Information

  • SOP Title:

  • Version Number:

  • Photo ID:

  • Client Specific SOP:

  • Site Specific SOP:

  • Developed:

  • Prepared by

Personal Protective Equipment

Personal Protective Equipment (PPE)

  • Minimum PPE required: Head

  • Minimum PPE required: Face

  • Shade allowable: ( clear, amber, smoke, mirror, Polaroid)

  • Shade Allowable: (clear, amber, smoke, Polaroid)

  • Minimum PPE required: Body

  • Minimum PPE required: Hands/Arms

  • Type of gloves:

  • Minimum PPE required: Legs/Feet

  • Type of Boot: (Safety, anti-static, Insulated, Wellington)

  • Minimum PPE required: Respitory

  • Minimum PPE required: Miscellaneous

  • Minimum PPE required: Hearing

  • Minimum db rating

  • Additional Comments:

Hazards

Hazards associated with this SOP

  • Is there a Chemical Hazard present?

  • Details of the hazard(s)

  • How is the hazard controlled?

  • Is there a noise hazard present?

  • Details of the hazard(s)

  • How is the hazard controlled?

  • Describe control in place:

  • Are there any radiation hazards present?

  • Details of the hazard(s)

  • How is/are the hazard(s) controlled?

  • Is there electrical hazards associated with this procedure?

  • Details of the hazard(s)

  • How is/are the hazard(s) controlled?

  • Could electrical storms cause a hazard to this procedure?

  • Why?

  • Control measures in place:

  • Are there any vibration hazards present?

  • Details go the hazard(s)

  • Controls in place:

  • Is there a Hot/Cold temperature hazard(s) associated with this procedure?

  • Details:

  • Controls in place:

  • Details:

  • Controls in place:

  • Details:

  • Controls in place:

  • Is there any biological hazards associated with this procedure?

  • Details of hazard:

  • Controls in place:

  • Is there any ergonomic hazards associated with this procedure?

  • Details:

  • Controls in place:

  • Details:

  • Controls in place:

  • Are there any physical hazards associated with this procedure?

  • Details:

  • Controls in place:

  • Details:

  • Controls in place:

  • Details:

  • Controls in place:

  • Other hazards associated with this procedure:

  • How are Stress factors controlled?

  • How are the effects of Shift Work controlled?

  • How is this controlled?

  • How is Falling from Heights controlled?

  • Details of how Fatigue is controlled?

  • Are there any other hazards associated with this procedure that have not been identified?

  • Describe hazards and control measures in place:

Pre-task checklist

Before the task is started

  • Has a take 5 been done?

  • Why?

  • Have known hazards been identified and able to be controlled?

  • Why?

  • Have the required work permits been issued?

  • Why?

  • Is there a risk assessment for this task?

  • Why?

Task Steps

Order of task steps

  • Photo of task step

  • Describe task:

  • Photo of task step

  • Describe task:

  • Photo of task step

  • Describe task:

  • Photo of task step

  • Describe task:

  • Photo of task step

  • Describe task:

  • Photo of task step

  • Describe task:

  • Photo of task step

  • Describe task:

  • Photo of task step

  • Describe task:

  • Photo of task step

  • Describe task:

  • Photo of task step

  • Describe task:

Communication Page

Communication & Sign-offs

  • Safety Managers comments:

  • Name:

  • Clients comments:

  • Name:

  • Company Management comments:

  • Name:

Workers sign-off

  • Name:

  • Name:

  • Name:

  • Name:

  • Name:

  • Name:

  • Name:

  • Name:

  • Name:

  • Name:

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.