2550.10 Cranes, hoists and winches – Safe use mobile elevating platforms Plant Documentation Y / N Comments Are operator’s manuals accessible? Y N Operators manual should be supplied upon purchase of the lift. Is this a restricted use item? Y N Operators must be licensed to perform Work at Height. Does this item require safe use documents/test? Y N Operators must be licensed to perform Work at Height.

3. Hazard Identification Hazards Inspected Risk Assessment Description of Risk Control Measures Cons Like Risk Level ENTANGLEMENT Severe Rare Medium Loose clothing, long hair, Ensure clothing, gloves, hair or Can anyone’s hair, clothing, gloves, cleaning brushes, gloves, body parts and other other such items are kept clear of tools, rags or other materials become entangled with material may become entangled moving parts of the forklift when Y N moving parts of the plant or materials? in moving parts of the scissor lift. operating or performing maintenance (e.g. overalls can be used to restrict loose clothing etc).

Hazards Inspected Risk Assessment Description of Risk Control Measures Cons Like Risk Level

Impact and Cutting Injuries Materials could fall off the Ensure only licensed persons who Can anyone be crushed/cut/struck etc. due to: scissor lift. have been trained in safe work practices operate the scissor lift.  Material falling off the plant? Y N Major Possible High

Hazards Inspected Risk Assessment Description of Risk Control Measures Severe Possible Extreme  Uncontrolled/unexpected movement of plant/load? Y N Scissor lift could roll over if Ensure the scissor lift: operated on an uneven surface  Has appropriate safety features  Lack of capacity to slow, stop or immobilise plant? Y N or slope. (e.g. edge protection, emergency stop, park brake, reversing alarm Severe Unlikely Extreme  The plant tipping or rolling over? Y N The mobility of the scissor lift etc.) poses a significant risk to  Is only operated on level ground  Parts of the plant disintegrating or collapsing? Severe Rare Medium Y N pedestrians and property.  loads are within lifting capacity  Contact with moving parts during testing, inspection, Severe Rare Medium and evenly distributed operation, maintenance, cleaning or repair? Y N Use of inappropriate parts could  Is appropriately maintained and lead to mechanical failure. serviced regularly in accordance  Being thrown off or under the plant? Severe Rare Medium Y N with manufacturer’s instructions Overhead beams and structures Contact with sharp or flying objects? (e.g. work  Y N could pose a significant risk to Ensure appropriate traffic pieces being ejected) the operator/s. management controls have been Severe Rare Medium  The mobility of the plant? Y N implemented such as: Operator error (e.g. poor  Designated and marked Major Rare Medium  Inappropriate parts and accessories being used? Y N visibility, fatigue etc.) may lead pedestrian paths (e.g. painted to an accident. walkways, bollards/fenced  Other Y N walkways etc.)  Pedestrian no go zones  High visibility clothing is worn by operator/persons in the work area  Signs and barricades to be installed to warn other employees/persons in area  A documented traffic management plan is in place  Relevant employees have attended traffic management training

Hazards Inspected Risk Assessment Description of Risk Control Measures

Hazards Inspected Risk Assessment Description of Risk Control Measures Cons Like Risk Level SHEARING Severe Rare Medium Scissor lift/pedestrian Establish a Traffic Management Can anyone’s body parts be sheared between two parts interaction could lead to a Plan. of plant, or between a part of the plant and a work piece person being trapped between or structure? Y N the scissor lift and another Ensure appropriate traffic object. management controls are in place (refer to cutting and impact injuries section). PRESSURISED CONTENT Can anyone come into contact with fluids or gases under Y N high pressure, due to plant failure or misuse of the plant? ELECTRICITY Damaged or frayed electrical Operator to check for damaged Can anyone be injured or burnt due to: cords on powered equipment electrical components prior to use  Live electrical conductors? (e.g. exposed wires) brought onto the scissor lift as part of a Pre Start Check. Y N platform pose an electrical hazard.  Working in close proximity to electrical conductors? Severe Rare Medium Ensure the scissor lift is not Y N operated in close proximity to Overhead power lines or electric overhead power lines or electrical  Access to electricity? Severe Rare Medium Y N wires pose a significant risk to wiring. the operator.  Damaged or poorly maintained electrical leads, Major Unlikely Medium Y N Ensure any equipment used on the cables or switches? scissor lift platform is in good  Water near electrical equipment? Y N working order, tested and tagged and appropriate isolation

Hazards Inspected Risk Assessment Description of Risk Control Measures  Lack of isolation procedures? Severe Rare Medium procedures (e.g. lock out tags) are Y N in place.  Other Y N

Hazards Inspected Risk Assessment Description of Risk Control Measures Cons Like Risk Level ERGONOMICS Operating or working in the Ensure the scissor lift is not used Can anyone be injured due to: scissor lift for extended periods for extended periods of time.  Poorly designed workstation? Moderate Possible Medium of times, using a constrained or Y N awkward body posture may Ensure appropriate rest breaks are cause musculoskeletal injury.  Repetitive body movement? Moderate Possible Medium taken. Y N

 Constrained body posture or the need for excessive Moderate Possible Medium Ensure appropriate manual effort? Y N handling techniques are used whilst working within the scissor lift  Design deficiency causing psychological stress? Y N platform.

 Inadequate or poorly placed lighting? Y N Ensure employees working in the scissor lift have appropriate manual  Does the plant impact on the surrounding workplace handling training. and create potential hazards? (Consider safe access Y N 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 Y N terrain)  Other Y N

Hazards Inspected Risk Assessment Description of Risk Control Measures Cons Like Risk Level 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: Y N  infra-red radiation  ultra violet light  microwaves NOISE Can anyone using the plant, or in the vicinity of the plant, Y N suffer injury due to exposure to noise? VIBRATION Can anyone be injured or suffer ill-health from exposure Y N to vibration? FRICTION Can anyone be burnt due to contact with moving parts, Y N materials or surfaces of the plant? SUFFOCATION Can anyone be suffocated due to lack of oxygen, or Y N atmospheric contamination? CONDITION Is a hazard likely due to the age and condition of the Y N plant? (Consider how hard the machine has been worked, and whether it is used constantly or rarely).  Can anyone be injured as a result of the plant not serviced appropriately and/or maintained in line with Y N manufacturer’s recommendations?

Hazards Inspected Risk Assessment Description of Risk Control Measures SLIPS/TRIPS/FALLS Access and egress to the Ensure the scissor lift platform has Can anyone using the plant, or in the vicinity of the plant, scissor lift platform could pose a appropriate fall protection risk slip, trip or fall due to: risk of a slip, trip or fall. control. For example:  Uneven, slippery or steep work surfaces? Major Possible High Y N  Edge protection (e.g. handrails, Poor housekeeping or a slippery toe guards etc.)  Poor housekeeping, e.g. spillage in the vicinity? Major Possible High floor in the scissor lift platform  Lanyard anchor points Y N could result in a slip, trip or fall  Slip resistant flooring  Obstacles being placed in the vicinity of the plant? hazard. Y N Ensure operator uses appropriate  Inappropriate or poorly maintained floor or walking Major Possible High Working outside or reaching fall protection controls (e.g. harness surfaces (i.e. lack of a slip-resistant surface, Y N over the edge protection on the systems) scissor lift platform presents a unprotected holes, penetrations or gaps?) Ensure operator never reaches significant risk to the operator. If operating or maintaining plant at height can anyone over or works outside of the edge slip, trip or fall due to: protection on the scissor lift  Use of work platforms, stairs or ladders? Severe Unlikely High platform. Y N

 Lack of guardrails or other suitable edge protection? Ensure the scissor lift is only Y N operated on level ground.  Other Severe Unlikely High Ensure good housekeeping practices are maintained throughout the work area. Y N Ensure operator wears appropriate footwear.

Hazards Inspected Risk Assessment Description of Risk Control Measures FIRE AND EXPLOSION Major Rare Medium Inappropriate storage and Ensure fuel is appropriately stored Y N Can anyone be injured by fire? handling of fuel (e.g. LPG, (e.g. locked storage area).  Can anyone be injured by explosion of gases, Major Rare Medium diesel) poses a risk of fire and vapours, liquids, dusts, or other substances? explosion to the operator. Ensure refuelling is conducted in a safe manner (e.g. equipment is Y N switched off, away from ignition sources, in well-ventilated area, etc.). TEMPERATURE/MOISTURE Can anyone come into contact with objects at high or Y N low temperatures?  Can anyone suffer ill-health due to exposure to high Y N or low temperatures?  Can anyone be injured or suffer ill-health due to Y N exposure to moisture? OTHER Exhaust fumes can be toxic if Ensure the scissor lift is not Can anyone be injured or suffer ill-health allowed to accumulate in an operated in an enclosed space. from exposure to: enclosed space.  Chemicals? Y N Ensure the scissor lift is refuelled in a well-ventilated space.  Toxic gases or vapours? Y N

 Fumes/Dusts? Y N Moderate Rare Medium

 Other? (please specify) Y N

4. Risk Assessment Signoff

Authorised By: Signature: Date:

THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED