Be Safe

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Stop and Think

• What are the activities involved in completing my task? Is there an existing Risk Assessment ? If so , have l reviewed? What are the risks l am facing? What can l do to minimise my risk? What's changed since the last time l performed this task?

Assess your Risks

• Splash Hazards

• Mechanical / Pinch Points

• Lifting/Turning/Fall

• Confined Space

• Pressure

• Contact Hazards

• Slippery or wet surfaces

• Chemical Exposure

• Pushing / Pulling

• Working at Heights (>1.2 m)

• Electrical

• Other Energy Sources

• Chemical Compatibility

• Roof Top Hazards

• Extreme Temperatures

• Other

Familiarise Yourself

• Exit

• Eye Wash

• Safety Shower

• Moving Objects (on Floor , Overhead)

• Emergency Alert System

• Evacuation Route / Assembly Point

• Trip Hazards

• Closest Personnel - Do they know where you are?

• Other

Establish a Plan

• What PPE is required?

• Safety Boots

• Safety Goggles/Glasses

• Protective Clothing / Hi Vis

• Hard Hat

• Hearing Protection

• Other

• Do l have the appropriate permits?

  Yes

  No

  N/A

• Have l completed appropriate checks?<br>(LOTO, Confined space, etc

  Yes

  No

  N/A

• Do l need a safety watch?

  Yes

  No

  N/A

• Did l clear my work area of all hazards?

  Yes

  No

  N/A

• Other

• Actions taken to minimise or eliminate hazards?