GSS Marine Services Pre Job Hazard Checklist

• Name

• Date

  Date

• Activity

• Permit No.

• Location
  Address

• Instructions:
  
  1. Answer "Yes", "No", "N/A" on the questions below.
  2. Add photos and notes by clicking on the paperclip icon.
  3. To add a Corrective Actions, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

Pre Job Hazard Checklist

• Have you read the permit?

  Yes

  No

  N/A

• Have you read the Risk Assessment?

  Yes

  No

  N/A

• Are you wearing the correct PPE for the task?

  Yes

  No

  N/A

• Are you aware of the Emergency Procedures?

  Yes

  No

  N/A

At Risk From

• Poor Access/Egress

  Yes

  No

  N/A

• Falls from Heights (Persons)

  Yes

  No

  N/A

• Falls from Heights (Materials)

  Yes

  No

  N/A

• Scaffold

  Yes

  No

  N/A

• Lifting Operations

  Yes

  No

  N/A

• Possible Slips, Trips or Falls

  Yes

  No

  N/A

• Using Incorrect Tools

  Yes

  No

  N/A

• Live Plant nearby

  Yes

  No

  N/A

• Hot Surfaces/Hot Work

  Yes

  No

  N/A

• Manual Handling Activities

  Yes

  No

  N/A

• Particles/Dust/Fumes/Vapours

  Yes

  No

  N/A

• Poor Lighting/Poor Visibility

  Yes

  No

  N/A

• Stored Energy

  Yes

  No

  N/A

• Electrical Cables/Equipment

  Yes

  No

  N/A

• Simultaneous Operations Close by

  Yes

  No

  N/A

• Sharp Edges

  Yes

  No

  N/A

• High Noise Levels

  Yes

  No

  N/A

• Trailing Hoses/Cables

  Yes

  No

  N/A

• Working on/near Water

  Yes

  No

  N/A

• Weather Conditions

  Yes

  No

  N/A

• Sea State/Tide

  Yes

  No

  N/A

Environmental Considerations

• Housekeeping Issues

  Yes

  No

  N/A

• Waste Disposal Issues

  Yes

  No

  N/A

• Refuelling Required/Spill Kits available

  Yes

  No

  N/A

• Drip Trays Required (Mobile Plant/Breaking Joints)

  Yes

  No

  N/A

• Plant Positioned away from drains and well ventilated

  Yes

  No

  N/A

• Any Pollution to Ground Possible

  Yes

  No

  N/A

• Air Pollution Issues. (Excess Fumes from engines)

  Yes

  No

  N/A

• Possible Water Pollution Issues

  Yes

  No

  N/A

• Plant Daily User Check Correct

  Yes

  No

  N/A

• First Aid Kit Available

  Yes

  No

  N/A

Completion

• List all Work Team Member (click "Add Team Member")

Team Member

• Team Member's Name and Signature

  Sign

• Inspector Sign Off

  Sign