Title Page

  • Site conducted

  • Department

  • Conducted on

  • Prepared by

  • Team Members

  • Location

CRA - Zero-In

Zoom-In

  • What is happening around me?

  • What is the exact task at hand?

  • Who is involved?

  • Where is it done?

  • Do I have all of the equipment, tools & assistance I need?

Evaluate

  • What are the hazards related to the task, tools and area?

  • Is the equipment safe to work on?

  • What can go wrong?

  • How can it hurt?

  • How can I prevent it?

Reaffirm

  • What LSB's do I need to practice so I don't get hurt?

  • What CSB's do I need to practice so i don't get hurt?

  • What critical controls are needed?

  • Are these controls in place & Effective?

  • Is it safe to continue?

Opportunity

  • Stop if Unsafe

  • Correct Deviations

  • Improve controls and reduce risk

  • Ask for help

  • Report concerns or improvements

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.