Information

  • Task / Activitiy

  • Client / Site

  • Location
  • Conducted on

  • Prepared By:

  • Cat 1 - SWMS / Procedure / Plans / Work Instructions ( Exists
    Available
    Known & Understood
    Trained
    Adequate for job
    Followed
    Current
    )

  • Cat 2 - Hazard ID / Risk Management
    (TAKE 5
    JSEA
    Permit – Hot Work, Confined Space, Road Corridor

    Traffic Guidance Scheme
    Traffic Management managed)

  • Cat 3 - Position of People, Ergonomics & Manual Handling
    (Postures of people
    Load handled
    Type and no. of motions
    Work area set up
    Use of Lifting Aids
    Lift Planned
    Vehicle / Plant / Pedestrian Segregation)

  • Cat 4 - Plant/ Vehicle/s, Tools & Equipment (Selection
    Use / operation
    Condition
    Certification / Registration
    Guarding
    Pre-Start
    Trained & authorised to operate
    Worker / Plant segregation
    )

  • Cat 5 - Housekeeping, & Environmental (Workplace tidiness
    Trip & slip hazards
    Waste management
    Spills Management
    Walkways Clear
    Sediment Management
    )

  • Cat 6 - PPE (Head
    Eyes & face
    Hearing
    Hands & arms
    Feet & legs
    Respiratory
    Skin
    High visibility
    Fall protection
    Signage
    Barricading
    )

  • Cat 7 - Health / Wellness Issues (Dust
    Noise
    Temperature
    Fumes
    Lighting
    Chemicals
    Bio – Security / Health
    Vaccinations
    Health Monitoring
    )

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.