Information

MTI task specific hazard assessment

  • Site/Equipment

  • Conducted on

MTI personnel

    Signoff
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HAZARD CONTROL MEASURE

  • Are you locking out?

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What duties will you be doing that do not require a lock out?

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MEASURES TAKEN TO CONTROL PRIME MOVER

  • Main disconnect

  • local disconnect

  • Air Lock out

  • All stored energy has been removed

WORKING AT HEIGHTS

  • Will you be working at or above the site specified tie off height?

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  • If "Fall arrest" is used, a MILL SITE ELEVATED WORK PLAN must be completed, including rescue measures should a worker fall

  • Fall protection system to be used:

  • Fall restraint

  • Fall arrest

list any specific hazards associated with this elevated work

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HOT WORK

  • Is there HOT WORK involved?

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  • Fallow all mill site specific HOT WORK procedures including all applicable permits, house keeping requirements, having fire suppression equipment and wet down

MACHINERY HAZARD

  • Pinch point

  • Sharp edges

  • Movable parts

  • Rotating equipment

  • Flying objects

CONTROL MEASURES

  • All required PPE is used and available.

COVERS/GUARDS

  • Guard in or cover existing pinch points.

  • Barrier tape ( if applicable )

HEAVY LIFTING

  • Is the load over 50lbs?

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Lifting procedure

  • Crane, hoist or other lifting device.

  • Someone is available to assist with the lift.

TOOLS

  • Are the tools in good working order?

  • Are there any other tools that would make the job easier or more efficient?

HOUSE KEEPING

  • Has the area been cleared of scrap and extra materials?

  • All tools have been removed from the work area?

  • Cleanup is completed ?

  • All guards have been re-installed ?

  • All disconnects and valves are back on?

Other hazards not addressed by this Task Specific Hazard assesment

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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.