Title Page
-
Supervisor name
-
Location
-
Conducted on
-
Task
Part 1 : Get Safe for Work
Before you start Answer the beIow, f you answer No to any of the Following, please ensure that you inform the Responsible Persons and resolve Prior to Starting.
-
Do you have the right documentation for the job? Risk Assessments, Permits and Method Statements. <br><br>
-
Are the tools and equipment in safe working condition?<br><br>
-
Do you have the right PPE for the job?<br><br>
-
Is there Safe Access?<br>
Part 2 : Think - Act
If you Think the Task Requires additional controls - Select At Risk, Describe what is needed prior to commencing work. Implement the Controls and Continue
-
Slips, trip or fall on the same level hazard?
-
Falls From Height
-
Falling or flying objects Hazard?
-
Chemical/Harmful Substances
-
Heat/Fire/Explosion/Hot works
-
Asphyxiation / Drowning
-
Risk to Plant<br>
-
Stationary objects Contact Risk
-
Overturn/Collapse
-
Manual handling<br>
-
Vehicle/ Contactor exclusion Risk<br>
-
Contractor /Contractor exclusion Risk<br>
-
Dust/Fumes<br><br>
-
Noise<br><br>
-
Vibration<br><br>
-
Electricity<br><br>
-
Contamination<br><br>
-
Poor lighting<br><br>
-
Temperature<br>
-
Adverse weather<br>
-
Pinch/ Trapping Points<br>
-
Dust/Fumes<br>
-
Others Please specify
Part 3 : Review
-
Has the Works created any New Hazards<br>
-
Are there any lesson that were learn from the days Works<br>
-
Are there any further safety Suggestions or Concerns Regarding the the days proceedings that you would like to communicate to Management?
