Title Page
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Site conducted
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Date and Time
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Task
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Conducted on
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Prepared by
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Location
DISCUSSIONS WITH THE TEAM
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As the Supervisor/line manager, have you discussed the following with your team?
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Has the correct equipment and site location been identified?
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Are you locked on to the correct equipment?
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Have you identified and verified the isolation points?
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Do you understand what work requires completing?
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Is there an easier or safer way to complete this task?
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Will you be in the line of fire?
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Have all tools (including personal tools) been inspected for defects or damage?
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Do you have the correct calibrated equipment and arc flash PPE to ‘test for dead’?
JOB SPECIFIC HAZARDS AND CONTROLS
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As the Supervisor/line manager, have you discussed the following with your team?
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Has the JHA identified all the associated hazards?
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Has the controls been implemented?
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Do you understand the critical step/s?
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Do you require a SOP/SWP for this task? Will it be used in conjunction with a JHA?
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Have the high-risk work permits been obtained?
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Have you communicated with the client representatives, area coordinators and work crews in this area?
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Are the necessary barricading/tags, drop zones and drop mats in place?
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Are you 100% confident to begin?