Prepared By: Approval
TOOLBOX JHA Technical Advisory Committee OEP Approval Board
Document Number Document Classification Document Level Revision NO. Issue Date:
GL-OGI-HSE-L4-02.01 Controlled L5 000 29 Dec 2022
Hazard / Risk Identification Hazard / Risk Management
Does the operation involve:
Bad Weather
PRIOR TO STARTING A TASK, ALL TEAM MEMBERS MUST
BE ABLE TO ANSWER YES TO THE FOLLOWING
TOOLBOX JHA
Ballistics Significant Hazards Identified?
Bulk Fuels / Fuel Transfer Hazard Controls Identified? BEFORE STARTING THE JOB: Take 5
Bulk Liquids Responsible Persons for Controls Identified?
Chemicals Pre-Requisite Controls in Place?
Before starting a task, I will always take time to complete a TAKE 5 Assessment,
Cold / Hot Equipment Lines of Communication Clear and Agreed?
I will:
Communication Problem Chain of Command Clear?
1. STOP - Engage brain before you act.
Confined Space Understand Operation?
2.LOOK - Identify any hazards.
Dropped Objects Understand Role in Operation?
3. ASSESS - What damage could those hazards cause?
Electrical Equipment Changes must be Communicated to All?
4. MANAGE - Implement controls, tell others.
Energy Isolation / Lock Out Tag Out Comfortable with STOPPING the Job?
5. SAFELY - Complete the task.
Equipment at Height Using the correct tools for the job?
Explosives Using the correct PPE?
If I am unable to complete any of the above, I MUST NOT proceed and will
Hydrogen Sulphide immediately speak with my supervisor for further instructions.
Lifting Equipment TEAM MEMBERS
Before starting a task, I will always remember that I am the last person that
Lithium Batteries 1 7 can prevent an unsafe act; I will always take time to identify what can hurt
Manual Handling 2 8 me and MUST not continue until I am sure that it can be done safely.
Mast Unit / Crane Ops 3 9
Moving Objects 4 10
Noise 5 11 TOOLBOX OR JHA: TOOL BOX MEETING JHA
Poor Light / Restricted Space 6 12 WORKSITE:
Potential Environmental Spill / Release LOCATION:
Pressure and PCE NOTES / COMMENTS: OGI LEADER:
Radiation SUPERVISOR:
Restricted Line of Sight OPERATION:
Rig Up / Rig Down Equipment DATE:
Rotating Equipment TIME:
Simultaneous Ops. WIND DIRECTION:
Slip / Trip / Fall Potential MUSTER POINT(S):
Vehicles
Working at Height EMERGENCY CONTACT NUMBERS (24 HRS)
OGI
What mechanism of injuries exist? CLIENT
Caught In Ignition DRILLING
Caught Between Inhalation
Caught On Overexertion Reviewed by (initial): Action Required:
Cuts / Lacerations Slip / Trip / Fall TAKE 5 PROMPT REMINDER OGI Leader Is a revision to the procedure
Explosion Struck Against REMEMBER TO REVIEW CARD: Supervisor required?
Exposure to Heat / Cold Struck By If conditions change Location YES NO
Fall from Height At regular intervals PROCEED WITH OPERATION? YES NO
© 2022 OGI All Rights Reserved Proprietary and Confidential.
Prepared By: Approval
TOOLBOX JHA Technical Advisory Committee OEP Approval Board
Document Number Document Classification Document Level Revision NO. Issue Date:
GL-OGI-HSE-L4-02.01 Controlled L5 000 29 Dec 2022
TOOLBOX JHA
USE THIS SECTION TO HIGHLIGHT AND SUMMARIZE THE SIGNIFICANT HAZARDS IDENTIFIED AND THE SUBSEQUENT CONTROLS REQUIRED
Procedure Reference: Permit To Work Number: Risk Assessment Reference:
Job to be Assessed:
TASK HAZARD* CONTROLS RESPONSIBILITIES IN PLACE
The Steps involved in the Operation Identifying the Hazard Preventing the Hazard Who is taking Action? YES NO
DEBRIEF SHIFT HANDOVER
Based on team debrief, can this task be improved? Yes No
Explain:
Name: Name: Name: Name: Name:
Signature: Signature: Signature: Signature: Signature:
Name: Name: Name: Name: Name:
Signature: Signature: Signature: Signature: Signature:
* Any or all applicable hazards relating to health, safety, the environment and/or service quality should be noted and assessed.
© 2022 OGI All Rights Reserved Proprietary and Confidential.
Prepared By: Approval
TOOLBOX JHA Technical Advisory Committee OEP Approval Board
Document Number Document Classification Document Level Revision NO. Issue Date:
GL-WFT-HSE-L4-02.01 Controlled L5 000 29 Dec 2022
TOOLBOX JHA
TASK HAZARD* CONTROLS RESPONSIBILITIES IN PLACE
The Steps involved in the Operation Identifying the Hazard Preventing the Hazard Who is taking Action? YES NO
* Any or all applicable hazards relating to health, safety, the environment and/or service quality should be noted and assessed.
© 2022 OGI All Rights Reserved Proprietary and Confidential.
Prepared By: Approval
TOOLBOX JHA Technical Advisory Committee OEP Approval Board
Document Number Document Classification Document Level Revision NO. Issue Date:
GL-WFT-HSE-L4-02.01 Controlled L5 000 29 Dec 2022
TOOLBOX JHA
TASK HAZARD* CONTROLS RESPONSIBILITIES IN PLACE
The Steps involved in the Operation Identifying the Hazard Preventing the Hazard Who is taking Action? YES NO
* Any or all applicable hazards relating to health, safety, the environment and/or service quality should be noted and assessed.
© 2022 OGI All Rights Reserved Proprietary and Confidential.
Prepared By: Approval
TOOLBOX JHA Technical Advisory Committee OEP Approval Board
Document Number Document Classification Document Level Revision NO. Issue Date:
GL-WFT-HSE-L4-02.01 Controlled L5 000 29 Dec 2022
TOOLBOX JHA
TASK HAZARD* CONTROLS RESPONSIBILITIES IN PLACE
The Steps involved in the Operation Identifying the Hazard Preventing the Hazard Who is taking Action? YES NO
* Any or all applicable hazards relating to health, safety, the environment and/or service quality should be noted and assessed.
© 2022 OGI All Rights Reserved Proprietary and Confidential.
