STOP 6+α Checklist

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Q1. Is there an existing Work Procedure for this Task? If No Q3, If Yes Q2

  Yes

  No

  N/A

• Q2. Is there a need to vary from the Work Procedure? If No Proceed, If Yes Q3

  Yes

  No

  N/A

Q3. Does the follow risk exist in the task? Explain Risk

• Actuator/ Apparatus, caught in machine, tools or parts.<br><br>Is it adequately controlled? List control.

  Yes

  No

  N/A

• Block/ Big / Heavy, heavy object hitting<br><br>Is it adequately controlled? List control.

  Yes

  No

  N/A

• Car (Vehicle), transportation accident, contact with car, forklift truck or another mobile plant/vehicle<br><br>Is it adequately controlled? List control.

  Yes

  No

  N/A

• Drop/ Fall, dropped from high place<br><br>Is it adequately controlled? List control.

  Yes

  No

  N/A

• Electrical, electrical contact<br><br>Is it adequately controlled? List control.

  Yes

  No

  N/A

• Fire, hot object contact, or exposed to flames<br><br>Is it adequately controlled? List control.

  Yes

  No

  N/A

• α Alpha hazardous chemical or oxygen deficiency<br><br>Is it adequately controlled? List control.

  Yes

  No

  N/A

• Others: <br>Cut/ Lacerations <br>Health<br>Manual Handling<br><br>Is it adequately controlled? List control.

  Yes

  No

  N/A