Hazard Assessment

  • Please explain the task to be performed:

  • Push select at the right to identify the risks associated with the task

  • Unit?

  • Add photo of area where task is to be performed by pushing media button then + button.

  • What solutions were implemented to Eliminate, Control, Protect, the task?

  • What are the Stop The Job Triggers?

  • Are you absolutely certain the task you are performing is isolated/locked out?

Sign Off

  • Please print all names participating!

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