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Audit
Type of job
On arrival
Select any on site hazards
Slip Hazard
Electrical Hazard
Soil Erosion
Exposed Earthworks
Heights
Vehicle Traffic
Pedestrian Traffic
Confined Spaces
Include a photograph if possible
Likely Severity Of Injury Should An Incident Occur
Risk Matrix
Select Overall Risk Rating
No Further Action Is Required. Take care and proceed with your work
Select Type Of Control Measure
Eliminate
Substitute
Administrative
PPE
Isolate Power
Shut Off Mains
Set Up Barricade
Use a Harness
Divert Traffic
Hard Hat
Eye Protection
Gloves
Work Method Statement
Spotter
Other
Provide Details What Control Measures Will Be Used
Include an image of control measures if possible
Sign off and email after completion
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.