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Machine safety risk assessment template

Machine safety risk assessment template

This template guides you through identifying and managing risks associated with machinery. It covers hazard identification, risk evaluation, and action planning.

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The Lumiform application helps frontline teams uphold internal standards effortlessly.
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Machine safety risk assessment template

This template guides you through identifying and managing risks associated with machinery. It covers hazard identification, risk evaluation, and action planning.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Our machine safety risk assessment template helps you systematically identify and evaluate hazards associated with your industrial equipment. Unlike general safety checklists, this template specifically guides you through evaluating mechanical, electrical, thermal, and ergonomic risks unique to machinery operations. You can quickly document potential hazards, assess their severity and likelihood, and develop targeted control measures.

According to ISO 12100 standards, proper risk assessment is essential for establishing acceptable levels of machinery safety in workplaces. When you need to introduce new equipment or modify existing machinery, this template provides the structured framework to ensure comprehensive hazard identification and mitigation planning.

Related categories

  • Health and safety management templates
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Preview of the template
Page 1
Machine Details
Machine Name
Machine ID
Location
Manufacturer
Model
Year of Manufacture
Hazard Identification
Mechanical Hazards
Electrical Hazards
Thermal Hazards
Noise Hazards
Ergonomic Hazards
Risk Assessment
Likelihood of Occurrence
Severity of Harm
Risk Level
Control Measures
Engineering Controls
Administrative Controls
Personal Protective Equipment (PPE)
Action Plan
Recommended Actions
Responsible Person
Target Completion Date

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Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

Read in-depth guides covering key topics related to this article.

Your ultimate guide to safety risk assessmentsMachine guarding: A complete guide to machine safety for companies & managersEquipment inspection: A comprehensive guide for businessesEquipment maintenance: A detailed guide to longevity and optimal performance
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Template collections

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Use cases

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Machinery safety softwareSafety risk assessment softwareEquipment maintenance software Equipment inspection software
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Other resources

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Frequently asked questions

How often should I update my machine safety risk assessment?

Update your machine safety risk assessment whenever you modify equipment, change operating procedures, or after incidents occur. Additionally, schedule regular reviews at least annually to capture gradual changes in equipment condition or usage patterns. Some high-risk machinery may require more frequent assessments based on manufacturer recommendations or regulatory requirements.

How detailed should the control measures section be in my machine safety assessment?

Your control measures should be specific enough that anyone could implement them without additional guidance. Include exact specifications for guards or barriers, precise procedural steps, required training content, and specific PPE models. Avoid vague directives like “install appropriate guarding” in favor of detailed, actionable instructions with clear accountability.

How do I determine the appropriate risk level for each machine hazard?

Evaluate both the severity of potential harm and the likelihood of occurrence. Consider factors like exposure frequency, possibility of avoidance, and reliability of existing safeguards. Use a consistent rating system throughout your assessment, whether numerical or descriptive. Remember that even low-probability events warrant high risk ratings if they could cause severe injury.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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