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1. Form Identification: Form number, date, location, and evaluator details
2. Machine Information: Basic details including machine type, make, model, serial number, and year of manufacture
3. Physical Inspection: Assessment of machine's physical condition, including structural integrity, wear and tear, and visible damage
4. Safety Features Assessment: Evaluation of all safety mechanisms, guards, emergency stops, and warning systems
5. Operational Assessment: Evaluation of machine function, performance, and operational parameters
6. Compliance Check: Verification of compliance with relevant Australian Standards and regulations
7. Risk Assessment: Identification and evaluation of potential hazards and risks associated with the machine
8. Maintenance Review: Review of maintenance history and current maintenance requirements
9. Testing Results: Documentation of any tests performed and their results
10. Recommendations: Summary of findings and specific recommendations for action
1. Electrical Safety Assessment: Detailed evaluation of electrical systems and safety - required for electrically powered machinery
2. Noise Assessment: Evaluation of noise levels and compliance with noise regulations - required for machines with significant noise output
3. Environmental Impact: Assessment of environmental factors such as emissions or waste - required for machines with potential environmental impact
4. Operator Feedback: Input from machine operators about performance and safety concerns - recommended for frequently used machinery
5. Cost Analysis: Assessment of operating costs and efficiency - optional for budget planning purposes
1. Appendix A - Inspection Checklist: Detailed checklist of all inspection points covered during the evaluation
2. Appendix B - Test Results: Detailed technical data and test results from any measurements or specific tests performed
3. Appendix C - Photo Documentation: Photographs of key machine components, safety features, and any identified issues
4. Appendix D - Maintenance Records: Copies or summary of relevant maintenance history and scheduled maintenance requirements
5. Schedule 1 - Applicable Standards: List of relevant Australian Standards and regulations applicable to the specific machine
6. Schedule 2 - Risk Matrix: Risk assessment matrix and detailed risk ratings for identified hazards
Australian Standards
Competent Person
Control Measures
Critical Safety Feature
Designated Operator
Emergency Stop System
Equipment Classification
Evaluation Period
Guarding System
Hazard
Inspection Date
Interlocking Device
Machine
Machine Components
Maintenance Record
Manufacturer's Specifications
Non-Compliance
Operating Parameters
Personal Protective Equipment
Plant
Preventive Maintenance
Risk Assessment
Risk Control
Safe Operating Procedure
Safety Control System
Safety Device
Technical Documentation
Test Results
Workplace
Inspection Details
Safety Compliance
Risk Assessment
Operational Testing
Maintenance Requirements
Performance Standards
Regulatory Compliance
Documentation Requirements
Technical Specifications
Emergency Systems
Guarding and Protection
Environmental Conditions
Operating Parameters
Certification Requirements
Testing Procedures
Evaluation Criteria
Corrective Actions
Record Keeping
Sign-off Requirements
Manufacturing
Mining
Construction
Agriculture
Food Processing
Warehousing and Logistics
Automotive
Aerospace
Chemical Processing
Pharmaceuticals
Textile Industry
Printing and Publishing
Metal Fabrication
Wood Processing
Waste Management
Operations
Maintenance
Health and Safety
Quality Assurance
Engineering
Facilities Management
Risk Management
Technical Services
Production
Compliance
Maintenance Engineer
Safety Inspector
Plant Manager
Compliance Officer
Operations Manager
Mechanical Engineer
Quality Control Manager
Risk Assessment Specialist
Equipment Technician
Industrial Safety Consultant
Workplace Health and Safety Officer
Production Supervisor
Facilities Manager
Technical Operations Director
Manufacturing Engineer
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