Title Page

  • Site conducted

  • Date and Time

  • Task

  • Conducted on

  • Prepared by

  • Location

DISCUSSIONS WITH THE TEAM

  • As the Supervisor/line manager, have you discussed the following with your team?

  • Has the correct equipment and site location been identified?

  • Are you locked on to the correct equipment?

  • Have you identified and verified the isolation points?

  • Do you understand what work requires completing?

  • Is there an easier or safer way to complete this task?

  • Will you be in the line of fire?

  • Have all tools (including personal tools) been inspected for defects or damage?

  • Do you have the correct calibrated equipment and arc flash PPE to ‘test for dead’?

JOB SPECIFIC HAZARDS AND CONTROLS

  • As the Supervisor/line manager, have you discussed the following with your team?

  • Has the JHA identified all the associated hazards?

  • Has the controls been implemented?

  • Do you understand the critical step/s?

  • Do you require a SOP/SWP for this task? Will it be used in conjunction with a JHA?

  • Have the high-risk work permits been obtained?

  • Have you communicated with the client representatives, area coordinators and work crews in this area?

  • Are the necessary barricading/tags, drop zones and drop mats in place?

  • Are you 100% confident to begin?

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.