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Workplace Safety Checklist

This document is a risk assessment form for a job task that includes the following sections: 1. Checking documentation and safety equipment before starting work. 2. Identifying potential hazards such as slips, trips, falls, electrical issues, and more. Controls are put in place to reduce risks. 3. Assessing remaining risks as high, medium, or low after controls are implemented. 4. All team members signing to confirm risk is as low as reasonably possible and controls are adequate. 5. Reviewing if any lessons were learned or new hazards created for future jobs.

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Bryan
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266 views1 page

Workplace Safety Checklist

This document is a risk assessment form for a job task that includes the following sections: 1. Checking documentation and safety equipment before starting work. 2. Identifying potential hazards such as slips, trips, falls, electrical issues, and more. Controls are put in place to reduce risks. 3. Assessing remaining risks as high, medium, or low after controls are implemented. 4. All team members signing to confirm risk is as low as reasonably possible and controls are adequate. 5. Reviewing if any lessons were learned or new hazards created for future jobs.

Uploaded by

Bryan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

POINT OF WORK

RISK ASSESSMENT
Job Task / Activity Location Date:
Additional Safety Assessment
.............................................. ....................................... .........................
Remaining risk (High,
BEFORE YOU START (tick appropriate box) Yes No N/A
HAZARD Control Measures / Precautions Medium, Low)
Part 1 - Stop

Do you have the right documentation for the job?

Part 3 - Assessment
Do you have the right PPE for the job?
Are power tools and leads PAT tested?
Visual inspection of slings carried out?
Slings suitable for task (safe working load?)
If you have answered ' No' to any of the above, take the required action or report to the
nominated person.
Safety Assessment -
If the HAZARD is present, tick  the box
Slips Thermal Comfort
Trips Energy Release
Falls Electrical DECLARATION: Signature - all Team
Heights Chemical Print Name - all Team Members Members
I am satisfied that the level

Part 4 - Declaration
Falling Objects Fire of risk to the working party,
Entanglement Confined Spaces to others & to the
Drawing-in Glass environment, is as low as is
Part 2 - Think

Trapping (crush, shear) Unauthorised Access reasonably practicable &


that adequate controls are
Impact (moving object) Access / Egress
in place.
Impact (stationary object) Water Ingress
Contact (Cut/friction/abrasion) LPG
Contact (Stabbing/Puncture) Noise
Ejection Vibration End of Job Review
Equipment Stability Manual Handling Are there any lessons for next time? YES NO
Part 5 - Review

Burns (Hot, Cold) Upper Limb Disorder Has the work created any new Hazards? YES NO
Burns (Chemical) Vehicle / Pedestrian segregation If you have answered YES to either of these questions, tell your Line Manager
If other, (specify)

Circle any ticks for hazards that are significant and for which there are no (or inadequate) controls. If you Signature: ...............................................................
have circled any hazards, Part 3 needs to be completed and additional control measures put in place before
work commences.

Yes No N/A HAZARD YES NO YES NO If you have answered YES to either of these questions, tell your Line Manager Signature: ...

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