Title Page

  • Technicians Name

  • Conducted on

  • Job Details

  • DRA
  • Store Location

  • Discipline

  • Job Number

  • Location Of Work

  • Task description

  • Tools and Equipment Required For Task

  • Other Tools or Equipment Required

  • Identified Hazards

  • Other Identified Hazards eg: (Asbestos, sub zero working conditions, lack of lighting etc...)

  • Control Measures - Risk Assesments

OTHER CONTROL MEASURES

  • Add additional control measures eg: (Barriers, safety signage, task lighting, familiarisation with local fire procedures etc...)

  • Any additional work permits required

  • permit required
  • Work permits

  • Media copy of permits

2

  • Managers authorisation signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.