Information

  • Document No.

  • Task

  • Site / Location

  • Conducted on

  • Prepared by

1. Stop - Think about the task

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

  • Am I qualified and competent to perform this task?

  • Have I inspected the work area?

  • Are tools and equipment in good order?

  • 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)

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

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

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

  • 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)

  • 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?

  • Have I got a clear plan in mind?

  • Does this feel right?

  • 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

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.