Pre-Start Saftey Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Related Hazards

• Slipping / Tripping Hazard

  Safe

  At Risk

  N/A

• Ensure that the work area is clear of cables, boxes, etc. Check if floor is wet or icy. Be aware of uneven or broken surface, potholes, etc.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Workplace Noise

  Safe

  At Risk

  N/A

• If the workplace noise is over 85db(A), you must use appropriate PPE. As a rough guide, if you have to raise your voice to be heard, you need hearing protection.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Working Remotely / Working Alone

  Safe

  At Risk

  N/A

• Maintain regular communications. Ensure that your manager and/or operations people know where you are, what you are doing, when you expect to be completed, when you leave site and when you return home.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Poor Emergency Access

  Safe

  At Risk

  N/A

• Ensure that you know how to evacuate if necessary and that the way is clear of obstructions.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Vehicles or Traffic / Public or Pedestrians

  Safe

  At Risk

  N/A

• Wear high visibility vest and use barriers or warning signs.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Manual handling

  Safe

  At Risk

  N/A

• Any activity requiring the use of force exerted by a person to lift, lower, push, pull or carry objects.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Confined Spaces

  Safe

  At Risk

  N/A

• These are enclosed spaces that have limited or difficult access. The main hazards are lack of oxygen, the presence of toxic gases or vapours, flammable or explosive atmospheres and loose materials that may engulf you.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Poor lighting

  Safe

  At Risk

  N/A

• Ensure that you can clearly see where you are going and what you are working on. If necessary, use portable lights or torches.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Dust, fumes or vapours

  Safe

  At Risk

  N/A

• Use appropriate breathing apparatus. If possible, use extraction or filtration equipment. If unsure of the toxicity, leave the area until safety has been verified.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Excavation or construction

  Safe

  At Risk

  N/A

• Be aware of any trenches, holes, overhead hazards (cranes, scaffolding etc.)

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Asbestos

  Safe

  At Risk

  N/A

• Asbestos fibres can be hazardous if breathable e.g. loose fibres from cut or damaged asbestos sheets. Asbestos can only be handled by licensed operators. Check with the customer for presence of asbestos, particularly on older sites e.g. an asbestos register. If you find it, inform your supervisor and the site representative.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Hazardous substances

  Safe

  At Risk

  N/A

• If there is not enough information on the label, check the material safety data sheet (MSDS) to find out what the hazards are and how to protect yourself from them.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Extreme temperature / Weather

  Safe

  At Risk

  N/A

• Limit the time exposed use sun screen, hats, coats, waterproof clothing etc. Take frequent breaks and keep hydrated.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Biohazards (effluent, etc.)

  Safe

  At Risk

  N/A

• People working around biohazards need training and the required PPE. Vaccinations against diseases such as hepatitis are strongly recommended.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Synthetic Mineral Fibres (SMF’s)

  Safe

  At Risk

  N/A

• Use protective clothing and respiratory protection as recommended by the manufacturer.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Hazardous substances

  Safe

  At Risk

  N/A

• If there is not enough information on the label, check the material safety data sheet (MSDS) to find out what the hazards are and how to protect yourself from them.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

• Dangerous goods

  Safe

  At Risk

  N/A

• Keep clear of any placarded dangerous goods on site, as only trained personnel can handle these items.

• What will be the consequence?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the likelihood of occurrence?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Control Measure(s) Implemented

  Select Elimination Substitution Isolation Engineering Controls Administrative Controls PPE

  • Elimination
  • Substitution
  • Isolation
  • Engineering Controls
  • Administrative Controls
  • PPE

• Actions taken to eliminate or reduce risk.

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