Model HIRA

Audit
 Material falling off the plant?

Safe  At Risk  N/A

 Can anyone using the plant or in the vicinity of the plant be injured due to the uncontrolled
/unexpected release of stored energy?

Safe  At Risk  N/A

 Can a person be burnt due to contact with plant or associated material that is hot due to friction or
other sources?

Safe  At Risk  N/A

 Can anyone come into contact with fluids or gases under high pressure due to failure or misuse of the
plant?

Safe  At Risk  N/A

 Can anyone be injured by explosion of gases, vapours, liquids, dusts molten metal or other substances
triggered by the operation of the plant or by material handled by the plant?

Safe  At Risk  N/A

 Can anyone be injured by electrical shock or burnt from arcing due to working in close proximity to
electrically alive conductors?

Safe  At Risk  N/A

 Can anyone using the plant or in the vicinity of the plant slip, trip or fall?

Safe  At Risk  N/A

 Do fall exposures exit?

Safe  At Risk  N/A

 If task requires isolation can anyone be injured due to isolations?

Safe  At Risk  N/A

 Is anyone using the plant or in the vicinity of the plant exposed to movements of mobile equipment?

Safe  At Risk  N/A

 Can anyone be injured due to confined spaces? I.e. lack of risk assessment, procedures other hazards.

Safe  At Risk  N/A

 Can anyone be injured due to guards, barricades and shields not installed/ poor condition or exposed?

Safe  At Risk  N/A

 Can anyone be injured due to poor ergonomics?

Safe  At Risk  N/A

 Can anyone be affected by noise?

Safe  At Risk  N/A

 Can anyone be injured due to restricted space, inadequate emergency stops or poor access or exit
from plant or equipment?

Safe  At Risk  N/A

 Are personnel exposed to risk due to lack of emergency exits, fire extinguishers, fire detection
systems to training?

Safe  At Risk  N/A

 Can anyone be suffocated due to lack of oxygen, atmospheric conditions, temperature extremes or
radiation?
 Safe  At Risk  N/A
 Can anyone be affected due to exposure to dusts, fumes, asbestos or other chemicals?

Safe  At Risk  N/A

 Are permits required for any work completed?

Safe  At Risk  N/A

 Is there potential for air emission? (dusts, fumes, gas, odour or vapour)

Safe  At Risk  N/A

 Construction Manager Approval

Yes  No  N/A