TAKE 5 STOP THINK ABOUT THE TASK Please take the time and complete the 18 questions.

  • Is there a procedure for this task ( i.e JSA, SWMS, High Risk SWMS ) ?

DO NOT PROCEED WITH THE TASK. You have selected NO to the above question (Is there a procedure for the task) If the task does not require a JSA select N/A Contact you supervisor and discuss the changes.

  • Please selected below the following High risk SWMS required. HR SWMS are located in a PDF version in iBooks and in your vehicle
    WHS folder.

  • HR SWMS 01 Working at height

  • HR SWMS 08 working on live electrical circuits

  • Is there a change to the design, procedure, process or task

DO NOT PROCEED WITH THE TASK. You have selected YES to the above question (Is there a change to the design, procedure, process or task ?) Please contact your supervisor to discuss.

  • Am I trained, competent and authorized
    For this task ?

DO NOT PROCEED WITH THE TASK. You have selected NO to the above question (Am I trained, competent and authorized for this task ?) Please contact your supervisor to discuss.

  • Do I have the correct PPE and equipment for this task ?

DO NOT PROCEED WITH THE TASK. You have selected NO to the above question (Do I have the correct PPE and equipment for this task ?) Please contact your supervisor to discuss.

  • Do I have a clear plan in mind ?

DO NOT PROCEED WITH THE TASK. You have selected NO to the above question ( Do I have a clear plan in mind ?) Please contact your supervisor to discuss.

IDENTIFY THE HAZARDS.

  • Do I have to isolate to control sources of energy ?

  • Access the risk and give a Description of hazard

  • Controls implemented to reduce the risk

  • Am I fit to perform this task ( aware, rested,alert, not under the influence of
    Drugs or Alcohol ) ?

DO NOT PROCEED WITH THE TASK. You have selected NO to the above question (Am I fit to perform this task ( aware, rested,alert, not under the influence of Drugs or Alcohol ) ? ) Please contact your supervisor to discuss.

  • Could the Atmospheric conditions be unsafe ?

  • Access the risk and give a Description of hazard

  • Controls implemented to reduce the risk

  • Does my task impact others ?

  • Access the risk and give a Description of hazard

  • Controls implemented to reduce the risk

  • Do I have safe access and egress ?

  • Access the risk and give a Description of hazard

  • Controls implemented to reduce the risk

  • Can I slip or trip ?

  • Access the risk and give a Description of hazard

  • Controls implemented to reduce the risk

  • Can I strain or over exert my self

  • Access the risk and give a Description of hazard

  • Controls implemented to reduce the risk

  • Can I fall from a height ?

  • Access the risk and give a Description of hazard

  • Controls implemented to reduce the risk

  • Can I be trapped/caught by plant ?

  • Access the risk and give a Description of hazard

  • Controls implemented to reduce the risk

  • Can something fall on me or others ?

  • Access the risk and give a Description of hazard

  • Controls implemented to reduce the risk

  • Is there a Fire Risk ?

  • Access the risk and give a Description of hazard

  • Controls implemented to reduce the risk

  • Do I need help with this task ?

  • Access the risk and give a Description of hazard. You have selected yes to the above question ( Do I need help with the task ? ) Please Contact your supervisor to discuss.

  • Controls implemented to reduce the risk

  • Any other concerns or hazards ?

  • Make a list of your concerns / hazards and contact your Supervisor.

  • Access the risk and give a Description of hazard

  • Controls implemented to reduce the risk

  • Add signature

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