UTake 5 Personal Hazard Assessment 2.0

• Document No.

• UTake 5 Personal Hazard Assessment

• One Toyota North America

• Conducted on

  Date

• William Alexander

• 6781 Headquarters Dr, Plano 75024
  Address

• William Alexander

STOP AND LOOK

• Observe work area and surroundings

  Yes

  No

  N/A

THINK THROUGH THE TASK

• Work scope/Procedures/JHA understood and in use

  Yes

  No

  N/A

• Correct Permit requirements obtained and in use

  Yes

  No

  N/A

• Correct PPE obtained and is use

  Yes

  No

  N/A

• Correct Tools/Equipment uses and in good order

  Yes

  No

  N/A

IDENTIFY THE HAZARDS

• Look Close

• Look Wide

• Look for the hidden

• Hazard identified are:

CONTROL AND COMMUNICATION

• Hazard control details:

• Hazard(s) controlled before the task is started

  Yes

  No

  N/A

• Share learning with others in crew/teams

  Yes

  No

  N/A

DO THE TASK SAFELY

• Can the job be done safely? (If no, STOP and contact your Supervisor)

  Yes

  No

  N/A

ABOUT SECTION 3 and 4

• Hazard details -List the hazard you identified.

• Hazard control details -List how the hazard will be controlled to protect you.

• Communication -Do the people working with you understand the hazards and the controls in the same way you do?

• Control -Hazards must be controlled before the task is started.

NOTES