Professional Documents
Culture Documents
Step 1 Stop, step back, observe Observe the work area and
surrounding location for hazards.
Step 4 Control the hazards If the hazard is not controlled and the
work area not safe do not start
work, report to your Team Leader/
Unit Controller/Line Manager to
review the risk assessment.
Step 5 Complete the task Once all control measures have been
safely implemented commence the task.
The hazard checklist can be used as a prompt to help you identify hazards
during Step 3 of the process.
This pocket book must be retained and can be inspected during workplace
audits and inspections. For tasks involving more than one person, only one
pocket book needs to be completed and the other work team members
should sign this book in the space provided.
What is Take 5?
Take 5 is a process that helps to identify hazards before an activity starts.
Specifically, it will help YOU to identify potential hazards that may be
encountered during the work.
Take 5 Check
Buried services
Traffic management
Signing, lighting, guarding
Excavations and trenching
Noise/vibration
Fire
Hazardous substances (chemicals)
Manual handling
Lifting operations
Vehicles/mobile plant
Contact with moving parts (machinery)
Electricity
Power/hand tools
Stored energy (pressure)
Unsuitable access
Heat
Violence/aggression
Lighting levels
UV Light
Slips, trips & falls
Housekeeping/waste materials
Working at height
Falling objects
Confined spaces
Bio hazards
Work over/near water
Extreme outdoor weather
Lone working
Trailing hoses/cables
Spills, leaks, vapours
Particles, dust, fumes
If the hazards are not adequately controlled, inform your Team Leader/Unit Controller
Signature..............................................................................................................................................................................
Work Team Members. ................................................................................................................................................
Job Description................................................................................................................................................................
Site.............................................................................................................................................................................................
Date........................... Time.............................. Are they controlled?
Hazards Yes No
Take 5 Check
Buried services
Traffic management
Signing, lighting, guarding
Excavations and trenching
Noise/vibration
Fire
Hazardous substances (chemicals)
Manual handling
Lifting operations
Vehicles/mobile plant
Contact with moving parts (machinery)
Electricity
Power/hand tools
Stored energy (pressure)
Unsuitable access
Heat
Violence/aggression
Lighting levels
UV Light
Slips, trips & falls
Housekeeping/waste materials
Working at height
Falling objects
Confined spaces
Bio hazards
Work over/near water
Extreme outdoor weather
Lone working
Trailing hoses/cables
Spills, leaks, vapours
Particles, dust, fumes
If the hazards are not adequately controlled, inform your Team Leader/Unit Controller
Signature..............................................................................................................................................................................
Work Team Members. ................................................................................................................................................
Job Description................................................................................................................................................................
Site.............................................................................................................................................................................................
Date........................... Time.............................. Are they controlled?
Hazards Yes No
Take 5 Check
Buried services
Traffic management
Signing, lighting, guarding
Excavations and trenching
Noise/vibration
Fire
Hazardous substances (chemicals)
Manual handling
Lifting operations
Vehicles/mobile plant
Contact with moving parts (machinery)
Electricity
Power/hand tools
Stored energy (pressure)
Unsuitable access
Heat
Violence/aggression
Lighting levels
UV Light
Slips, trips & falls
Housekeeping/waste materials
Working at height
Falling objects
Confined spaces
Bio hazards
Work over/near water
Extreme outdoor weather
Lone working
Trailing hoses/cables
Spills, leaks, vapours
Particles, dust, fumes
If the hazards are not adequately controlled, inform your Team Leader/Unit Controller
Signature..............................................................................................................................................................................
Work Team Members. ................................................................................................................................................
Job Description................................................................................................................................................................
Site.............................................................................................................................................................................................
Date........................... Time.............................. Are they controlled?
Hazards Yes No
Take 5 Check
Buried services
Traffic management
Signing, lighting, guarding
Excavations and trenching
Noise/vibration
Fire
Hazardous substances (chemicals)
Manual handling
Lifting operations
Vehicles/mobile plant
Contact with moving parts (machinery)
Electricity
Power/hand tools
Stored energy (pressure)
Unsuitable access
Heat
Violence/aggression
Lighting levels
UV Light
Slips, trips & falls
Housekeeping/waste materials
Working at height
Falling objects
Confined spaces
Bio hazards
Work over/near water
Extreme outdoor weather
Lone working
Trailing hoses/cables
Spills, leaks, vapours
Particles, dust, fumes
If the hazards are not adequately controlled, inform your Team Leader/Unit Controller
Signature..............................................................................................................................................................................
Work Team Members. ................................................................................................................................................
Our health and safety principles
Vennsys Ltd
Contract Head Office, 200 Brook Drive,
Green Park, Reading RG2 6UB