GVW STOP! Take 5

• GVW STOP! Take 5 and think about your work activity (Form QF-GVW-53 Feb 2013)

• Prepared by

• Select date

  Date

• Task description or Hansen reference number

• You must have appropriate training, licenses and/or tickets for the task! Do not proceed without them

• Each question must be answered

• Is there a Standard Operating Instruction or Safe Work Instruction for the task?

  Yes

  No

• If there is an SWI, have you completed competency against it (if required) or read and understood it?

  Yes

  No

• Do not continue, discuss with your Supervisor

High Risk Works

• Is Mechanical Excavation required?

  Yes

  No

• Are there Overhead or Underground Services or Electrical cabling in the work area?

  Yes

  No

• Is Asbestos Removal required?

  Yes

  No

• Is Traffic Management required?

  Yes

  No

• Are Hot Work Activities required?

  Yes

  No

• Is Confined Space Entry required?

  Yes

  No

• Will you be Working at Height?

  Yes

  No

• Is boating required? If 'yes' please complete the Boating Risk Assessment QF-GVW-314 available on SharePoint

  Yes

  No

• Is there a level of Environmental risk considered to be in excess of routine duties and/or training?

  Yes

  No

• For 'Yes' answered High Risk Works a High Risk Works Site Risk Assessment and/or a JSEA must be completed

Additional Hazards/Issues (Detail controls in place)

• Note any other hazards or issues