Information
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Client / Site
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Work Area
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Conducted on
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Prepared by
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Location
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Personnel
1. STOP - Engage your Mind before your Hands.
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Are all the people on the job trained, competent and authorised?
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What controls are in place
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Am I fit to perform the task? (aware, rested, alert)
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Do I understand the task? (Is the task planed?)
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Is there a current Procedure or SWMS for the task?
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Can the task be done without a permit?
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Is the correct tools/PPE for the task being used and available?
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Does everyone know what to do in an emergency?
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Get a person to demonstrate ask the question randomly
IF NOT STOP AND CHECK WITH SUPERVISOR
2. LOOK - At the workplace and find the hazards
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1. Does the task involve hazardous forms of energy? If "Yes" complete assessment!
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2. Is Isolation required? If yes complete assessment!
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3. Is there a risk of slip, trip or fall? If "At Risk" complete assessment!
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4. Has a basic housekeeping completed in the work area? If "At Risk" complete assessment!
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5. Is there a caught in or between anything? If "At Risk" complete assessment!
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7. Have I planned the communication for the task? If "At Risk" complete assessment!
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8. Will I come in contact with mobile plant/moving equipment? If "At Risk" complete assessment!
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9. Do I need to barricade or block my work area? If "At Risk" complete assessment!
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10. Can the work affect others and/or introduce hazards to others? If "At Risk" complete assessment!
ASSESS: The effects of the hazards on people, property and environment
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PROCEED WITH TASK IF "Safe" TO DO SO!
MANAGE: With effective controls and by advising others
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If work is unable to be perform the task safely, contact your supervisor.
