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Free Take 5 Checklist
Am I trained, competent and authorised to perform this task?
Am I fit to perform this task (Aware, Rested and Alert)?
Do I understand this task?
Do I have the correct PPE for the task?
Do I have any required WIN's, Procedures and JHA's?
Does the task involve hazardous energy sources?
Can I isolate the hazard?
Are there Slip, Trip or Fall hazards in the work area?
Can I reduce the hazard to a safe level?
Are there moving Plant/Equipment hazards in the work area?
Can I reduce the hazard to a safe level?
Does the task involve manual handling?
Do I need mechanical aid?
Do I have the correct mechanical aid available?
Am I trained to use it?
Is it safe to use?
Does the task require the use of tools?
Are the tools required in an appropriate condition to carry out the task safely?
Is there a current test tag in the case of any electric tools required for the task?
Am I introducing any new hazards to the work area or surrounding areas?
Can I reduce the hazard to a safe level?
Do I feel safe to proceed with the task?
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is
permissible in your workplace or jurisdiction.
