L-3 Oceania Take 5

• Document No.

• Task

• Site / Location

• Conducted on

  Date

• Prepared by

1. Stop - Think about the task

• Have I read and understood the procedure or instructions for this task?

  Yes

  No

  N/A

• Am I qualified and competent to perform this task?

  Yes

  No

  N/A

• Have I inspected the work area?

  Yes

  No

  N/A

• Are tools and equipment in good order?

  Yes

  No

  N/A

• NOTE: If No, see your Supervisor / Manager

2. Think about the Hazards - Review the Hazard Checklist

• Do I need any permits, certificates or special authorisation?<br>(e.g. Hot Work Permit, Confined Space Permit)

  Yes

  No

• Could my task expose me to hazards?<br>(e.g. moving machinery, hazardous material, unsupported ground)

  Yes

  No

• Could I experience injury, sprains or strains from excessive or repetitive lifting, pulling, pushing or poor posture?

  Yes

  No

• Could my task harm other people not involved in the task?<br>(e.g. dropped objects)

  Yes

  No

• NOTE: If Yes, conduct a JHA with Supervisor or Manager and follow approved procedure for task if available.

3. Assess the Risk

• Is the risk level High or Extreme?<br>(Use the Risk Matrix)

  Yes

  No

• NOTE: If Yes, conduct a JHA with Supervisor or Manager and follow approved procedure for task if available.

4. Respond

• Have I established all necessary controls?

  Yes

  No

• Have I got a clear plan in mind?

  Yes

  No

• Does this feel right?

  Yes

  No

• NOTE: If No, see your Supervisor or Manager. If Yes, see next step below (#5).

5. Do the Task Safely

• REMEMBER TO EXPORT YOUR AUDIT