Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Job type

  • Is this an insurance job

  • Have you left an invoice for the excess

  • Daily Job start Checklist and Work Method Statement Reviewed.

  • Tripping and Slipping Hazards: Control - Walk off mats in place, appropriate signage used, client informed.

  • Animals are onsite: Control - Keep pets out of area or safe from work being completed.

  • Electrical equipment to be used: Control - All gear tested and tagged and visually inspected before use, appropriate P.P.E. used.

  • Hand and battery powered tools used: Control - Visually inspected and appropriate P.P.E. used.

  • Working overhead: Control - Inspect work area, use appropriate P.P.E.

  • Ladder used: Control - Visually inspect, used as per S.O.P.

  • Low light environment: Control - ensure adequate/appropriate lighting is used.

  • Hazardous substances onsite: Control - Keep substances contained, use appropriate P.P.E.

  • Equipment creates noise/dust: Control - Wear appropriate P.P.E.

  • Are there any other Hazards?

  • List Additional Hazards and Controls

  • Client is onsite: Control - Explain Hazards.

  • Client has been made aware of the Hazards. Client Signature

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.