SWP - Test

• Document No.

• Audit Title

• Site Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Catastrophic Risk Management - CRM: Review these questions every time you complete this activity.

• Ask yourself these three questions

• 1. What are the things that can kill me?

• 2. What controls do I need to put in place to protect me?

• 3. How do I know they are in place and effective?
  

Identify Applicable Catastrophic Risks Below

• Electrical Systems

  Safe

  At Risk

  N/A

• Working at Heights

  Safe

  At Risk

  N/A

• Isolations

  Safe

  At Risk

  N/A

• Lifting Operations

  Safe

  At Risk

  N/A

• Guarding

  Safe

  At Risk

  N/A

• Hazardous Chemicals

  Safe

  At Risk

  N/A

• Traffic Management

  Safe

  At Risk

  N/A

• Fire and Explosions

  Safe

  At Risk

  N/A

Task Requirements: The requirements of this work instruction are detailed below.

• 1. To perform ............................. without injury or damage to personnel, the environment or macinery.

• 2. To ensure the quality of our products and services are maintained to a suitable standard.

Other Requirements: The following list shall be strictly followed prior to the commencement of this instruction.

• Required and/or Recommended Personal Protective Equipment:

  Select Safety boots Overalls Hard Hat Gloves Safety Glasses Dust Mask Harness/Fall Restraint High Visibility Vest

  • Safety boots
  • Overalls
  • Hard Hat
  • Gloves
  • Safety Glasses
  • Dust Mask
  • Harness/Fall Restraint
  • High Visibility Vest

• Permits/Special Controls:

  Select Confined Space Permit Hot Work Permit Lockout/Isolation Permit Excavation/Penetration Permit

  • Confined Space Permit
  • Hot Work Permit
  • Lockout/Isolation Permit
  • Excavation/Penetration Permit

• People:

  Select Electricians Plumbers Masons Carpenters Boilermakers Refrigeration Mechanics

  • Electricians
  • Plumbers
  • Masons
  • Carpenters
  • Boilermakers
  • Refrigeration
  • Mechanics

• Competency:

  Select Drivers Licence Infrastructure Card

  • Drivers Licence
  • Infrastructure Card

• Tools and Materials:

  Select TLB Bull Dozer Manitou Truck Pick-up Hard Top

  • TLB
  • Bull Dozer
  • Manitou
  • Truck
  • Pick-up
  • Hard Top

• Pre-start Checks/Prior Preparation:

  Select Take 5 JDEA CMP Confirm Isolation

  • Take 5
  • JDEA
  • CMP
  • Confirm Isolation

• Specific Environmental Instructions:

  Select Hydrocarbon Usage Erosion Control

  • Hydrocarbon Usage
  • Erosion Control

Equipment Isolation List: Reference the Isolation Document if required for this Activity.

• Equipment:

• Document Number:

Work Istruction:

Step 1:

• Description of Job Step

• Identified Hazards

• Action or Control

Step 2:

• Description of Job Step

• Identified Hazards

• Action or Control

Step 3:

• Description of Job Step

• Identified Hazards

• Action or Control

Step 4:

• Description of Job Step

• Identified Hazards

• Action or Control

Step 5:

• Description of Job Step

• Identified Hazards

• Action or Control

Step 6:

• Description of Job Step

• Identified Hazards

• Action or Control

Step 7:

• Description of Job Step

• Identified Hazards

• Action or Control

Step 8:

• Description of Job Step

• Identified Hazards

• Action or Control

Step 9:

• Description of Job Step

• Identified Hazards

• Action or Control

Step 10:

• Description of Job Step

• Identified Hazards

• Action or Control

Step 11:

• Description of Job Step

• Identified Hazards

• Action or Control

Step 12:

• Description of Job Step

• Identified Hazards

• Action or Control

• If performing this task poses a risk to personnel, the environment, machinery or quality then,
  
  STOP!!! DO NOT PROCEED!!!
  
  Contact your supervisor or manager to advise of the situation and if possible rectify situation before proceeding further. If you are unable to rectify the situation, await instructions form your supervisor.