Title Page

  • Document No.

  • Conducted on

  • Prepared by

  • Location

  • Name:

  • Date:

  • Job Description:

  • DO NOT start the work unless all the hazards are identified and eliminated or safe measures are in place. If in doubt contact your supervisor or his delegate.

PRE START SAFETY CHECKS

  • Your health condition:

  • Ensure someone else is nearby

    Stop work and seek assistance if feeling unwell

  • Working with others in attendance?

  • If no, seek permission from your supervisor.

  • Workspaces and walkways checked to ensure clear escape routes?

  • Slipping and tripping check / remove any hazard

  • Manual handling tools available?

  • Tools to be used have valid test and tag labels?

  • Mobile plant safe to use?

  • Risk of exposure to dust and vapour?

  • Ensure PPE including protective gloves, mask and goggles are worn

  • Dangerous goods exposure?

  • Eliminate:

  • Machines (moving parts) hazards?

  • I understand the scope of this work

  • And have received the training?

  • And fit to carry out this work?

  • I am legally licensed to carry out this work?

  • Electrical task hazards?

  • Describe:

  • Technician/Trade assistant/Engineer to sign:

  • NOTE: If any item above is marked NO or NOT SAFE, then complete a SWMS (JSEA) an
    D submit for approval by your supervisor prior to starting work.

  • OK to proceed without SWMS being submitted?

  • Supervisor (or his delegate Engineer) to check and sign:

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.