This digital Take 5 pre-start safety checklist is designed to help workers and contractors minimize health and safety risks and hazards. It should take no longer than 5 minutes to complete
Scan this QR code to use this paper checklist on your smartphone or tablet or
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Title Page
Conducted on
Company name
Name
Site Location
Take 5 sections
Are you familiar with how to report hazards & incidents?
Do you have the correct procedures and equipment to do the work safely?
Is there appropriate separation of vehicles and people during the proposed work?
Is all required electrical/mechanical equipment in a safe condition?
Have you consulted with workers about the task and the safe way to do it?
Do you have all necessary PPE?
Have you got a safe way of getting in and out of your work area?
Sign off
Comments/ hazards
David Stokes
Take 5 Safety Checklist
This digital Take 5 pre-start safety checklist is designed to help workers and contractors minimize health and safety risks and hazards. It should take no longer than 5 minutes to complete
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.