CONTRACTOR CHECKLIST

Procedure No: DEE EHU 10-2-1
Authorised By: Manager EHU
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Review Date: April 2013
Page Number: 1 of 9
1. Hazard Management Details – General
Plant/Equipment Item: Blower (Fuel)
Make/Model No.:
School / Work Location:
Region:
Name of Person(s) Conducting Activity:
Serial No.:
Date Conducted:
Description of use:
Summary of key risks:
The leaf blower utilises a fuel powered
engine/fan to generate air flow down an
attached pipe to focus air on material to be
blown away.
(Refer to appropriate subsections).
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED

Ergonomics;

Fire; and

Other (dust).
Procedure No: DEE EHU 10-2-1
Authorised By: Manager EHU
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Review Date: April 2013
Page Number: 2 of 9
2. Documentation
Relevant Legislation/Standards
Is plant required to be registered?
Y/N
Y
N
Is a user license required?
Y
N
AS4024 Safeguarding of machinery
Key reference material:
Plant Documentation
Comments
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
Risk
Level
N
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Description of Risk
Control Measures
Procedure No: DEE EHU 10-2-1
Authorised By: Manager EHU
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Review Date: April 2013
Page Number: 3 of 9
Hazards Inspected
Risk Assessment
Cons
Like
Material falling off the plant?
Y
N

Uncontrolled/unexpected movement of plant/load?
Y
N

Lack of capacity to slow, stop or immobilize plant?
Y
N

The plant tipping or rolling over?
Y
N

Parts of the plant disintegrating or collapsing?
Y
N

Contact with moving parts during testing, inspection,
operation, maintenance, cleaning or repair?
Y
N

Being thrown off or under the plant?
Y
N

Y
N

Contact with sharp or flying objects? (e.g. work
pieces being ejected)
The mobility of the plant?
Y
N

Inappropriate parts and accessories being used?
Y
N

Other
Y
N
Control Measures
Risk
Level
Impact and Cutting Injuries
Can anyone be crushed/cut/struck etc. due to:

Description of Risk
The use of the leaf blower may
cause leaves and other flying
debris to enter the eyes of the
operator or bystanders.
Make sure the operator uses
appropriate PPE (e.g. safety
glasses).
Make sure the equipment is only
operated during times of low
pedestrian traffic (e.g. outside
school hours).
Minor
Unlikely
Low
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Procedure No: DEE EHU 10-2-1
Authorised By: Manager EHU
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Review Date: April 2013
Hazards Inspected
Page Number: 4 of 9
Risk Assessment
Cons
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:

Live electrical conductors? (e.g. exposed wires)

Working in close proximity to electrical conductors?

Access to electricity?

Damaged or poorly maintained electrical leads,
cables or switches?

Water near electrical equipment?

Lack of isolation procedures?

Other
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Like
Risk
Level
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Description of Risk
Control Measures
Procedure No: DEE EHU 10-2-1
Authorised By: Manager EHU
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Review Date: April 2013
Page Number: 5 of 9
Hazards Inspected
Risk Assessment
Cons
Like
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)
Is the location of the plant inappropriate? (Consider
potential affects due to environmental conditions and
terrain)
Other


Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Control Measures
Risk
Level
ERGONOMICS
Can anyone be injured due to:

Description of Risk
The use of the equipment may
involve repetitive body
movements and awkward
positions.
Minor
Unlikely
Low
Minor
Unlikely
Low
The electric lead or extension
cord may pose a slip/trip hazard.
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Take regular breaks if the task
entails long duration time.
Make sure equipment is only
operated during times of low
pedestrian traffic (e.g. outside
school hours).
Procedure No: DEE EHU 10-2-1
Authorised By: Manager EHU
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Review Date: April 2013
Page Number: 6 of 9
Hazards Inspected
Risk Assessment
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:
 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?
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).
 Can anyone be injured as a result of the plant not
serviced appropriately and/or maintained in line with
manufacturer’s recommendations?
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Minor
Like
Risk
Level
Possible
Moderate
Description of Risk
Engine noise , with extended
use, may raise risk levels
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Control Measures
Make sure appropriate PPE is used
(ie Hearing protection)
Procedure No: DEE EHU 10-2-1
Authorised By: Manager EHU
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Review Date: April 2013
Hazards Inspected
Page Number: 7 of 9
Risk Assessment
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

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
Like
Description of Risk
Control Measures
Risk
Level
Moderate
Possible
High
Moderate
Possible
High
Moderate
Possible
High
Moderate
Possible
High
Moderate
Possible
High
Due to equipment being
operated outdoors and in a
diverse range of environments
there may be a slip, trip and falls
risk to the operator.
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Operator to inspect work
environment for hazards prior to
commencing work.
Make sure appropriate footwear is
worn whilst operating the leaf
blower.
Procedure No: DEE EHU 10-2-1
Authorised By: Manager EHU
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Review Date: April 2013
Page Number: 8 of 9
Hazards Inspected
Risk Assessment
Cons
FIRE AND EXPLOSION
Can anyone be injured by fire?

Y
N
Y
N
Y
N
Y
N
Y
N
Major
Like
Risk
Level
Possible
Extreme
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?
The leaf blower saw produces
exhaust fumes which can build
up over time in an enclosed
space.
N
Y
N
Minor
Possible
Moderate
Minor
Possible
Moderate
Toxic gases or vapours?

Fumes/Dusts?
Y
N

Other? (please specify)
Y
N
The storage and handling of
petrol (e.g. refuelling) may pose
a risk of fire and explosion to the
operator.
Control Measures
Make sure fuel is appropriately
stored (e.g. away from ignition
sources in a locked storage area).
Make sure refuelling is completed
in a safe manner (e.g. equipment is
switched off, away from ignition
sources etc).
Y

Description of Risk
Operation of the leaf blower
causes dust and other debris to
become airborne.
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Make sure the leaf blower is only
operated where there is adequate
ventilation.
Procedure No: DEE EHU 10-2-1
Authorised By: Manager EHU
Title: Plant and Equipment Risk Management Form
Issue Date: April 2011
Review Date: April 2013
Page Number: 9 of 9
4. Risk Assessment Signoff
Authorised By:
Signature:
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Date: