HD Take 5 On site risk assessment (TESTING)

• Conducted on

  Date

• Prepared by

• Location
  Address

• Job Number

Is the job safe to do?….. Step back and think:

• Have I reviewed/signed onto relevant SWEMS?

  Yes

  No

  N/A

• Have I reviewed all the risks?

  Yes

  No

  N/A

• Do I have the required skills and knowledge?

  Yes

  No

  N/A

• Is the task the same as the last time?

  Yes

  No

  N/A

• Have I identified & controlled hazards so I’ll be safe?

  Yes

  No

  N/A

• Have I checked that I will not harm or affect others?

  Yes

  No

  N/A

• Do I have all the required PPE?

  Yes

  No

  N/A

If you answered “Yes” to all, proceed with caution. If “No” or unsure to any question , STOP! Assess the risk overleaf and/or ask your supervisor.

• Signature

  Sign

• Hazard identified

• Control to reduce risk

• Residual risk rating

  Low

  Medium

  High