Title Page
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Site conducted
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Site Name
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Date
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Simpro Job Number
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Location
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Fantail Employee Name
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Fantail Employee Contact Number
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Fantail Employee Signature
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Site Contact Person:
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Site Contact Number:
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Fantail H & S Representative: Erik Potgieter
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Fantail H & S Contact Number: 021 249 3563
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Document Number
To be completed on site
PPE Required for ActivityTask
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Hard Hat, Hi Visibility Vest, Safety Glasses, Safety boots & gloves, add in any additional PPE in the notes
Identified Task and Associated Hazard
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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
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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
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Control Method
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Initial Risk Assessment - Before the controls are in place. Refer to the risk assessment matrix
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Level
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Residual risk assessment After all controls are in place. Refer to the risk assessment matrix.
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Level
Attendee Name
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I have read and understood this Task Analysis. I agree to work to these terms and follow the process.
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Name:
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Signature
