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Take 5 Pre-task Risk Assessment Checklist

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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

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