NSTC Take 2

• Location

• Date

  Date

• Prepared by

• Task

• Safety Glasses

• Protective Boots

• Protective Clothing

• Cuts

• Crush Injuries

• Heat

• Hand Tools

• Power Tools

• Electricity

• Machines

• Hearing Loss

• Flying Objects

• Waste Material

• Fatigue

• Unfamiliar task

Control Measures

• Engineering Controls (List in Notes)

• Substitution Controls (List in Notes)

• Isolation Controls (List in Notes)

• Work as Instructed

• Follow SOP (List SOP in Notes)

• Additional PPE (List PPE in notes)

• Is the emergency exit easily accessible and clearly marked?

  Yes

  No

  N/A

• Describe the condition of the task after controls are in place?

  Safe

  At Risk

  N/A