Audit

Do I understand the scope of the task?

Are the weather conditions safe to work in (high wind, rain, sun)?

Do I have safe access to the work area?

Are my eyes, hands and hearing protected?

Is there any interference with other work in the area?

Do I have to isolate to control sources of energy?

Am I fit to perform this task (aware, rested, alert)?

Is anyone in the work crew not wearing the right PPE?

Are my tools and equipment in good working condition?

Is the work area free from trip hazards?

Can anything fall on/strike me or others?

Have I checked for snakes and spiders?

Do I feel safe doing this task?

Personnel

Name

Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.