ARTESIS AMT RISK ASSESSMENT FORM
DATE: ……/……/……..
ARTESIS JOB #…………………………….
CUSTOMER REFERENCE #………………………………..
WORK DESCRIPTION: ONLINE ‐ AMT TOOLKIT TESTING
HAZARD IDENTIFICATION
PLANT AND EQUIPMENT
MECHANICAL
Trapping
Impact
Contact
Entanglement
Projectile
ELECTRICAL
X
Electrocution
Ionization
Fire
Explosion
THERMAL
Burns
Scalds
Extreme Cold
Extreme Heat
STORED ENERGY
Pressure
Springs
Capacitance
Suspended Loads
OTHER
X
Noise
Vibration
Overloading
X Stability
ISOLATION POINTS
X
PTW/ACCESS
X
Controls Verified
X Document Corresponds to Work Scope
MATERIAL AND SUBSTANCES
FIRE / EXPLOSION
Dust Explosion
Combustion
Hot Work
Flammable Substance
Ignition Source
Oxidizing Substances
HEALTH HAZARDS
Particles
Fume
Vapors
Gasses
Mists
Asphyxiant
Ingestion
Arc Eye
Bacterial
Chemicals
PLACE OF WORK / WORKING ENVIRONMENT
Confined Space
Working Height
Stacking / Storing
Work Over Water
Escape Plan
Ventilation
Pedestrian Access
Restricted Access
Heat Exhaustion
Frost Bite
Lighting Levels
Lifting Equipment
Working above Plant / People
WORK ORGANISATION
Monotony
Stress
Work Load
Time / Commercial
Operator Competency
ENVIRONMENTAL IMPACTS
COSHH
Waste Disposal
Emission
Spill Management
METHODS OF WORK
X
Method Statement
SOP’s
SMP’s
X Risk Assessment
Manual Handling
Posture
Restricted Access
Restricted Movement
PS.01 FR.19 REV:00
ARTESIS AMT Toolkit Risk Assessment Form