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Identify hazards with a take 5 pre-task risk assessment

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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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.
Please note that this checklist template is a hypothetical appuses-hero 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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