Daily Safe Start 25.10.22

• Site Address
  Address

• Date

  Date

• Operative Name

• Will you be using corded electrical equipment?

  Yes

  No

• Does the equipment have an in date PAT test record?

  Yes

  No

• Notify the office/your line manager for further advice.

• Will you be using a ladder?

  Yes

  No

• Is the ladder safe to use, can be erected correctly and tied off to prevent slipping?

  Yes

  No

• Do not continue with the task and notify the office/your line manager for further advice.

• Will you be using a step-ladder?

  Yes

  No

• Is the step-ladder safe to use and can be erected correctly with hinges fully extended?

  Yes

  No

• Do not continue with the task and notify the office/your line manager for further advice.

• Will you be using a tower?

  Yes

  No

• Has the tower been erected correctly by a PASMA trained person and signed off?

  Yes

  No

• Do not continue with the task and notify the office/your line manager for further advice.

• Will you be working in a loft?

  Yes

  No

• Have you laid and secured crawler boards to create a safe working platform?

  Yes

  No

• Do not continue with the task and notify the office/your line manager for further advice.

• Will you be working in an occupied premises?

  Yes

  No

• Have you segregated the work area from members of the public/residents?

  Yes

  No

• Do not continue with the task and notify the office/your line manager for further advice.

• Will you be working under a raised access floor?

  Yes

  No

• Have you erected barriers to segregate the work area and notified persons working in the vicinity?

  Yes

  No

• Do not continue with the task and notify the office/your line manager for further advice.

• Have you checked all of your equipment and deem it safe to use?

  Yes

  No

• Do not continue with the task and notify the office/your line manager for further advice.

Sign Off

• Operative Signature

  Sign