Information

  • Client

  • Job Number

  • Task Description

  • Conducted on

  • Location

THINK About The Task

  • Do you understand the task?

  • What is required to understand?

  • Do you understand procedure required to undertake the task?

  • Why / what is required to understand?

  • Do you have the correct tools?

  • Why are tools not correct

  • Are they in good condition

  • Why/which tools are not in good condition?

  • Do you have the correct PPE? (Refer to Deacon Engineers PPE guide)

  • Why is PPE not correct.

IDENTIFY The Hazards

  • Manual Handling, Slips, Trips, Falls?

  • List risks

  • Mechanical, Moving Parts, Etc?

  • List risks

  • Are there any Energy Sources

  • Electricity

  • List risks

  • Water

  • Hydraulic

  • Gas

  • List risks

  • Chemical

  • List risks

  • Steam

  • List risks

  • Surroundings (Overhead, Noise, Heat, Sun. Cold)?

  • Chemicals, Biological, Radiation?

  • List risks

  • Any other Hazards?

  • List risks

  • Draw Here

ASSESS The Risk

  • Risk Matrix

    DE Risk Matrix.JPG
  • Risk Result.

  • DO NOT PROCEED, COMPLETE A FULL JSEA / SWMS AND/OR DISCUSS WITH SUPERVISOR

MANAGE The Changes

  • Hazards eliminated or controlled?<br>All risk levels are Low

  • DO NOT PROCEED, COMPLETE A FULL JSEA AND/OR DISCUSS WITH SUPERVISOR

  • Confirm you have <br>- The correct PPE<br>- Undertaken site induction (if applicable)<br>- Signed in on the site attendance register (if applicable)<br>

PROCEED With The Task

  • Sign Here

  • Please Sign before continuing.

  • The right to stop work
    All employees and Deacon Contractors have the right and an obligation (without the fear of discipline or repercussion from Deacon management) to stop work where there is an unacceptable risk to personal safety or the environment. Where deemed necessary the Mango ‘Report a Risk’ module and ‘Report an Accident/Incident’ are to be used as required.

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.