Title Page

Introduction

  • Start Time

  • Site Name

  • Date

  • Engineer Name

  • PPM/Reactive/Remedial

  • Concerto Reference Number

  • Task Outline

RAMS

Competence

  • Do you have the necessary trade-specific QUALIFICATIONS and authority to carry out the work?

  • Have you completed the required training including e-learning?

Communication

  • Have you checked in with the Shift / Facility Lead and do you have the Job Sheet/s for the task?

  • Have you informed the Clients representative & those in the area where you will work?

  • If working alone have you made arrangements for regular contact during your work?

Risk Control Information

  • Do you understand the up-to-date MoP?SoP/EoP/Run Book/Risk Assessment for the task/s?

  • Have you got the relevant 'Safery Data Sheet' (SDS) for the Chemicals / Substances?

Tools and Equipment

  • Have you carried out an inspection of the tools/equipment?

  • Where required are calibration, test certificates and formal examinations 'in date'?

  • Are the tools and equipment servicable and fit for purpose?

Work Area Condition

  • Are access routes safe and adequate?

  • Are the weather conditions, work area temperature and ventilation safe for work?

  • Have you got adequate space and lighting?

Work Area Protection

  • Are you protected from contact with energy sources, falls from height, machinery and moving vehicles?

  • Have you deployed the necessary 'barriers & hazard warning sign' at and around the work area?

Emergencies;- DO YOU KNOW....

  • The emergency arrangments? Inc' fire actions, climate event, exit routes, shelter / safe areas?

  • How & where to get first aid and eye wash?

  • How to report Hazards & accidents?

Personal Protective Equipment (PPE) is the last resort control measure;-

  • If PPE is required for the task, have you got it and is it approved?

  • Do you know how to check the condition, and do you know how to use and maintain your PPE?

  • Who is at RISK from your work?

  • Details of specific PPE that will be used

  • Details of the RISK CONTROL MEASURES you have put in place to manage the risk

  • Last Check;<br><br>I am satisfied that it is safe to do the work in the way it will be done at this place and in this environment AND all the required controls and emergency measures are in place and satisfactory?<br><br>If the answer is NO - you MUST contact your Manager BEFORE continuing with work.

Job Report

  • Work Carried Out

  • Please attach a picture of the asset relating to this job

  • Is this task now fully complete?

  • Is an additional job or material(s) needed following the above?

  • Please give details of the job that requires raising or material(s) needed...

  • Finish Time

  • Was this task In Hours or OOH?

  • Please give details of the OOH job including duration, justification and approval.

  • Please sign.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.