21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Risk Matrix
Consequences
Assessment Date:
Assessment Number:
Plant Type: Vacuum Excavator
Plant Make: Hino
Plant Model: GH Series
Asset/Fleet/Rego No: 410SLY
Plant Serial No: JHDFG1JSPXXX10024
Assessment Facilitated by: Dan Bennett (Operations Manager)
Signature: ____________________________ Date: __________________________
Likelihood or Probability
People
Almost
Certain
(expected)
Likely
(will
probably
occur)
Moderate
(might occur –
has
happened)
Unlikely
(could occur
– known to
happen)
Rare
(practically
impossible)
No Incident or
First Aid Injury
High
Medium
Low
Low
Low
15
19
22
24
25
Medical Treatment
High
High
Medium
Low
Low
10
14
18
21
23
Extreme
High
High
Medium
Medium
6
9
13
17
20
Serious or
Permanent Injury
Extreme
Extreme
Extreme
High
High
3
5
8
12
16
Fatality
Extreme
Extreme
Extreme
Extreme
High
1
2
4
7
11
Assessment Participants: Michael Vidler (Director) Geoff Campbell (Plant Operator)
Signature: ____________________
_______________________
Date: ____________________
_______________________
Alternate Work or
Lost Time Injury
Plant Owner Name: Safe Dig Vacuum Excavation
Initial Assessment
Yes
Follow up Assessment (See below)
Follow up based on change to: Use of plant
System of work
Plant Environment
New or additional information
Plant through modification
Any hazard assessed as presenting a low and/or medium risk level will be controlled using a combination of controls as appropriate.
Any hazard assessed as presenting a high risk level must be controlled using a combination of at least one engineering control and lower level controls as appropriate. Where this is not possible, Workplace Manager consultation must take place.
Any hazard assessed as presenting an extreme risk level will be controlled using elimination and engineering as the primary source of controls. Where this is not possible, Workplace Manager consultation must take place.
Is the plant designed to perform the task?
Yes
No
Yes
Has the plant been modified from the original condition?
Yes
No
No
Is the plant in good working condition and free of weeds & mud?
Yes
No
Yes
All identified action items closed out/addressed (plant checks)?
Yes
No
Yes
Plant Hazard Assessment - Vacuum Excavation Plant
Safe Dig Vacuum Excavation
Page 1 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Equipment:
Specifications:
Equipment Category
Vacuum Excavation Plant
Equipment Type
Vacuum Excavation Truck
Equipment Make/Model
Hino GH Series
Engine Make/Model
Hino/Ring-o-matic
Individual Plant Details:
Plant Number
Vacuum Truck 1
Serial/VIN Number
JHDFG1JSPXXX10024
Year Of Manufacturer
2003
Registration Number:
410SLY
ROPS/FOPS Serial No.
Not Applicable for this vehicle
Transport size/ weight:
Overall Length
9130mm
Overall Width
2400mm
Height
2680mm
Transport Weight GVM
15 Tonnes
Transport Requirements
Vacuum Tank
Plant Hazard Assessment - Vacuum Excavation Plant
Maximum Slide Slope
Motive Power
Up to 20%
Unit 56HP/12 Volt System
Fuel consumption, tank
capacity
Waste Capacity
Max Speed - Low (or work)
gear
Turning radius - inside
130 Litres
5000 Litres
0-100 (work site 20km
max)
21metres
Max. Mass (load weight)
ROPS
Maximum working PSI
Noise Reading
5720Kg
Not Applicable
2900PSI@25LPM
82Db
Attachment Details:
Description
Vacuum Tank
Year of Manufacturer
June 2011
Serial Number
1300SJSMB010H
Safe Dig Vacuum Excavation
Page 2 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
1.
Are there any
specific warnings or
conditions
(manufactures or
other) relating to
potential hazards
from the operation of
the item of plant?
Y
Vacuum hose stuck on surface
Y
Reversing Plant
Turn shut off Key to off
position- located on control
panel
Second operator / safety observer
23
13
 Refer to technical or
operating manuals, SOPs,
safe use instructions
 List any relevant safety
warning hazards & controls
2.
Operations
Manager
Dan Bennett
20/03/2012
Action
Verified
as
Complete:
(Name and
Date)
Operations
Manager
Dan
Bennett
20/03/2012
Are there any
COMMUNICATION
requirements in
relation to the safe
operation of the
plant?
 Active signalling processes.
 Point to point
communications.
 Whistle
 Spotter (with/without
whistles)
 Flag signalling
 Labels and signage
Plant Hazard Assessment - Vacuum Excavation Plant
Reverse sounder and
flashing beacons on vehicle
23
Safe Dig Vacuum Excavation
23
Operations
Manager
Dan
Bennett
20/03/2012
Page 3 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
3.
(Name and
Date)
Can anyone be
ENTANGLED in the
plant?
 Hair or other body parts
caught in moving parts
 PPE caught in moving parts
 Isolation devices
 Warning decals
 Guarding
 Rotating parts
 Emergency stops
5.
Action
Verified
as
Complete:
Y
Vacuum hose caught on surface
Turn shut off Key to off
position- located on control
panel
Y
Slipping while getting or off the
work platform which may include
becoming entangled in moving
parts
Turn shut off Key to off
position- located on control
panel before climbing onto the
plant.
Use stairs, handrail and three
points of contact.
Plant not to be accessed in
wet or muddy conditions
23
23
23
23
Operations
Manager
Dan
Bennett
20/03/2012
Can anyone fall or be
injured getting on or
off the plant?
 Uneven surface
 Weather conditions
 Slippery surfaces e.g. mud,
oil, fuel etc
 Tread, steps, ladders or
platform condition
 Falls to another level
 PPE caught in moving parts
Plant Hazard Assessment - Vacuum Excavation Plant
Safe Dig Vacuum Excavation
Operations
Manager
Dan
Bennett
20/03/2012
Page 4 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
6.
Can anybody fall
from the work
platform of the
plant?
 Uneven surface
 Weather conditions
 Slippery surfaces e.g. mud,
oil, fuel etc
 Rails
 Falls to another level
 PPE caught in moving parts
Slipping from platform of plant
Y
Plant Hazard Assessment - Vacuum Excavation Plant
Railings and non-slip platform
used in fabrication of work
platform.
Plant not to be accessed in
wet or muddy conditions
23
Safe Dig Vacuum Excavation
23
Action
Verified
as
Complete:
(Name and
Date)
Operations
Manager
Dan
Bennett
20/03/2012
Page 5 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
7.


















Can anyone be
CRUSHED or
TRAPPED? (e.g.
through unexpected
movement, lack of
capability for plant or
equipment to be
slowed, stopped or
immobilised, plant
tipping or rolling,
being thrown from
plant)
Emergency stop (E Stop)
Service or parking brake
Battery isolator
ROPs/FOPs
Being crushed between
moving parts
Unexpected movement
Neutral Start
Reversing/travel alarm
Warning horn
Amber flashing beacon
Rear swing warning lights
Pedals non slip surface
Appropriate controls
Rear view mirror
Seat belt
Door inter locks
Crush zone decals
Guarding devices
Reversing Truck
Reverse Beeper
Flashing Beacon
Rear vision Mirrors
Reverse Lights
23
Blind spots in vehicle
Operator to check area
around truck before moving
vehicle
Lifting Cab of Truck
Plant Hazard Assessment - Vacuum Excavation Plant
(Name and
Date)
23
23
23
25
25
25
25
Y
Lifting of Truck Body
Action
Verified
as
Complete:
Operations
Manager
Dan
Bennett
20/03/2012
Body Prop (fitted as per
manufacture’s specifications)
Full Lift and engage lock
Safe Dig Vacuum Excavation
Page 6 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
8.







(Name and
Date)
Can anyone be CUT,
STABBED or
PUNCTURED?
Flying objects
Moving parts
Pinch points
Sharp edges
Isolation devices
Warning decals
Guarding
9.
Action
Verified
as
Complete:
Y
Edges or pinches / worn
camlocks
All PPE to be worn (gloves,
hard hat, steel cap boots,
goggles, long hi-vis shirt and
long pants)
Y
Vacuum hose splits
All PPE to be worn (gloves,
hard hat, steel cap boots,
goggles, long hi-vis shirt and
long pants)
12
Cam locks removed Replaced or
replaced with PVC connections
25
Operations
Manager
Dan Bennett
20/03/2012
Operations
Manager
Dan
Bennett
20/03/2012
Operations
Manager
Dan Bennett
20/03/2012
Operations
Manager
Dan
Bennett
20/03/2012
Can SHEARING
occur?
 Between two moving and
rotating parts
 Between fixed and moving
parts
 Warning decals
 Guarding
8
Hose to be replaced before
commencement of work
25
10. Can ABRASION,
TEARING or
STRETCHING occur?
 Continuous contact with
moving parts
 Warning decals
 Guarding
 Pulling/pushing
Y
Moving Vacuum hose on site
Plant Hazard Assessment - Vacuum Excavation Plant
Two man lift for over 20kgs
and does not exceed 35kg for
two men
23
Safe Dig Vacuum Excavation
23
Operations
Manager
Dan
Bennett
20/03/2012
Page 7 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
Action
Verified
as
Complete:
(Name and
Date)
11. Can anyone be
STRUCK whilst
operating the plant?








Plant disintegrating
Mobility of plant travelling
Reversing/travel alarm
Amber flashing beacon
Work pieces thrown out
Moving parts
Warning decals
Guarding
Y
Being Run Over Whilst Reversing
Reversing Beeper
Flashing Beacon
23
Y
Hazardous Vacuum Pressure
Turn shut off Key to off
position- located on control
panel
13
23
Operations
Manager
Dan
Bennett
20/03/2012
12. Can a hazardous
PRESSURE be
produced?
 Hydraulic hoses
 Radiator
 Come into contact with fluids
under high pressure
Plant Hazard Assessment - Vacuum Excavation Plant
Second operator / safety observer
Safe Dig Vacuum Excavation
23
Operations
Manager
Dan Bennett
20/03/2012
Operations
Manager
Dan
Bennett
20/03/2012
Page 8 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
Action
Verified
as
Complete:
(Name and
Date)
13. Can an ELECTRICAL
hazard be created?
 Lack of insulation
 Contact with electrical
conductors
 Poor earthing
 Water near equipment
 Lack of isolation
 Warning decals
N
14. Can an EXPLOSION
or LOSS OF
CONTENTS occur?





Gas emission,
Dusts
Vapours, lubricants
Fuel tank
Storage of Hazsub’s/DG’s
near plant
 Warning decals
 Ejection of workpiece
 Collapse or fragmentation
Y
Primary system Failed for door
Lock
Plant Hazard Assessment - Vacuum Excavation Plant
Primary door lock
18
Secondary Door Lock / Keep Vacuum
motor on to keep sealed
Safe Dig Vacuum Excavation
23
Operations
Manager
Dan Bennett
20/03/2012
Operations
Manager
Dan
Bennett
20/03/2012
Page 9 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
Action
Verified
as
Complete:
(Name and
Date)
15. Can anyone using or
near the plant SLIP,
TRIP or FALL?




Uneven surface
Falls to another level
Weather conditions
Slippery surfaces e.g. mud,
oil, fuel etc
 Tread, steps, ladders or
platform condition
Y
Slip/Trip/ Fall
Site specific Risk
Assessments
5
Y
Moving Hoses on site
Two man lift for over 20kgs
and does not exceed 35kg for
two men
Tool boxing of risks prior to
commencement
23
Operations
Manager
Dan Bennett
20/03/2012
Operations
Manager
Dan
Bennett
20/03/2012
16. Are there
ERGONOMIC MANUAL HANDLING
hazards associated
with the plant?
 Poor posture
 Repetitive or sustained
movements
 Awkward positions
 Strained movements
 Poorly designed seating
 Access and egress
 Access for maintenance
 Routine inspections and
adjustments
Plant Hazard Assessment - Vacuum Excavation Plant
23
Safe Dig Vacuum Excavation
23
Operations
Manager
Dan
Bennett
20/03/2012
Page 10 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
Action
Verified
as
Complete:
(Name and
Date)
17. Are there
ERGONOMIC OPERATING
CONTROL hazards
associated with the
plant?








Difficult to understand
Inappropriate colouring
Function not identified
Inappropriate controls &
switches
Access and egress
Labelling of controls and
indicators
Variation in operators
Operation by two or more
persons
N
18. Are there specific
requirements for
ISOLATION of
energy sources?






Hydraulic pressure
Compressed gases
Electrical feeds/capacitors
Motive power systems
Suspended loads
Operation by two or more
persons
NA
Plant Hazard Assessment - Vacuum Excavation Plant
Safe Dig Vacuum Excavation
Page 11 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
19. Can unplanned
LOSS of POWER
create a hazard?





Engine shutdown
Loss of electrical supply
Loss of steering systems
Ability to apply brakes and
stop
Ability to lower suspended
loads
Y
Loss Of Power
Hand Brake
Chocks
Battery Isolation
25
25
Confined Space
Lack of oxygen
Would not enter until
Testing Air with gas
Detector
25
25
Y
Action
Verified
as
Complete:
(Name and
Date)
Operations
Manager
Dan
Bennett
20/03/2012
20. Can anyone be
SUFFOCATED?




Lack of oxygen
Contaminated atmosphere
Confined spaces
Spaces where air flow is
inadequate
Operations
Manager
Dan
Bennett
20/03/2012
21. Does operation of
the plant cause
extreme
TEMPERATURE
changes?





Fire
Burns through conduction
Convection
Cryogenic burns
Operation in extreme heat or
cold
Y
Machinery fire/hydraulic line split
Plant Hazard Assessment - Vacuum Excavation Plant
Fire extinguisher mounted on
plant
23
If fire occurs call 000 and
contact supervisor
Safe Dig Vacuum Excavation
23
Operations
Manager
Dan
Bennett
20/03/2012
Page 12 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
Action
Verified
as
Complete:
(Name and
Date)
22. Can a FIRE occur?





Friction
Ingress of materials/fluids
Build-up of
materials/lubicants
Fuels
Fire extinguisher
Y
Machinery Fire
Fire extinguisher
Mounted on plant
23
23
Operations
Manager
Dan
Bennett
20/03/2012
If fire occurs call 000 and
contact supervisor
23. Plant mechanical
failure
Hydraulic fluid leaking
Y
Hydraulic pump mounted
inside engine room with
guards and covers
25
25
Operations
Manager
Dan
Bennett
20/03/2013
Push Emergency Stop switch
fitted along left hand side
control panel on vehicle.
Turn ignition to the off position
and remove key.
24. GPS Tracking if fitted
does it distract the
operator?
Y
Driver distracted by inappropriate
placed screens
Navman not to be fitted to
trucks
25
Operations
Manager
Dan
Bennett
20/03/2013
 Navman
Plant Hazard Assessment - Vacuum Excavation Plant
25
Safe Dig Vacuum Excavation
Page 13 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
25. Can certain
WEATHER
conditions create a
hazard?
Y
Heat (Heat Stress)
Air conditioner
5
Heat Stress Training
Truck Has Drinking Water
23
Cold (hyperthermia)
Heater
5
Discuss at prestart
23
Mechanical maintenance issues
may lead to level of excessive
vibration from plant including
hoses
Push Emergency Stop switch
fitted along left hand side
control panel on vehicle.
25
 Hypothermia / extreme cold
 Heat stroke / extreme hot

Operations
Manager
Dan Bennett
15/03/11
Action
Verified
as
Complete:
(Name and
Date)
Operations
Manager
Dan
Bennett
20/03/2012
26. Does VIBRATION of
the plant create a
hazard?
 Plant becomes unstable
 Causes physical problems
for the operator whilst
operating
 Vibration of equipment
 Operation could cause
unacceptable vibration levels
in nearby structures
Y
Plant Hazard Assessment - Vacuum Excavation Plant
25
Operations
Manager
Dan
Bennett
20/03/2012
Turn ignition to the off position
and remove key.
Contact Head Office to
arrange repairs
Safe Dig Vacuum Excavation
Page 14 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
Action
Verified
as
Complete:
(Name and
Date)
27. Can the plant emit
toxic FUMES or
VAPOURS?
 Exhaust fumes
 Chemicals
 Hazsub’s/DGs
Y
Emission exhausts fumes from
the vehicle
Exhaust exits rear of vehicle
as per manufacture’s
specifications
25
25
Operations
Manager
Dan
Bennett
20/03/2012
28. Carry out the NOISE
survey on page 9. Is
the plant noisy?
 Emit >82 dBA at the operator
 Effects operator
communication
 Noise impacts on community
during out-of-hours work
(including reversing beepers)
N
Plant Hazard Assessment - Vacuum Excavation Plant
Safe Dig Vacuum Excavation
Page 15 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
Action
Verified
as
Complete:
(Name and
Date)
29. Carry out the LIGHT
survey on page 9. Is
there poor visibility




At the controls
At the task
Darkens surrounding areas
Light impacts on community
or sensitive natural
environment during out-ofhours work
30. Does the plant emit
RADIATION?
N/A
N
 Eg X-rays
 EMR
 Laser
Plant Hazard Assessment - Vacuum Excavation Plant
Safe Dig Vacuum Excavation
Page 16 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
Action
Verified
as
Complete:
(Name and
Date)
31. Can operation of the
plant create DUST?




Explosive atmosphere
Breathing hazard
Reduced visibility
Nuisance dust at nearby
community
Y
Blocked bag house filter
Clean out filter as per steps
from the ring-o-matic users’
manual
23
23
Vehicle could become unstable if
working on uneven/unstable
ground
Plant is to be setup on stable
ground
23
23
Operations
Manager
Dan
Bennett
20/03/2012
32. Can the plant
become UNSTABLE
during operation?
 Working on uneven /
unstable ground
 Shifting load
 Lack of plant support
 Outriggers
Y
Plant Hazard Assessment - Vacuum Excavation Plant
Safe Dig Vacuum Excavation
Operations
Manager
Dan
Bennett
26/03/2012
Page 17 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
Action
Verified
as
Complete:
(Name and
Date)
33. Batteries are they
covered?
Y
Batteries in Vehicle exploding
Batteries are mounted under
vac unit in a well-ventilated
area
25
Y
Lights or Indicators to stop
working and operator has to
cease work
Operators are to complete
daily vehicle checklist before
commencement of work.
25
25
Operations
Manager
Dan
Bennett
20/03/2013
34. Indicators e.g. lights
etc.
Plant Hazard Assessment - Vacuum Excavation Plant
If any maintenance is required contact
Head Office and repairs will be carried
out by trained personnel only.
Safe Dig Vacuum Excavation
25
Operations
Manager
Dan Bennett
20/03/2013
Operations
Manager
Dan
Bennett
20/03/2013
Page 18 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
Action
Verified
as
Complete:
(Name and
Date)
35. Could LOSS of LOAD
occur?
 Failure of ropes/slings
 Overloading
 Entanglement in surrounding
structures
 Maintenance requirements
Y
Loss of Hydraulics
Hydraulic locks
3
Secondary controls
23
Operations
Manager
Dan Bennett
20/03/2012
Operations
Manager
Dan
Bennett
20/03/2012
Y
Work Site
Site Specific Hazard
Assessment e.g. add into the
comments section on Risk
Assessment on page 26.
18
Plant Hazard assessment
25
Operations
Manager
Dan Bennett
20/03/2012
Operations
Manager
Dan
Bennett
20/03/2012
36. Is there anything in
the SURROUNDING
ENVIRONMENT that
may produce a
hazard?







Power lines
Low ceiling
Other plant
Storage areas
Co-located equipment
Isolation requirements
Potential for flash flooding if
operating adjacent to
waterways
 Operating in known areas of
weeds, pathogens or
contamination
 Operating in sensitive
environments requiring
protection from offsite
weeds/pathogens or spills
Plant Hazard Assessment - Vacuum Excavation Plant
Safe Dig Vacuum Excavation
Page 19 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
Action
Verified
as
Complete:
(Name and
Date)
37. Can CHEMICALS
create a hazard?





Leaking from plant
Splashing
Explosion
PPE considerations
Spill kit considerations
Y
Chemical Spills
EG: Deisel,Hydraulic Oil,
Grease.
Spill Kit
25
Y
Bad or reckless driving or
operation of plant
Required Drivers Licences
Three months training and
completing competency in the
field of Vacuum Excavation (
Competency Letters
available)
5
25
Operations
Manager
Dan
Bennett
20/03/2012
38. Operator TRAINING /
QUALIFICATIONS?







Training requirements
Qualification requirements
Competency assessments
Documentation
Operators manual
Equipment experience
Product knowledge
Plant Hazard Assessment - Vacuum Excavation Plant
Supervision in the field
Safe Dig Vacuum Excavation
25
Operations
Manager
Dan
Bennett
20/03/2012
Page 20 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
39. In setup, use,
operation, demob etc
is any person
exposed to Working
at HEIGHTS?
Action
Verified
as
Complete:
(Name and
Date)
N
 Fitment/removal of
counterweights
 Fitment/removal of lifting
attachments
 Re-fueling, service,
maintenance etc
 Rigging, slinging, unloading,
tarps etc
40. Sloping work angle
Y
Vehicle could roll over causing
injury to occupants or other
workers
Vehicle is to be on a
maximum of a 20 degree
angle. Driver is to assess site
before driving onto it.
25
25
25
25
Place wheel chock under
wheel when working on any
slope.
41. Vehicle accessed by
unauthorised people
Y
Vehicle could be broken into and
operated by untrained personnel
Plant Hazard Assessment - Vacuum Excavation Plant
Vehicle is to be locked and
secured with keys when
leaving the vehicle.
Safe Dig Vacuum Excavation
Operations
Manager
Dan
Bennett
20/03/2013
Operations
Manager
Dan
Bennett
20/03/2013
Page 21 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
42. Out of date Road
Registration Plate/
Label Sticker
Y
Vehicle could be out of
registration and uninsured.
Fined by police for not having
correct label on vehicle.
Registration label is to be
fitted to the windscreen of
vehicle and operator is to
complete daily vehicle
checklist
Action
Verified
as
Complete:
(Name and
Date)
25
25
Operations
Manager
Dan
Bennett
20/03/2013
25
25
Operations
Manager
Dan
Bennett
20/03/2013
25
25
43. Poor Seating
44. Failure to wear seat
belts
45. Dust and fumes
entering plant cabin
Y
Incorrect positioning may cause
driver fatigue or back strain
Seats to be adjusted as per
manufacturer’s specifications.
Driver to complete daily
vehicle checklist.
Y
If seat belts are not worn injury
could be caused to driver or
passenger
Vehicle occupants to wear
seat belt at all times when
vehicle is in motion. Seat belts
are as per manufacturer’s
specifications
Y
Poor visibility and exhaust fumes
leaking into cabin
Plant fitted with cabin door
seals as per vehicle
specifications.
25
25
Windows are to be closed and
air conditioner used to create
positive pressure inside the
cabin.
Operations
Manager
Dan
Bennett
20/03/2013
Operations
Manager
Dan
Bennett
20/03/2013
46. Vehicle breakdown
 Service schedule
Y
Vehicle could break down while
travelling
Plant Hazard Assessment - Vacuum Excavation Plant
Vehicle is to be serviced
every 15,000kms and 150
hours on the plant and record
is supplied in hard copy in the
vehicle.
23
If breakdown does occur and repair is
required contact Head Office and
repairs will be carried out by trained
personnel only.
Safe Dig Vacuum Excavation
25
Operations
Manager
Dan
Bennett
20/03/2013
Page 22 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
47. Height of the vehicle
Y
Vehicle colliding with low bridge
48. Overloading of
vehicle
Y
Vehicle height displayed on
windscreen
23
23
Overloading vehicle may result in
injury and/or failure of equipment
Maximum load is not to
exceed 5000l as per
manufacturer’s specifications.
23
23
Increased braking required when
loaded
Allow extra distance to stop
vehicle when loaded
24
24
Large tyres and wheel
assemblies explode and are
thrown violently by the force of
the escaping compressed air.
All tyres, including small units,
be inflated within a suitable
restraint and done by
authorised service personnel
only. Stay well clear of tyres.
Action
Verified
as
Complete:
(Name and
Date)
Operations
Manager
Dan
Bennett
20/03/2013
Operations
Manager
Dan
Bennett
20/03/2013
49. Braking distance
Y
Operations
Manager
Dan
Bennett
20/03/2013
50. Exploding Tyres
Y
Plant Hazard Assessment - Vacuum Excavation Plant
23
Safe Dig Vacuum Excavation
23
Operations
Manager
Dan
Bennett
20/03/2013
Page 23 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Hazard
Potential Hazards
Describe Hazard
Y
N
N/A
Controls Currently In
Place on Plant
Current
Risk
Level
New or Additional Controls
Required on Plant
Final
Risk
Level
New or
Additional
Controls
Action By:
(Name and Date)
51. High Pressure Water
Line splits/ruptures
Y
52. High Pressure Water
Blaster – Flying
Debris
53. Are there ANY
OTHER potential
hazards generated
by or during the use
of this item of plant
and/or any
attachments?
High pressure hose
splits/ruptures
Y
Flying debris/rocks/dust
Do not attempt to grab hose if
it is split or ruptured. Keep
safe distance (at least 1.5
metres from the hose).Isolate
machine e.g. hit emergency
stop button, turn ignition off.
Once isolated ensure that
anyone else on site is not
injured. If anyone is injured
immediately contact site
supervisor and other if
Contact the Operations
Manager and tag-out
plant/equipment if unsafe to
operate. Before commencing
back on site carry out SafeDig
Vehicle Checklist.
All PPE to be worn (gloves,
hard hat, steel cap boots,
goggles, long hi-vis shirt and
long pants)
23
23
23
23
Action
Verified
as
Complete:
(Name and
Date)
Operations
Manager
Dan
Bennett
20/03/2013
Operations
Manager
Dan
Bennett
20/03/2013
N
ALL OPERATORS OF THE PLANT OR EQUIPMENT MUST BE BRIEFED ON THE PLANT HAZARD ASSESSMENT (PHA) PRIOR TO FIRST TIME USE.
ANY RELEVANT CONDITIONS WHICH MAY IMPACT ON THE OPERATION OF THIS ITEM OF PLANT OR EQUIPMENT MUST BE TRANSFERRED TO THE AMS/TRA.
Plant Hazard Assessment - Vacuum Excavation Plant
Safe Dig Vacuum Excavation
Page 24 of 26
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
ABN: 51 064 081 956
Strike out if not applicable
NOISE REPORT
Equipment Type: Vacuum Excavator
Serial/Asset No. 810 RVW
Make: Hino
Model: GH Series
Test by (print): Dan Bennett
Date: 16/04/2012
Signature:
Sound Level Meter Unit Used: UT352
Manufactures specified noise level: 82.0
dBA
Background level:
78.0
dBA
Results – Operator’s Station
dBA High Idle96.2
dBA
Low Idle 65.2
LIGHTING REPORT
Test by (print):
Signature:
Lux Meter used:
Results – Operator’s station
At controls
At emergency control
In front/over task
Left side task
Right side task
Date:
Lux
Lux
Lux
Lux
Lux
(Equipment Operating)
Comments:
Comments:
Results – Bystander Position:
Front 81.1
Rear 73.8
Left 74.2
Right 77.3
Results – Surroundings:
Clearly seen by others?
Decrease lighting in walkways?
Decrease lighting to other workstations?
dBA
dBA
dBA
dBA
At 7 metres from side of equipment – Equipment Operating (High Idle)
 Yes
 Yes
 Yes
 No
 No
 No
Comments:
Comments:
Plant Hazard Assessment - Vacuum Excavation Plant
Safe Dig Vacuum Excavation
Page 25 of 26
OHSE-SDVE-V03-2013 Plant Hazard & Risk Assessment Worksheet
Review 5 –2013
21-29 Nuffield Road
GREENBANK QLD 4124
Telephone 07 3297 6639
0439 220076
ABN: 51 064 081 956
COMMENTS:
Plant Hazard Assessment - Vacuum Excavation Plant
Safe Dig Vacuum Excavation
Page 26 of 26