Audit

STOP AND THINK ABOUT THE TASK

Do I/we fully understand the task and procedure?

Does this task require a permit to work?

Do I/we need approval to do this?

Is the equipment in good working order and appropriate for this task?

THINK ABOUT THE HAZARDS AND CONTROLS

Can I slip, trip or fall on or into anything?

Enter control(s) for this hazard (if applicable)

Can I strain or over exert myself?

Enter control(s) for this hazard (if applicable)

Can I be caught in anything (eg. hands, feet, clothing)?

Enter control(s) for this hazard (if applicable)

Can something fall on me?

Enter control(s) for this hazard (if applicable)

Are there any other hazards?

What are the other hazards (if any)? List them

What are the additional controls (if any)? List them

ARE CONTROLS SUFFICIENT?

If NO, please consult your supervisor as a Risk Assessment may be required

If YES, then checking the box means I/we have carefully thought about the task, its hazards and controls

Operator Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.