Anonymous

Minteq Stop Card - duplicate

Before You Start, Take 1 minute to answer the following questions.

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Document No.
Task description
Photograph of task area.
Client / Site
Conducted on
Prepared by

Are any of the following hazards present and are they controlled?

Pinch points
Sharp Edges
Hot Surface
Lifting Objects
Heat (Dehydration)
Chemicals
Mobile Equipment
Slip / Trip / Fall Hazard
> 4ft Height without Fall Prevention or Fall Protection
Energized Equipment
Confined Space
Noise
Electrical

If any hazard is selected, STOP and address mentioned hazard before starting work.

If all hazards are safe, then GO proceed with your work.

Anonymous

Minteq Stop Card - duplicate

Before You Start, Take 1 minute to answer the following questions.

Use this Template

Print as PDF

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.