Title Page
-
BMC Take 5
-
Name:
-
Conducted on
-
Job Description:
-
Job Location:
BMC Take 5
-
CAN I MANAGE THE HAZARD? YES I CAN, NO I CANNOT, NOT APPLICABLE
-
STOP (Ask Yourself)
-
Do I require POSITIVE RADIO COMMUNICATION to ensure that other vehicles are aware of my presence and intentions?
-
Have I ensured all ENERGY SOURCES ARE POSITIVELY ISOLATED (refer energy checklist)?
-
Have I managed the risk of FALLING MORE THAN 1.8M?
-
Am I clear from WORKING UNDER SUSPENDED LOADS OR FALLING OBJECTS?
-
Am I authorised to enter a BARRICADED BLAST AREA?
-
THINK
-
If a procedure or work instruction exists for the job am I familiar with it?
-
Am I trained competent and authorised to do the job or enter the work area?
-
Do I have fit for purpose tools, equipment and PPE?
-
Can I control the risks associated with my task that affect the health and safety of myself or those around me and / or impact the environment?
-
If a permit is required for the job has a JSA been completed?
-
IDENTIFY
-
Have I identified all the hazards and existing controls for the job (refer energy checklist)?
-
Have I identified all the hazards and existing controls in the surrounding areas (refer energy checklist)?
-
CONTROL
-
Am I satisfied existing controls are adequate?
-
PROCEED - PERFORM THE TASK SAFELY
-
If you feel uncomfortable about the task or if you have answered NO to any of the above questions please discuss the task with your supervisor and complete a JSA (if required).
Energy Checklist
-
Damaging Energy - Energy Present Y/N, Identified Hazards, Controls Adequate Y/N
-
Human - If Yes, Identified Hazards:
-
Controls Adequate:
-
Gravitational - If Yes, Identified Hazards:
-
Controls Adequate:
-
Vehicular - If Yes, Identified Hazards:
-
Controls Adequate:
-
Moving Object - If Yes, Identified Hazards:
-
Controls Adequate:
-
Mechanical - If Yes, Identified Hazards:
-
Controls Adequate:
-
Electrical - If Yes, Identified Hazards:
-
Controls Adequate:
-
Thermal - If Yes, Identified Hazards:
-
Controls Adequate:
-
Chemical - If Yes, Identified Hazards:
-
Controls Adequate:
-
Explosion - If Yes, Identified Hazards:
-
Controls Adequate:
-
Radiation - If Yes, Identified Hazards:
-
Controls Adequate:
-
Noise - If Yes, Identified Hazards:
-
Controls Adequate:
-
Stored Pressure - If Yes, Identified Hazards:
-
Controls Adequate:
-
Biological - If Yes, Identified Hazards:
-
Controls Adequate:
-
Animal - If Yes, Identified Hazards:
-
Controls Adequate:
-
Environmental Conditions - If Yes, Identified Hazards:
-
Controls Adequate:
-
*Please discuss identified hazards with those working around you who may also be impacted by their presence or by the task you are about to perform.
