Opus Australia Take 5

• Take 5

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Identify the hazards on site

• Confirm with the person in control of the site if the site is known to have asbestos and where it is. Is the site SAFE?

  Safe

  At Risk

  N/A

• Could I be struck from falling objects or mobile equipment?

  Safe

  At Risk

  N/A

• Are there any excavations on site that I need to be aware of?

  Safe

  At Risk

  N/A

• Are there any specific electrical risks that I need to be aware of?

  Safe

  At Risk

  N/A

• Are there any chemicals on site that I need to be aware of?

  Safe

  At Risk

  N/A

• Is there any energised equipment that I need to be aware of?

  Safe

  At Risk

  N/A

• Is noise an issue on site?

  Safe

  At Risk

  N/A

• Is lighting an issue on site?

  Safe

  At Risk

  N/A

• Are there any biological hazards on site? (Like waste products, effluent, or similar)

  Safe

  At Risk

  N/A

• Is radiation from the sun an issue?

  Safe

  At Risk

  N/A

• Is working in the heat or cold an issue?

  Safe

  At Risk

  N/A

• Is fatigue, stress or violence an issue on site?

  Safe

  At Risk

  N/A

The task

• Have I got permits/authorisations in place for entering confined spaces or working at heights?

  Yes

  No

  N/A

• Do I have the PPE I need to do my job safely?

  Yes

  No

  N/A

• Am I trained, competent and/or licensed to do this task?

  Yes

  No

  N/A

• Have I parked my vehicle appropriately?

  Yes

  No

  N/A

• Do I have the right tools and equipment for the task?

  Yes

  No

  N/A

• Am I physically and mentally fit to undertake the task?

  Yes

  No

  N/A

Emergencies

• Can I get help in an emergency?

  Yes

  No

  N/A

• Does my Manager know where I am and can I be contacted whilst on site?

  Yes

  No

  N/A

Escalation of issues

• My Manager is aware of any safety concerns I have raised with this assessment.

  Yes

  No

  N/A