Audit

Job Information

Person in charge of work.

Persons involved

Break Task Into Steps

Task

Step 1

Hazards Associated with Step 1

Risks Associated with Step 1

Safe Work Procedures / PPE for step 1

Media.

With the Hazard & Risk assessed, is it considered that the safeguards that have been put in place, offer sufficient protection and the job can proceed?

Step 2

Hazards associated with Step 2

Risks Associated with Step 2

Safe Work Procedures / PPE for step 2

Media

With the Hazard & Risk assessed, is it considered that the safeguards that have been put in place, offer sufficient protection and the job can proceed?

Step 3

Hazards associated with Step 3

Risks Associated with Step 3

Safe Work Procedures / PPE for step 3

Media

With the Hazard & Risk assessed, is it considered that the safeguards that have been put in place, offer sufficient protection and the job can proceed?

Is there another step??

Step 4

Hazards Associated with Step 4

Risks Associated with Step 4

Safe Work Procedure / PPE for Step 4

Media

With the Hazard & Risk assessed, is it considered that the safeguards that have been put in place, offer sufficient protection and the job can proceed?

Is there another step??

Step 5

Hazards Associated with Step 5

Risks Associated with Step 5

Safe Work Procedure / PPE for step 5

Media

With the Hazard & Risk assessed, is it considered that the safeguards that have been put in place, offer sufficient protection and the job can proceed?

Add media

Is there another step??

Step 6

Hazards Associated with Step 6

Risks Associated with Step 6

Safe Work Procedure / PPE for step 6

Media

With the Hazard & Risk assessed, is it considered that the safeguards that have been put in place, offer sufficient protection and the job can proceed?

Is there another step??

Step 7

Hazards Associated with Step 7

Risks Associated with Step 7

Safe Work Procedure / PPE for step 7

Media

With the Hazard & Risk assessed, is it considered that the safeguards that have been put in place, offer sufficient protection and the job can proceed?

Add media

Is there another step??

Step 8

Hazards Associated with Step 8

Risks Associated with Step 8

Safe Work Procedure / PPE for step 8

Media

With the Hazard & Risk assessed, is it considered that the safeguards that have been put in place, offer sufficient protection and the job can proceed?

Add media

Is there another step??

Step 9

Hazards Associated with Step 9

Risks Associated with Step 9

Safe Work Procedure / PPE for step 9

Media

With the Hazard & Risk assessed, is it considered that the safeguards that have been put in place, offer sufficient protection and the job can proceed?

Add media

Is there another step??

Step 10

Hazards Associated with Step 10

Risks Associated with Step 10

Safe Work Procedure / PPE for step 10

Media

With the Hazard & Risk assessed, is it considered that the safeguards that have been put in place, offer sufficient protection and the job can proceed?

Add media

Is there another step??

Step 11

Hazards Associated with Step 11

Risks Associated with Step 11

Safe Work Procedure / PPE for step 11

Media

With the Hazard & Risk assessed, is it considered that the safeguards that have been put in place, offer sufficient protection and the job can proceed?

Is there another step??

Step 12

Risks Associated with Step 12

Hazards Associated with Step 12

Safe Work Procedure / PPE for step 12

Media

With the Hazard & Risk assessed, is it considered that the safeguards that have been put in place, offer sufficient protection and the job can proceed?

Add media
Jobsite and Task Checklist

Are permits required? (Permit to work, hot work, confined spaces, etc.)

Is the permit complete? DO NOT PROCEED WITHOUT A PERMIT

Is special training needed? (Forklift, Scaffold, Powder Actuated Tool)

Do the people involved have the appropriate training / licences?

Can weather conditions affect safety?

Consider posponing the job until the weather improves.

Is lighting a problem?

Consider if additional lighting is required.

Contact with acids, toxic or caustics? (Material Safety Data Sheet)

Wear PPE and refer to Material Safety Data Sheets on company 'L' drive. Management Department > SHE - Mitch > COSHH Assessments

Will there be exposure to dust, fumes or mist? (Material Safety Data Sheet)

Wear a dust mask appropriate to the risk. SEEK ADVICE TO ENSURE YOU HAVE THE CORRECT MASK.

Is the employee working with sharp or rough materials that require PPE?

Wear correct hand protection appropriate to the task. SEEK ADVICE TO ENSURE YOUR PPE IS APPROPRIATE.

Can the worker slip, trip or fall?

Ensure the work area is free from hazards. Wear a safety harness, Clean slippery surfaces.

Do tools, machines or equipment present any hazards?

Ensure you are competent to use the equipment. Ensure the equipment is safe to use.

Can any body part get caught in, struck by or caught between objects? THIS INCLUDES HANDS, THINK BEFORE YOU REACH

Isolate and lock of plant using personal padlocks if you will be at risk of mechanical entrapment. LOCK OUT, TAG OUT, TRY OUT.

Can pushing, pulling, lifting, bending or twisting cause strain?

Use correct manual handling.
Source equipment to reduce risk.

Is there danger from falling objects?

Check area overhead and remove the risk before starting work.

Is excessive noise or vibration a problem?

Wear ear defender, hearing protection.
Do you need to carry out a Hand Arm Vibration Risk Assessment?
Use Anti Vibration Gloves. SEEK ADVICE.

Are there flammable, explosive or electrical hazards?

Ensure area is purged of fumes.
Engage electrician to remove electrical hazard.

Fall hazard from one level to another or same level?

Use a harness, fall arrestor, lanyard.

With all the Hazards & Risks assessed, is it considered that the safeguards that have been put in place, offer sufficient protection and the job can proceed?

Signatures
Person completing Task Hazard Analysis & SSOW
Employee 2
Employee 3
Employee 4
Comments/Discussion

Comments/Discussion

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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.