Information
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Document No.
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Audit Title and/or Job Description and/or Task Description.
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Site/Location
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Conducted on
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Prepared by
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Location
Job Information
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Person in charge of work.
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Persons involved
Break Task Into Steps
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Task
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Step 1
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Hazards Associated with Step 1
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Risks Associated with Step 1
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Safe Work Procedures / PPE for step 1
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Media.
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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?
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Step 2
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Hazards associated with Step 2
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Risks Associated with Step 2
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Safe Work Procedures / PPE for step 2
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Media
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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?
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Step 3
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Hazards associated with Step 3
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Risks Associated with Step 3
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Safe Work Procedures / PPE for step 3
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Media
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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?
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Is there another step??
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Step 4
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Hazards Associated with Step 4
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Risks Associated with Step 4
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Safe Work Procedure / PPE for Step 4
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Media
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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?
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Is there another step??
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Step 5
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Hazards Associated with Step 5
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Risks Associated with Step 5
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Safe Work Procedure / PPE for step 5
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Media
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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?
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Add media
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Is there another step??
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Step 6
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Hazards Associated with Step 6
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Risks Associated with Step 6
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Safe Work Procedure / PPE for step 6
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Media
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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?
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Is there another step??
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Step 7
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Hazards Associated with Step 7
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Risks Associated with Step 7
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Safe Work Procedure / PPE for step 7
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Media
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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?
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Add media
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Is there another step??
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Step 8
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Hazards Associated with Step 8
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Risks Associated with Step 8
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Safe Work Procedure / PPE for step 8
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Media
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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?
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Add media
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Is there another step??
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Step 9
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Hazards Associated with Step 9
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Risks Associated with Step 9
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Safe Work Procedure / PPE for step 9
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Media
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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?
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Add media
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Is there another step??
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Step 10
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Hazards Associated with Step 10
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Risks Associated with Step 10
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Safe Work Procedure / PPE for step 10
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Media
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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?
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Add media
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Is there another step??
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Step 11
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Hazards Associated with Step 11
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Risks Associated with Step 11
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Safe Work Procedure / PPE for step 11
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Media
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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?
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Is there another step??
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Step 12
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Risks Associated with Step 12
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Hazards Associated with Step 12
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Safe Work Procedure / PPE for step 12
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Media
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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?
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Add media
Jobsite and Task Checklist
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Are permits required? (Permit to work, hot work, confined spaces, etc.)
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Is the permit complete? DO NOT PROCEED WITHOUT A PERMIT
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Is special training needed? (Forklift, Scaffold, Powder Actuated Tool)
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Do the people involved have the appropriate training / licences?
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Can weather conditions affect safety?
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Consider posponing the job until the weather improves.
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Is lighting a problem?
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Consider if additional lighting is required.
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Contact with acids, toxic or caustics? (Material Safety Data Sheet)
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Wear PPE and refer to Material Safety Data Sheets on company 'L' drive. Management Department > SHE - Mitch > COSHH Assessments
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Will there be exposure to dust, fumes or mist? (Material Safety Data Sheet)
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Wear a dust mask appropriate to the risk. SEEK ADVICE TO ENSURE YOU HAVE THE CORRECT MASK.
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Is the employee working with sharp or rough materials that require PPE?
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Wear correct hand protection appropriate to the task. SEEK ADVICE TO ENSURE YOUR PPE IS APPROPRIATE.
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Can the worker slip, trip or fall?
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Ensure the work area is free from hazards. Wear a safety harness, Clean slippery surfaces.
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Do tools, machines or equipment present any hazards?
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Ensure you are competent to use the equipment. Ensure the equipment is safe to use.
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Can any body part get caught in, struck by or caught between objects? THIS INCLUDES HANDS, THINK BEFORE YOU REACH
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Isolate and lock of plant using personal padlocks if you will be at risk of mechanical entrapment. LOCK OUT, TAG OUT, TRY OUT.
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Can pushing, pulling, lifting, bending or twisting cause strain?
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Use correct manual handling.
Source equipment to reduce risk. -
Is there danger from falling objects?
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Check area overhead and remove the risk before starting work.
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Is excessive noise or vibration a problem?
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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?
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Ensure area is purged of fumes.
Engage electrician to remove electrical hazard. -
Fall hazard from one level to another or same level?
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Use a harness, fall arrestor, lanyard.
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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
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Person completing Task Hazard Analysis & SSOW
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Employee 2
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Employee 3
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Employee 4
Comments/Discussion
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Comments/Discussion
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Add media