A machinery risk assessment template is the format in which the document is drafted that helps to assess the risk factor of a machine in a plant or an organization. The template contains questions on detail like the working conditions of the machine and whether it has history of undergoing repairs and the how old is the machine. Since this document lays down the format, it becomes easy for users to fill in their personal details and content in the spaces provided. One can say that a machinery risk assessment template is self explanatory and can be used readily and executed on quick time basis. The main use of such templates is thus to save time as well as money. If you are looking for a sample of any assessment template, this website is the right place for you.
You can Download the Free Machinery Risk Assessment Template form, customize it according to your needs and Print. Machinery Risk Assessment Template is either in MS Word, Excel or in PDF.
Sample Machinery Risk Assessment Template
Machinery Risk Assessment Template
Download Machinery Risk Assessment Template
Organization name: ____________ [name of the organization using the machine]
Department: ________________ [department in which the machine is located]
Manufacturer: ____________
Machine number: _______________
Model number: ____________
Machine details: __________________ [purpose of using the machine]
- How old is the machine? ____________ [total number of years or months]
- How frequently is the machine used? _____________[ usage of the machinery]]
- Is an emergency stop button available for the machine? _______________ [yes or no]
- Has the machine undergone any repairs, be specific? __________________[ give the details regarding the repairs of the machine]
- Has any injuries been reported caused by the machine? ________________ [yes or no]
Risk assessment conducted by: ________________ [name]
_____________________ Dated: _________________
Signature [date of assessment]
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