1
WORK EQUIPMENT CHANGE SAFETY ASSESSMENT
Section 1
Work Equipment Title
Work Equipment Group
Work Equipment Intended Use
Explanation of change
Deployment Date
Project Manager (contact
details)
CHANGE SAFETY ASSESSMENT
Tray Holder with Pedal System
Machinery
Sorting
From manual operation to Mechanical
operation
01st July 2013
Marcus Austin
NATIONAL
GEOGRAPHY
(name)
Work equipment area of use
Section 2
UNIT (name)
West
Bristol Mail Centre
PROHIBITED CHANGE ACTIVITY
Will the change impact on any of the following:
Work Equipment Guarding (Primarily machinery guarding)
Computers or VDU’s, including all software & hardware
Electrical Systems and any power supplies
Machinery Controls
Address Interpretation Systems
Safety Systems such as interlocks, emergency stops, signs
Machines under warranty
Introducing substances to machinery hazardous to health
Lifts and lifting equipment inc mechanical handling equipment
Road vehicles
Section 3
Work Equipment Photograph
Yes/No
NO
NO
NO
NO
NO
NO
N/A
NO
NO
NO
(Yes)
If ‘Yes’ STOP do not
progress. Only complete
the modification with the
authorisation of the
Subject Matter Expert
(SME) Advice on
identifying SME’s is
available in the guidance
document to this process
(No)
If ‘No’
Progress to
Step 3
CHANGE - JUSTIFICATION
Description of change activity Manual operation to mechanical operation
and improvement opportunity
Monitoring Period used to justify the need for Change?
From:
01st July 13
To:
01st Oct 13
Yes/No
Target Benefit?
Achieved Y/N?
Safety?
Yes
Zero accidents
Legal?
No
Benefits from the
Financial?
Yes
Achieve BC ratio
Work Equipment
Quality?
Yes
0 RFID loss
Change Activity
Performance?
Yes
Item per work hours
Equipment Availability? Yes
100%
Other? (Describe)
No
During a trial the benefits of any change must be monitored for 90 days. This will prove the effectiveness of the
change so it can be horizontally expanded outside the initiating unit or show if the change needs to be reversed.
Is the change reversible? (It must be possible to
N/A
Explain: New Equipment
return the work equipment to its original state)
Section 4
CHANGE - ACTIVITY
What change activity is involved?
New Work Equipment, whether purchased, hired, or leased,
even on a temporary basis
Modification to Work Equipment even on a temporary basis
(As defined in the guidance document)
Replacement of a component where the replacement isn’t
like-for-like
Change of use for the Work Equipment
Work Equipment Change Safety Assessment
Yes/No
New
equipm
ent
No
No
No
(Yes)
(No)
If any option is
‘Yes’ progress with
the Work
Equipment Change
Safety Assessment
If all options are ‘No’
there is no need to
progress with the
Work Equipment
Change Safety
Assessment
Template Owner: S. White
Version: 4.0
Date: Nov 2012
2
Significant change of workplace layout due to relocation of
fixed Work Equipment or mechanised equipment
Change of environmental in which the equipment is
designed to operate
Section 5
Yes
No
CHANGE - SIGNIFICANCE
Indicate all that apply and complete all relevant assessments
Yes?
If Yes
Which is new or the change impacts on the safety systems,
No
Step 6 (1) Applies
controls, powered elements or it’s sufficiently close to the powered
Powered Work
elements/moving parts to constitute a significant risk.
Equipment
Which is not new and the change does not impact on the safety
No
Step 6 (3) Applies
systems, controls, powered elements or it isn’t sufficiently close to
the powered elements/moving parts to constitute a significant risk.
Non-Powered
Which is new or the change impacts on the safety systems,
Yes
Step 6 (2) Applies
Work Equipment controls, moving parts or it’s sufficiently close to the moving parts
with moving
to constitute a significant risk.
parts Exclusion,
Which is not new and the change does not impact on the safety
N/A
Step 6 (4) Applies
(see Note**)
systems, controls, moving parts or it isn’t sufficiently close to the
moving parts to constitute a significant risk.
Non-Powered Work Equipment with no moving parts Inclusion (see Note**)
No
Step 6 (5) Applies
Lifts & Lifting Work Equipment (LOLER assessments are likely for some of the above)
No
Step 6 (6) Applies
Prohibited Changed contact SME
Ergonomic Task Activities (Ergonomic task activities are likely to apply in most cases)
Yes
Step 6 (7) Applies
Note** Work equipment, where the only moving parts are wheels used to move that work equipment from one
static location to another and where those wheels are then locked in place.
Section 6
CHANGE – ASSESSMENT TYPE
Change Significance
1
Powered Work Equipment which is new or
the change impacts on the safety systems,
controls, powered elements/moving parts or
it’s sufficiently close to the powered elements
to constitute a significant risk.
Non-Powered Work Equipment with moving
parts which is new or the change impacts on
the safety systems, controls, moving parts or
it’s sufficiently close to the moving parts to
constitute a significant risk. Exclusion, see
Note**
NOTE: PUWER Assessment:
Before making this modification is the
machine/work equipment of standard
configuration &/or up to current specification
3 Powered Work Equipment which is not new
and the change does not impact on the
safety systems, controls, powered
elements/moving parts or it isn’t sufficiently
close to the powered elements to constitute
a significant risk.
4 Non-Powered Work Equipment with moving
parts which is not new and the change does
not impact on the safety systems, controls,
moving parts or it isn’t sufficiently close to
the moving parts to constitute a significant
risk.
Exclusion, see Note **
5 Non-Powered Work Equipment with no
Assessment
Required
PUWER
Assessment.
2
Work Equipment Change Safety Assessment
Yes / No
Yes
Screening
Assessment
To determine if a
PUWER
assessment and/or
Ergonomic
assessment is
required
By Whom
Complete
Appendix
(Nationally) Head of
Engineering Safety
(Geographical/Functional/Local)
Geographical/Functional
Director Safety
Appoints an assessor
(Nationally) Head of Logistics &
Facilities Management Safety
(Geographical/Functional/Local)
Geographical/Functional
Director Safety
Appoints an assessor
If ‘No’ STOP until such time as
the machine or work
equipment has been brought
up to current specification
Project Manager or
Operational Line Manager
2
If ‘Yes’
Progress
1
If in doubt how to proceed
seek advice from the local
Safety Team
Template Owner: S. White
Version: 4.0
Date: Nov 2012
3
moving parts (New or existing)
Inclusion, see Note **
Section 6 cont.
6
Lifts and Lifting Work Equipment
7
Work Equipment used to manually lift, carry,
transport or hold loads or that needs to be
manually handle
CHANGE – ASSESSMENT TYPE
Lift Operations &
Lifting Equipment
Assessment
Ergonomic
Screening
Assessment
Section 7
Head of Logistics & Facilities
Management Safety appoints a
Technical Assessor or Safety
Advisor
Project Manager, Operational
Line Manager or Technical
Assessor or Safety Advisor
3
4
CHANGE – IMPACT
The intention is that each item of work equipment will have a Work Equipment Change Safety Assessment to assess
if it is intrinsically safe to use within Operations & Modernisation and a SAC1 (or equivalent) to determine the level of
risk that exists from hazards encountered while using the work equipment in task activities in operations.
Yes/No
(Yes)
(No)
What impact does the change have on the SAC1?
Is the Work Equipment new and will operator task activities
Yes
Produce a SAC1 to
There is no need
be affected by the introduction of the work equipment?
assess task activities to produce a SAC1
If the Change is to existing Work Equipment is there the
No
Amend the existing
There is no need
potential for the Change to impact on any task activities
SAC1 or create one
to review the
associated with the use of the work equipment?
if none exists
SAC1
List the SAC1 impacted on by the change:
Manual Operation to Mechanical operation
1) SAC1 covering operational use of Work Equipment
(where equipment is introduced as a stand alone item)
2) Project SAC1 (when work equipment is introduced as
part of a wider project related to a new procedure)
Section 8
LIST ANY INPUT RECEIVED AND FROM WHO
STAKEHOLDERS
Names and contact details
(Where applicable)
Unit Manager (Unit Level Work Equipment Change)
Safety Lead
Geographical Director Safety (GDS)
Head of Logistics & Facilities Management Safety
National Asset Team (introduction of or change to assets)
Head of Engineering Safety
Subject Matter Expert (SME)
PUWER Assessor
LOLER Assessor
Ergonomic Assessor
Other (specify)
Other (specify)
LIST STAKEHOLDERS SUPPLYING INPUT &/or
BEING CONSULTED (For National, Geographical & Unit
Anthony Thorne
Mike Lewis
Steve Hills (Local)
Del Roffey
Arzu Keskin
Robert Paterson/Glen Thomson
Jane Dillon
Names and contact details
(Where applicable)
Level Work Equipment Change)
UNITE (National)
UNITE (Local or Geographical)
CWU (National)
CWU (Local of Geographical) (Ops &/or Engineering)
Date input
received
Date
consulted
&/or input
received
David M Ferris
Mike Hanley
Other (specify)
Work Equipment Change Safety Assessment
Template Owner: S. White
Version: 4.0
Date: Nov 2012
4
Section 9
WORK EQUIPMENT CHANGE SAFETY ASSESSMENT
I can confirm that I have the appropriate level of competency, in terms of knowledge and experience of completing
other assessments, to allow me to sign off this Work Equipment Change Safety Assessment. I can confirm that on
completion of the assessment and associated specialist assessments that provided all outstanding actions are
completed and no significant risks are identified and still outstanding that this work equipment is fit for purpose and
the intended use to which it will be put within the Business, and that the user of the work equipment or persons who
may be affected by its use have been safeguarded from any risks
Project Manager or
Operational Line Manager
Name
Marcus Austin
Date
Signature
(Not valid unless signed)
Project Managers should:
• Sign the Work Equipment Change Safety Assessment in all case and retain a copy of it and all appendices
• Forward copies as appropriate:
Local Projects
- The Unit Manager
Geographical Projects - The Geographical Director Safety
National Projects
- Head of Logistics & Facilities Management Safety (Non-Powered Equipment)
- Head of Engineering Safety (Powered Equipment)
- SME (For change specific to areas of Prohibited Change)
PROCESS CONCURRENCE
NATIONAL DEPLOYMENTS & CHANGE involving PUWER & LOLER
Name
Date
Signature
Head of Logistics & FM Safety
(Non-Powered)
OR
Name
Date
Signature
Head of Engineering Safety
(Powered)
GEOGRAPHICAL or FUNCTIONAL or UNIT DEPLOYMENTS & CHANGE involving PUWER & LOLER
(Powered & Non Powered)
Name
Date
Signature
Geographical Director Safety
Mike Lewis
PROHIBITED CHANGE ACTIVITY or SME DEPLOYMENTS & CHANGE involving PUWER & LOLER
& / OR
Name
Date
Signature
Subject Matter Expert (SME)
POWERED WORK EQUIPMENT & LIFT WORK EQUIPMENT DEPLOYMENTS & CHANGE
Name
Date
Signature
Assets Supply Chain Manager
(Where it is applicable the Process Concurrence is not valid unless signed by at least one of the above)
WORK EQUIPMENT CHANGE SAFETY ASSESSMENT APPENDICIES
1. Work Equipment
Screening
Assessment
2. PUWER
Assessment (NonPowered Equipment)
Work Equipment
Screening Assessmen
For Non Powered Equipment
Technical Assessors or Safety
Advisor should use this PUWER
Assessment
PUWER Assessment
v1.6
2. PUWER
Assessment
(Powered
Equipment)
3. LOLER
Assessment
4. Ergonomic
Screening
Assessment
For Powered Equipment
Technical Assessors should
use the PUWER Assessment
Tool provided by Engineering
LOLER Assessment
v1.2
Ergonomic Screening
Assessment v1.2
(All assessments must be signed and attached where they are required )
Work Equipment Change Safety Assessment
Template Owner: S. White
Version: 4.0
Date: Nov 2012