Information
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Client
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Job Number
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Task Description
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Conducted on
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Location
THINK About The Task
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Do you understand the task?
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What is required to understand?
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Do you understand the Procedure?
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Why / what is required to understand?
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Do you have the correct tools?
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Why are tools not correct
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Are they in good condition
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Why/which tools are not in good condition?
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Do you have the correct PPE?
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Why is PPE not correct.
IDENTIFY The Hazards
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Manual Handling, Slips, Trips, Falls?
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List risks and controls
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Mechanical, Moving Parts, Etc?
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List risks and controls
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Moving Plant, Machinery and Roads
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List Risks and controls
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Are there any Energy Sources
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Electricity
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List risks and controls
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Water
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List risks and controls
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Hydraulic
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List risks and controls
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Gas
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List risks and controls
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Chemical
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List risks and controls
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Steam
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List risks and controls
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Gravity
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List risks and controls
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Surroundings (Overhead, Noise, Heat, Cold)?
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List risks and controls
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Chemicals, Biological, Radiation, Asbestos?
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List risks and controls
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Unsafe Structures or other Structural Hazards?
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List risks and controls
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Dangerous Animals (ie Snakes, Spiders)
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List risks and controls
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Any other Hazards?
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List risks and controls
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Draw Here
ASSESS The Risk
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Risk Matrix
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Risk Result.
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DO NOT PROCEED, COMPLETE A FULL JSEA AND/OR DISCUSS WITH SUPERVISOR
MANAGE The Changes
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Hazards eliminated or controlled?<br>All risk levels are Low
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DO NOT PROCEED, COMPLETE A FULL JSEA AND/OR DISCUSS WITH SUPERVISOR
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Confirm you have <br> The correct PPE, <br> Undertaken Site Induction (if applicable)<br> Signed in on the site attendance register (if applicable)<br>
PROCEED With The Task
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Sign Here
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Please Sign before continuing.
