Has the Permit to Work been signed by all parties?
Has the Job START been completed
Has the Job START been signed by all parties
Has a Job Analysis been completed
Has the Job Analysis followed the Hazard Pathway Impact
Has it been signed by all members of the work party?
Are MSDSs available?
Are MSDSs up to date?
Have precautions been observed
Is the work area safe?
Have barricades been putinto place?
Is good housekeeping present
Personal Protective Equipment
Is PPE being used?
Is the PPE being used appropriate for the task
Is the PPE well maintained ie. clean, not broken
Have the traffic control hazards been identified
Have the controls been put into place
Excavation and Trenching
Are the minimum regulatory requirements being met
Confined Space Entry
Are the correct procedures being observed
Are the appropriate safeguards in place to protect against electrical hazards
Working at Heights
Are requirements being observed
Have all personnel been trained for the task
Are all isolations understood
Is all equipment tagged
Do personnel understand the Zero Harm requirements?
Environmental Management System
Are site specific requirements being followed?
Are site requirements being observed?
Are task requirements being meet? Ie following procedures ect
Is test equipment within the calibration date
Is electrical equipment tested and tagged
Are the current document revision being used?
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Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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