Take 5 Risk Assessment Checklist

Audit

General

Task description

Take photo of work environment
Before Task Commences

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?

Hazards

Have I identified any hazards associated with the task?

Description of hazards

Take photo of hazards

Description of controls

Risk Assessment

Have all hazard controls been implemented?

Have all potential problems been discussed and understood by all?

Can the Task proceed safely?

Completion

Other observations comments

Sign off

Take 5 Risk Assessment Checklist

This Take 5 Pre-Task Risk Assessment should be completed before commencing a task. STOP for 5 minutes to think about the task and answer the questions. Identify hazards have been adequately controlled

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Audit

General

Task description

Take photo of work environment
Before Task Commences

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?

Hazards

Have I identified any hazards associated with the task?

Description of hazards

Take photo of hazards

Description of controls

Risk Assessment

Have all hazard controls been implemented?

Have all potential problems been discussed and understood by all?

Can the Task proceed safely?

Completion

Other observations comments

Sign off