Title Page

  • Site conducted

  • Site Name

  • Date

  • Simpro Job Number

  • Location
  • Fantail Employee Name

  • Fantail Employee Contact Number

  • Fantail Employee Signature

  • Site Contact Person:

  • Site Contact Number:

  • Fantail H & S Representative: Erik Potgieter

  • Fantail H & S Contact Number: 021 249 3563

  • Document Number

To be completed on site

PPE Required for ActivityTask

  • Hard Hat, Hi Visibility Vest, Safety Glasses, Safety boots & gloves, add in any additional PPE in the notes

Identified Task and Associated Hazard

  • Sequence of Basic Steps: Describe each step in the activity – most will have 4-8 steps. Follow the flow of the product or process.

  • Potential hazards and risks Describe the key hazards and risks for each step
  • Identified Hazard

  • Control methods and level of control Describe the key/significant way to control the risk and then refer to the hierarchy of controls
  • Control Method

  • Initial Risk Assessment - Before the controls are in place. Refer to the risk assessment matrix

  • Level

  • Residual risk assessment After all controls are in place. Refer to the risk assessment matrix.

  • Level

  • Attendee Name
  • I have read and understood this Task Analysis. I agree to work to these terms and follow the process.

  • Name:

  • Signature

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.