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Take 5 Pre-task Risk Assessment Checklist

Take 5 Pre-task Risk Assessment Checklist is a safety tool to help identify and assess the risks associated with any task. It uses a five-step process to ensure that all potential hazards are identified and addressed before the task is started. It also helps to ensure that workers are adequately trained and equipped to carry out the task safely.

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Take 5 Pre-task Risk Assessment Checklist

Inspection

Stop and Think Through the Task

Do I clearly understand what is required?
Am I trained to do the work and familiar with the equipment/task?
Are the tools and equipment in a safe condition?
Do I have approved documentation for the task?
Have I informed others who may be affected by my work?
Do I have the correct PPE/RPE for the task (identified in the risk assessment/method statement)?

Identify and Assess the Hazards

Provide corrective actions for hazards identified by clicking on 'Action' on the items below. Describe the action to take, assign a member, set priority level and due date.
Hazard type
Please specify hazard type
Take or attach photo evidence of hazard identified
Describe the hazard
Refer to image below for risk level
Priority for action
Refer to image below for likelihood
Likelihood
Control measure

Control and Monitor

Are all hazards identified controlled or removed?

Completion

Name & Signature of Assigned Employee
Name & Signature of Supervisor
Share this template:
Take 5 Pre-task Risk Assessment Checklist is a safety tool designed to identify potential hazards before beginning a task. It encourages workers to take a few moments to evaluate a task and identify any potential risks. The checklist consists of five simple questions to assess the task and determine if it is safe to proceed. The questions are: What can go wrong, What harm can occur, What is the likelihood of this hazard, What existing controls are in place, and What additional controls are needed. The answers to these questions provide a framework for establishing and maintaining a safe workplace.