Information

  • Hazard & Control Checklist Title

  • Document No.

  • Client

  • Location
  • Personnel

  • Conducted on

  • Prepared by

Site main hazards and rules

  • Are workers aware of the main site hazards?

  • Have workers been formally inducted, with the site hazards and rules explained to them?

  • Does the site have adequate signage to raise awareness of the main hazards?

  • Is there a PTW (permit to work) system?

  • Additional information:

Emergency preparedness and response

  • Is there safe access and egress?

  • Are first aid equipment and eye wash stations available?

  • Are there first aiders on site?

  • Are the emergency alarms and action plans understood?

  • Additional information:

Hot work

  • Is a PTW required/completed?

  • Has all flammable material been removed?

  • Is fire safety equipment available and on hand?

  • Have fire zones been isolated?

  • Additional information:

Working at height

  • Is a PTW required/completed?

  • Is work at height equipment tested and in date?

  • Do working platforms have safe access, appropriate hand railing, and kick plates?

  • Are workers competent and trained to use any work at height equipment?

  • Additional information:

Electricity

  • Can equipment be easily isolated?

  • Is there a LOTO procedure for all energy sources?

  • Is live working strictly controlled, (i.e. PTW system)?

  • Additional information:

Slips, trips and falls

  • Is the work area kept clear of obstacles and trip hazards?

  • Are spillages are promptly cleaned up?

  • Are openings or holes barricaded?

  • Do workers wear appropriate footwear?

  • Additional information:

Hot and cold equipment or components

  • Do workers understand the risk of injury and control measures when working on hot or cold components?

  • Can hot or cold parts be allowed to cool or warm before working on?

  • Is appropriate PPE available and worn? (Heat resistant gloves/gauntlets, safety glasses etc)

  • Additional information:

Manual handling

  • Are workers trained in good lifting and handling techniques?

  • Is lifting, moving equipment available for items that are too heavy, cumbersome to lift?

  • Is help available where team lifting is appropriate?

  • Additional information:

Lifting and handling equipment

  • Is lifting equipment available and appropriate?

  • Is lifting equipment inspected before use?

  • Is lifting equipment tested and in date?

  • Is suitable training given?

  • Is a suitable exclusion zone implemented?

  • Additional information:

Moving machinery

  • Are energy sources isolated before work (LOTO)

  • Are fixed machine guards in place?

  • Are interlocked guards, light guards, pressure mats, etc, working?

  • Are temporary barriers, signs and observations implemented when required to work with guards removed?

  • Additional information:

Hazardous substances

  • Is the MSDS (material safety data sheet) available?

  • Are appropriate storage and handling requirements implemented?

  • Is PPE (personal protective equipment)available and used correctly? Safety glasses, goggles, gloves, overalls, aprons, footwear etc.

  • Is spillage equipment available?

  • Additional information:

Pressurised equipment

  • Is there a PTW system in place for working on pressurised equipment?

  • Is a LOTO procedure in place?

  • Is the equipment proven to be isolated and pressure relieved, before starting work?

  • Additional information:

Confined space

  • Is there a PTW system in place for working in confined spaces?

  • Has the potential hazardous atmosphere been identified?

  • Is an emergency plan implemented?

  • Is all required PPE and RPE available and used correctly

  • Are workers competent and trained to work in confined spaces?

  • Additional information:

Noise

  • Are the site rules regarding noise at work understood?

  • Can the noise be reduced, by switching off equipment, or other means before work starts?

  • Is appropriate hearing protection available and used when noise levels cannot be reduced to a safe level?

  • Additional information:

Asbestos

  • Are the site rules understood and is the site register available?

  • Are authorised and competent workers only allowed to work where asbestos is known to be present?

  • Have workers undertaken asbestos awareness training?

  • Additional information:

Tools and equipment

  • Are tools and equipment inspected before use?

  • Are tools and equipment appropriate for the task and used correctly?

  • Is any portable electrical equipment tested and in date?

  • Are electrical leads protected from damage?

  • Are all guards and protection devices in place?

  • Additional information:

Simultaneous operations

  • Can work undertaken have an impact on the safety of others in the vicinity?

  • Can work by others in the vicinity impact worker safety?

  • Can work be rescheduled when safety is compromised by other operations?

  • Do workers collaborate with others to ensure the safety of all?

  • Additional information:

Weather or environmental conditions

  • Is suitable clothing provided for extremes of temperature?

  • Are frequent breaks taken when working in extremes of temperature?

  • Is cold or warm drinks and food available when working in extremes of temperature?

  • Can work be rescheduled at times of inclement weather?

  • Additional information:

Fitness for work and fatigue

  • Do workers work within time guidelines?

  • Is travel time to and from work reasonable

  • Are workers physically and mentally fit

  • Are workers taking and medication that may affect their ability to work safely?

  • Additional information:

Site clean up and waste disposal

  • Are workers aware of the site waste disposal rules?

  • Are appropriate waste disposal resources available? Segregated skips/bins

  • Is the work area left clean and tidy on completion of the work?

  • Additional information:

Additional hazards

  • Additional identified hazards

  • Hazard

Other relevant information

  • Additional information:

  • Photo:

  • Photo:

  • Photo:

  • Photo:

  • Drawing:

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.