Information
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SOP Title:
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Version Number:
- 1
- 2
- 3
- 4
- 5
- 6
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Photo ID:
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Client Specific SOP:
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Site Specific SOP:
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Developed:
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Prepared by
Personal Protective Equipment
Personal Protective Equipment (PPE)
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Minimum PPE required: Head
- Bump Caps.
- Hair Net.
- Hard Hats.
- Sun Smart.
- N/A
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Minimum PPE required: Face
- Safety Glasses.
- Safety Goggles.
- Safety Visor.
- Faceshield.
- N/A
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Shade allowable: ( clear, amber, smoke, mirror, Polaroid)
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Shade Allowable: (clear, amber, smoke, Polaroid)
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Minimum PPE required: Body
- Apron.
- Back Support.
- Coveralls.
- Harsh Weather clothing.
- Hi-Vis
- Life Jacket
- N/A
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Minimum PPE required: Hands/Arms
- Armlets.
- Gloves.
- Gauntlets
- Wrist Cuffs
- N/A
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Type of gloves:
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Minimum PPE required: Legs/Feet
- Boots.
- Spats.
- Knee Protectors.
- Long Pants.
- N/A
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Type of Boot: (Safety, anti-static, Insulated, Wellington)
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Minimum PPE required: Respitory
- P1,2 Dust Mask.
- Half Face respirator.
- Full Face respirator.
- Self Contained Breathing Apparatus.
- N/A
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Minimum PPE required: Miscellaneous
- Long Sleeved Shirt.
- Long Trousers
- Sunscreen
- Wet Weather gear.
- Welding Jacket
- Welding Helmet.
- Welding Respirator.
- Fall Protection
- N/A
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Minimum PPE required: Hearing
- Ear Plugs.
- Ear Muffs.
- Both.
- N/A
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Minimum db rating
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Additional Comments:
Hazards
Hazards associated with this SOP
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Is there a Chemical Hazard present?
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Details of the hazard(s)
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How is the hazard controlled?
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Is there a noise hazard present?
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Details of the hazard(s)
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How is the hazard controlled?
- Ear plugs
- Ear muffs
- Both
- Other
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Describe control in place:
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Are there any radiation hazards present?
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Details of the hazard(s)
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How is/are the hazard(s) controlled?
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Is there electrical hazards associated with this procedure?
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Details of the hazard(s)
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How is/are the hazard(s) controlled?
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Could electrical storms cause a hazard to this procedure?
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Why?
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Control measures in place:
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Are there any vibration hazards present?
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Details go the hazard(s)
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Controls in place:
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Is there a Hot/Cold temperature hazard(s) associated with this procedure?
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Details:
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Controls in place:
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Details:
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Controls in place:
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Details:
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Controls in place:
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Is there any biological hazards associated with this procedure?
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Details of hazard:
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Controls in place:
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Is there any ergonomic hazards associated with this procedure?
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Details:
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Controls in place:
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Details:
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Controls in place:
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Are there any physical hazards associated with this procedure?
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Details:
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Controls in place:
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Details:
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Controls in place:
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Details:
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Controls in place:
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Other hazards associated with this procedure:
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How are Stress factors controlled?
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How are the effects of Shift Work controlled?
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How is this controlled?
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How is Falling from Heights controlled?
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Details of how Fatigue is controlled?
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Are there any other hazards associated with this procedure that have not been identified?
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Describe hazards and control measures in place:
Pre-task checklist
Before the task is started
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Has a take 5 been done?
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Why?
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Have known hazards been identified and able to be controlled?
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Why?
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Have the required work permits been issued?
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Why?
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Is there a risk assessment for this task?
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Why?
Task Steps
Order of task steps
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Photo of task step
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Describe task:
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Photo of task step
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Describe task:
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Photo of task step
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Describe task:
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Photo of task step
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Describe task:
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Photo of task step
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Describe task:
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Photo of task step
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Describe task:
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Photo of task step
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Describe task:
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Photo of task step
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Describe task:
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Photo of task step
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Describe task:
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Photo of task step
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Describe task:
Communication Page
Communication & Sign-offs
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Safety Managers comments:
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Name:
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Clients comments:
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Name:
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Company Management comments:
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Name:
Workers sign-off
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Name:
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Name:
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Name:
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Name:
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Name:
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Name:
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Name:
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Name:
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Name:
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Name: