Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Machine Model / Make
Job Safety Assessment
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Have you identified any risks?
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What is the likelihood of this risk occuring?
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What is the consequence level of this risk?
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You must lower the risk level before continuing.
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Have you lowered the risk level?
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How?
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What is the consequence level now?
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You must STOP and LOWER THE RISK LEVEL! DO NOT CONTINUE!
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Have you lowered the risk level?
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How?
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What is the consequence level now?
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Thank you for working Safely!
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Continue to be cautious! Thank you for working Safely!
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Thank you for working Safely
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Thank you, you may continue to work safely.
