Title Page
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Site conducted
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Document Number
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Conducted on
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Prepared by
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Location
Risk Management Process
General
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Task description
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Take photo of work environment
Before Task Commences
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Do I clearly understand what I need to do?
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Am I trained to do the work and familiar with the equipment/task?
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Do I need any permits (e.g. Hot Work, Confined Space)?
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Do I need a SWMS for high risk work?
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Are the tools and equipment in a safe condition?
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Do I have approved documentation for the task?
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Am I safe from other activities/tasks in the area?
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Have I informed others who may be affected by my work?
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Do I have the correct PPE for the Task?
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Is plant & vehicles parked safety?
Hazards
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Have I identified any hazards associated with the task?
- Manual Handling (lifting etc.)
- Gravity (slips, trips, falls)
- Mechanical (pinch, moving parts)
- Electrical
- Chemical
- Pressure
- Noise
- Biological (disease)
- Radiation (sunlight, UV)
- Psychological (stress, fatigue, depression)
- Heat & Cold (environment)
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Select control method
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Have I you completed a SWMS?
Risk Assessment
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Have all hazard controls been implemented?
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Have all potential problems been discussed and understood by all?
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Can the Task proceed safely?
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If 'no' you cannot proceed until all risk have been eliminate or controlled
Completion
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Other observations comments
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Signature
