Title Page

  • Conducted on

  • Location
  • NAME

  • activity/project

  • Am I focused on the task?

  • Stop-take time to refocus-have a cup of tea

  • I am working is an isolated work place does somebody know

  • Have I done the Onguard Training for the equipment I am about to use?

  • STOP-consult with technical staff

  • Do I have safe access/egress?

  • stop asses the risk

  • Can nearby activities injure me?

  • Can my activities interfere with or injure others?

  • Can I strain or over exert myself?

  • Are there enough people to perform the task?

  • Can I slip or trip on anything?

  • Can I come into contact with something harmful?

  • Do I have PPE fit for the task?

  • Are my tools fit for purpose?

  • Can I spill or pollute anything?

  • Is there a safer way to do the task?

  • Do I need to isolate an energy source?

  • Are any hazardous substances involved?

  • Do I have enough time to complete the task?

  • Are there any other hazard present?

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.