Think B4U Start

• Activity No.

• Work Task

• Asset Tag ID

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel Involved with task.

Think About the Task Involved

• Is there a standard Cofely procedure for this works?

  Yes

  No

  N/A

• If this is a regular task and for this pump or other similar pumps then a procedure should be produced to minimise risks.

• Procedure No.

• Do I require a Permit for this task? ( Hot Works, M&E Isolation, Confined Space, Fire System Isolation Notice?)

  No

  Yes

• Do not proceed until a permit has been generated. Permit type required is?

• Am I trained, fit and do I feel competent to carry out this works

  Yes

  No

  N/A

• Do not proceed with this task and seek advice from your line manager.

• Do I have the correct PPE to carry out this task?

  Yes

  No

  N/A

• Do not continue until an assessment is done for what PPM is required and has been issued to you for use.

Think About the Hazards Involved or Associated with the Works.

• Have I controlled all sources of energy for this task?

  Safe

  At Risk

  N/A

• All power supplies, pressures, moving machinery etc needs to be isolated from source before any work is carried out.

• Have I isolated and tested for dead or zero energy. Any test equipment must be proved to a known source before and after testing for dead.

  Yes

  No

  N/A

• To prevent injury YOU MUST test to ensure the supply source has been isolated, is de-energised and made safe!

• Do I need to lock out and pad lock off supplies?

  No

  Yes

• WARNING DO NOT PROCEED WITH TASK UNTIL LOCK OUT HAS BEEN CARRIED OUT.

• The lockout must be recorded onto an M&E Isolation Permit if the works cannot be completed and re-energised by you in the same work period, day or shift. If required Enter M&E permit number here for record.

• Have I minimised the risk to personnel or equipment resulting from this task?

  Yes

  No

  N/A

• Please enter any control measures used to further minimise risks?

• Will weather conditions effect this task and create further hazards?

  No

  Yes

• Please enter any control measures used to further minimise risks?

• Do I need to minimise any impact to the environment and production?

  No

  Yes

• Please enter any control measures used to minimise the impact and risks?

Working in the Area

• Is the work area clean and tidy around and above the area?

  Yes

  No

  N/A

• Have the area cleaned and maintain cleanliness whilst working to minimise risks the area.

• Can I slip, trip or fall off anything?

  No

  Yes

• What control measures have introduce to prevent injury?

• Can I be caught on, in or between any other equipment that may be working in the area?

  No

  Yes

• What control measures are employed to prevent injury?

• Do I need to employ good manual handling techniques to carry out this task?

  No

  Yes

• Ensure you lift any heavy equipment <23kg, correctly as trained.

• Do you need any assistance to do this task?

  Yes

  No

  N/A

• Think about using mechanical means to assist any lifting or moving of equipment

• Are there any other hazard(s) associated with this task that have become evident whilst completing this assessment?

  No

  Yes

• Enter hazards and controls here?

Sign off?

• Add signature

  Sign

• Add any supporting photos here.

• Hazard photos, if any.

  Media

• Issues in Work Area Photos, if any

  Media

• Sketches of any issues, control measures etc

  Drawing