Step Back - Take 5 for Safety

1. Personal Checks - Think through the tasks
Yes No N/A
Do I clearly understand the task?
Have I done or undertaken the task before?
Am I competent to do this task?
Have I got the correct PPE to perform the task?
Do I have the correct tools/equipment for the task?
Is the equipment correctly tagged and in good order?
Is there a material safety data sheet available for chemicals used?
Have I been trained in the site emergency procedures?
IF ANSWERED "NO" - STOP AND CONTACT SUPERVISOR OR Report Incident🧯
2. Personal Controls
Hard Hat
Face Mask
Hearing Protection
Safety Glasses
Safety Boots
Safety Gloves
Face Shield
Hi-Vis Vest
3. Identify Hazards
Yes No N/A
Weather Conditions (Do they prevent you from completing the task safely)
Chemicals (Are you using or being exposed to acids, bases, solvents, gases, poisons etc?)
Electrical (Have all energy sources been identified, isolated, locked, and tagged?)
Working at Heights (Could I fall, Are my ladders in good condition?)
Are emergency exits accessible?
Do I need to erect barricades, signage, temporary fencing?
Manual Handling (Can I injure myself, correct lifting techniques)
ARE THE CONTROLS ADEQUATE TO CONTINUE SAFELY, IF NO - JSA / SWMS REQUIRED?
4. Is a Permit Required?
If you have answered Yes - Complete the relevant permit.