Do I clearly understand what is required?
Am I trained to do the work and familiar with the equipment/task?
Are the tools and equipment in a safe condition?
Do I have approved documentation for the task?
Am I safe from other activities/tasks in the area?
Have I informed others who may be affected by my work?
Do I have the correct PPE for the Task?
Have I identified any hazards associated with the task?
Description of hazards
Description of controls
Have all hazard controls been implemented?
Have all potential problems been discussed and understood by all?
Can the Task proceed safely?
Other observations comments