Site Dynamic Risk Assessment - MTK

Title Page

Prepared by
Are any other MTK Employees assisting in this task?
Please select the names of all persons present.
- Lee Smith
- Pete Fletchman
- Stavros Aspinall
- Silviu Necula
Description of task
- Installation / Removal of NOX System
- Installation / Removal of Chisel
- Routine service of machine attachment
Conducted on
Location

STOP - STEP BACK - THINK

Do you know what has to be done?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Do you know how to do it?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Do you have safe access?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Are all required permit and lock outs in place?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Can the task be done without effecting others?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Is there any equipment around you than can affect you?
If the answer is no you must contact your manager immediately and the task must NOT commence.

STOP - STEP BACK - THINK

Do you have the correct tools for the job available and in good condition?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Is the correct PPE for the job supplied and in good condition?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Are you exposed to excessive noise or hazardous substances?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Are the weather conditions acceptable for the works being undertaken?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Have you read and understood all relevant documentation in relation to this task (e.g., Risk Assessment)?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Are you making a change that could introduce a new hazard?
Have the new hazards been considered with suitable and sufficient steps taken to mitigate the risk?
If the answer is no you must contact your manager immediately and the task must NOT commence.

Identify Hazards

Eliminate / Mitigate

Have the hazards been removed?
Have the hazards been mitigated?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Have the hazards been isolated if necessary?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Have you communicated with team members regarding the identified hazards?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Do all party members understand what must happen in the event of an emergency?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Is emergency equipment available?
If the answer is no you must contact your manager immediately and the task must NOT commence.

Can this task continue safely?

Can this task continue safely?
If the answer is no you must contact your manager immediately and the task must NOT commence.
Please note any additional comments

Review Section

All involved parties must sign below to confirm that they are competent in completing the required task and that all necessary safety precautions have been taken.
Signature of MTK Party Leader
Signature of other MTK employees present (if applicable)
Signature of other MTK employees present (if applicable)
Signature of other MTK employees present (if applicable)