Anonymous

Pre-Start Checklist

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Information

Document No.
Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel

Site Related Hazards

Slipping / Tripping Hazard
Workplace Noise
Working Remotely / Working Alone
Poor Emergency Access
Vehicles or Taffic

Task Related Hazards

Electrical Hazards
Manual Handling
Working at heights
Mineral Fibers (Asbestos)
Machinery (Moving Parts, Mobile Plant)

Other Hazards

Add Risk
Risk:
Add Photo
Likelihood: Before
Consequence: Before
Control Method:
- Elimination
- Substitution
- Isolation
- Engineering Controls
- Administrative Controls
- PPE
Control Method Notes:
Likelihood: After
Consequence: After
Notes:

Sign Off:

Sign:
Additional Worker
Sign:

Anonymous

Pre-Start Checklist

Use this Template

Print as PDF

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.