Pre-Task Risk Assessment (PTRA)

• Site conducted

  Select

• Department

  Select

• Location / Specific area

• Conducted on

  Date

• Prepared by

• Team Members

• Location
  Address

Task / Process Information

• Job / Procedure Ref#

• What task is being preformed (Description / Scope of Work)

• Permit No.

Zoom-In on the Area, People and Tools

• Do you require a permit to work?

  Yes

  No

  N/A

• Is the procedure available & are you familiar with it?

  Yes

  No

  N/A

• Are there any other work activities in the area that can impact my task.

  Yes

  No

  N/A

• Are there any other departments influenced by my task?

  Yes

  No

  N/A

• Am I and fellow workers physically capable & not-fatigued, trained, competent and authorized to do the task safely?

  Yes

  No

  N/A

• Are the tools to be used inspected, calibrated, correct for the job and SAFE?

  Yes

  No

  N/A

• Do all team members have the correct PPE and safety equipment to perform the task safely as per the procedure / instruction where available?

  Yes

  No

  N/A

• Has the correct equipment been isolated, locked-out and tested?

  Yes

  No

  N/A

• Red Tag Number

• Is the area in which the task will be performed clean and organised, and are work and walk surfaces cleared?

  Yes

  No

  N/A

• Are there any barricades, demarcation, or warning signs in the area where the task will be performed?

  Yes

  No

  N/A

• Have any incidents occurred in this or a similar area, or for this or a similar task?

  Yes

  No

  N/A

• If YES provide details:

Evaluate the Hazard

• Process Safety (e.g. hazard/flammable chemicals, heat, pressurized system)

  Yes

  No

• People transportation (e.g. traveling in own or company provided vehicle/transport)

  Yes

  No

• Product transportation (e.g. Hazchem or cargo in transit)

  Yes

  No

• Occupational health/hygiene (e.g. hazardous chemical, noise, manual work)

  Yes

  No

• High-risk machinery (e.g. moving vehicles, fixed moving & rotating machinery)

  Yes

  No

• Working at heights (e.g. people, objects or loads at heights)

  Yes

  No

• Working with electricity (e.g. energized equipment including high / low voltage

  Yes

  No

• Confined spaces (e.g. working in tanks, vessels, excavations)

  Yes

  No

• Structural integrity (e.g. integrity of dam wall, bridges, buildings, scaffolds, hoists)

  Yes

  No

• Non-process fire ignition (work near e.g. veld, wood, paper, electricity, etc)

  Yes

  No

• Security (e.g. valuable goods, political instability, crime, worker behaviour)

  Yes

  No

• Product quality (e.g. production -, external provider- or quality processes)

  Yes

  No

• Working around liquid bodies (work in/around e.g. effluent dams, tanks )

  Yes

  No

• Explosive management (e.g. explosives, blasting, in-process manufacturing)

  Yes

  No

Reafirm Controls

• Process Safety List Controls

• People transportation List Controls

• Product transportation List Controls

• Occupational health/hygiene List Controls

• Environment List Controls

• High-risk machinery List Controls

• Working at heights List Controls

• Working with electricity List Controls

• Confined spaces List Controls

• Structural integrity List Controls

• Non-process fire ignition List Controls

• Security List Controls

• Product quality List Controls

• Working around liquid bodies List Controls

• Explosive management List Controls

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Reaffirm Behaviors

• Always use your PPE

  Yes

  N/A

• Secure yourself while Working at Heights

  Yes

  N/A

• Be Authorized and Competent

  Yes

  N/A

• Verify Ignition Source

  Yes

  N/A

• Concentrate While Driving

  Yes

  N/A

• Avoid Suspended Loades & Moving Vehicles

  Yes

  N/A

• Isolate and Zero Energy Testing

  Yes

  N/A

• Confined Space Atmospheric Toasting

  Yes

  N/A

• Work Permit Required

  Yes

  N/A

• Follow Journey Management Plan

  Yes

  N/A

• Assess and use Safe Walking and Work Surfaces

  Yes

  N/A

• Avoid Awkward Body Positioning

  Yes

  N/A

• Maintain Good Housekeeping

  Yes

  N/A

• Keep Clear from Nip Points

  Yes

  N/A

• Apply and Adhere to Warning Systems

  Yes

  N/A

• Conduct Safe Pushing/Pulling

  Yes

  N/A

• Stay Clear of Line of Fire

  Yes

  N/A

• Keep Eyes on Path/Task

  Yes

  N/A

• Follow Manual Handling & Lifting Techniques

  Yes

  N/A

• Conduct Pre-Job Preperation

  Yes

  N/A

• Use Safe Tools and Equiopment

  Yes

  N/A

Opportunity to Correct

• Description of deviations

• Action

• Responsible Person

• Deviation Fixed

  Safe

  At Risk

• Can you proceed safely with the task?

  Yes

  No