Information

  • Task

  • Document No.

  • Name

  • Date & Time

  • MCO Take 5 Prompts.png

STOP

  • Do I have the required Skills & Knowledge

THINK

  • Doi I have the Correct PPE & Tools

ASSESS

  • I have identified the Hazards in my Workplace

CONTROL

  • I have implemented effective controls so myself and others will be safe

COMMIT

  • I will continue to work safely

STOP & REVIEW

  • STOP & REVIEW your Take 5 if something CHANGES from original plan

  • REVIEW
  • Hazard Identified

  • Effective Controls Implemented

  • Notes / Comments

  • No task is so important that it cant be done SAFELY

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.