Title Page
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Task
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Conducted on
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Prepared by
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Am I fit for work and ready?
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Am I in the area where the task is to be performed?
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Is there anything new or different?
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Am I new to the task or working with anyone new?
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Could I be in the line of fire?
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Do I need to isolate?
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Do I have the correct PPE/tools?
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What can kill me? (select critical risks)
- Confined Spaces
- Contact with Electricity
- COVID-19
- Drowning
- Entanglement & Crushing
- Exposure to Hazardous Substances
- Exposure to Thermal Extremes
- Fall from Height
- Falling Objects
- Lifting Operations
- Rail Collision
- Rail Impact on Person
- Slope Failure
- Uncontrolled Release of Energy
- Unplanned Initiation of Explosives
- Vehicle Collision or Rollover
- Vehicle Impact on Person
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Make sure you complete your CCC at the relevant task step
Task Hazard & Control
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List one hazard for the task
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How will you control this hazard?
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Have I implemented all controls?
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Stop work and talk to your leader
