ABB Ltd Robotics - STOP Work

• Document No.

• Client / Site

• Issue Date

  Date

• Prepared by

• Location
  Address

Stop Work Form This form is to record action taken to stop work due to safety issues / concerns. Discuss these concerns with the client and try to resolve successful. Don't Look the Other Way

• If possible take a picture of the cell / location / area of work / situation causing the Stop Work Action.

  Media

• Describe the Stop Work Situation

• Add Sketch here if required.

  Drawing

• Can the situation be made safe?

  Yes

  No

  N/A

• Confirm that you are stoping the work

• Describe actions to make activity safe

• Confirm that it is safe to continue work

• Has a representative of the customer been made aware? If Possible get customer to sign to show agreement to stop work.<br>Record any further relevant details, photos etc.

  Yes

  No

  N/A

• Inform Customer. Record details of who you have informed.

• Customer Signature if Possible

  Sign

• Record details of who you have informed

• Customer Signature if Possible

  Sign

• Record details of any agreed actions to be taken

• Signature

  Sign