STOP & THINK

• Date

  Date

• Completed by:

• Signature:

  Sign

• Task:

• Location:

• Document No.

CHECKS

• 1 - Are relevant people aware of where I'm working?

  Yes

  No

• "STOP" and reassess the task. Ensure adequate controls are in place

• 2 - Is the work area tidy and free of slip/trip hazards?

  Yes

  No

• "STOP" and reassess the task. Ensure adequate controls are in place

• 3 - Do I know about any chemicals involved in this task?

  Yes

  No

• "STOP" and reassess the task. Ensure adequate controls are in place.

• 4 - Has the weather conditions, work environment or poor lighting that could effect job safety been assessed?

  Yes

  No

• "STOP" and reassess the task. Ensure adequate controls are in place.

• 5 - Do I have the right tools and equipment?

  Yes

  No

• "STOP" and reassess the task. Ensure adequate controls are in place

• 6 - Have hot/cold/sharp/heavy or leaking risks been controlled?

  Yes

  No

• "STOP" and reassess the task. Ensure adequate controls are in place

• 7 - Has the equipment been isolated and/or locked off where required?

  Yes

  No

• "STOP" and reassess the task. Ensure adequate controls are in place

• Enter Controls:

• 8 - Are strains/sprains/ manual handling hazards controlled?

  Yes

  No

• "STOP" and reassess the task. Ensure adequate controls are in place

• Enter Controls:

• 9 - Am I wearing the right PPE?

  Yes

  No

• "STOP" and reassess the task. Ensure adequate controls are in place

• Enter Controls:

• 10 - Am I prepared for an emergency?

  Yes

  No

• "STOP" and reassess the task. Ensure adequate controls are in place

• Enter Controls:

CRITICAL ITEMS

• 11 - Are chemicals/stored energy risks controlled?

  Yes

  No

• "STOP"" a JSEA, SWP or relevant permit is required . "Contact your supervisor for assistance".

• Enter Controls:

• 12 - Are entanglement/crushing/striking risks controlled?

  Yes

  No

• "STOP"" a JSEA, SWP or relevant permit is required . "Contact your supervisor for assistance".

• Enter Controls:

• 13 - Am I safe from falling or causing something to fall?

  Yes

  No

• "STOP"" a JSEA, SWP or relevant permit is required . "Contact your supervisor for assistance".

• Enter Controls:

• 14 - If the tasks you are about to perform is listed as High Risk, have you completed a JSEA or the relevant or trained in the relevant SWP?

  Yes

  No

• "STOP"" a JSEA, SWP or relevant permit is required . "Contact your supervisor for assistance".

• Enter Controls:

If task is reoccurring it must be risk ranked and added to JSEA register.

• Required actions if response = NO