Title Page

  • Conducted on

TAKE 3 SAFETY CHECKLIST

General Information

  • Conducted on

  • Name/s

  • Task

Think Through the Task

  • Work Scope Undestood?

  • SWI / JSA Available?

  • Work Permits Obtained?

  • Correct PPE?

  • Equipment In Good Order?

Hazards Report and Contol

    Hazards
  • Spot the Hazard

  • High Risk

  • Medium Risk

  • Low Risk

  • Insert Photo of Hazard (optional)

  • Hazard Control Measures

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.