Information

  • Document No.

  • Client

  • Job Site

  • Site Manager:

  • Conducted By:

  • Location

1. Safe Observations: Review and discuss

2. Task Analysis: Review any work that requires Task Analysis and proposed action

ACTION BY

ACTION Complete

  • yes

  • Date & Time

  • I, the undersigned, acknowledge, understand and accept that:
    1. the safety issues, work practices and precautions (including PPE) relevant to the above subject / topic have been reviewed and explained to me,
    2. the key points have been explained and are clearly understood by me,
    3. I shall advise my supervisor of any individual needs in relation to carrying out the work safely,
    4. I shall only carry out work for which I am equipped and competent,
    5. I will comply with the “No Live Work Policy” and relevant SWMSs, otherwise work must stop immediately,
    6. I shall only commence work after undertaking hazard identification and risk assessment
    7. I will be vigilant regarding hazards and the suitability of the HRA and SWMS for the task at hand and implement further control measures where required, and
    8. I understand that I am authorised and expected to safely stop work and immediately notify my supervisor if a task carries an unacceptable level of risk.

ATTENDEES

    ATTENDEES
  • 1.

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.