Section 4 Section 2 Section 1

Hazard /Risk Management Hazard /Risk Identification Toolbox Meeting

Can all personnel in the group answer YES to the Will the work involve any of the following? Risk
following questions? If yes, Tick the box
Are all the steps required to carry out each task in today's activity reviewed in
Y N
Use of lifting equipment. If yes is the lifting plan developed and available
Y N Identification
the TBM risk assessment, (the TBM Task hazard analysis)?

Are all the hazards identified in each step included in the SECTION 3 of
on site?
Has the lifting plan been read and understood by the lifting party
Card
Facility/Project:…………………………….….
this JHA-TBM form?
Have control measures been identified for each hazard? Manual handling - moving or carrying objects/tools with significant risk Location:……………………………………….
of injury? if yes, is the manual handling assessment done?
Are action parties for implementing each control measures identified, and
Working with or near an object/equipment that may move or potentially
Task:…………………………………………….
ALL the controls in place?
dangerous (e.g rotating part, live plant)
Are the appropriate HSE tools/equipment available, adequate, functional and Date/Time:……………………………………..
Working with equipment or connections under pressure
in the right place?
Working in a confine space PTW or WC No:……………………………………
Have all the work party received the required trainings, and are wearing
appropriate PPE for the tasks to be performed? Further Action Required:
Working in an area with poor visibility (lighting or tight) or weather
Are all the relevant procedures, permits, etc communicated to and understood _________________________________
by the work party? Working in an area where personnel can trip, slip or fall
_________________________________
Have the other people on this site, adjacent and/or impacting sites been Personnel who are new (to the operation/team) or yet to undergone the
informed of this job and the content of the permit?. required trainings ATTENDANCE
Are all the work party aware that any changes in the work plan should be Potential for in/flammable liquid and/or gas (e.g Crudeoil spiked with Names Signature
communicated to everyone involved in the work? condensate) --------------------------- ----------------------------
Potential for environmental impact (Spill, waste, emission) peculiar
Is the work party aware of the emergency measures and equipment locations, to the job location --------------------------- ----------------------------
such as egress, alarms, portable fire fighting equipment and spill kits?
Concurrent operations and potential conflict with adjacent work places
Is the worksite clean, tidy and in a manner fit to commence the work activity or work parties --------------------------- ----------------------------
and is time allowed for cleaning after the days work? Potential Hazards from energy sources:
Motion Energy Sources
--------------------------- ----------------------------
Have all isolations been identified, implemented and checked by supervisor
and workparty, if applicable? Chemical Energy Sources (incl. dangerous goods or substances hazardous --------------------------- ----------------------------
to health/environment)
Have all working at height and confined space risks, access /egress route been Radiation Energy Sources --------------------------- ----------------------------
addressed??
Electrical Energy Sources (Static or current)
Is the work site safe to start work, all isolations confirmed, Gas test done and
--------------------------- ----------------------------
Pressure Energy Sources
warning signs in place?
Biological Energy Sources --------------------------- ----------------------------
Are past incidents, including HIRs, nearmisses and Learning from
incidents (LFIs) related to this job discussed and applicable learning Heat/Cold Energy Sources --------------------------- ----------------------------
understood?
Gravity Energy Sources - (Incl. dropped objects, working
at height or over side) --------------------------- ----------------------------
If the answer to any of these questions is NO, then If yes, the work may be hazardous and care --------------------------- ----------------------------
the hazards must be re-assessed in section 3 should be taken to ensure the work is done
--------------------------- ----------------------------
safely
--------------------------- ----------------------------
The supervisor should confirm the understanding Remember you are responsible for your safety and that
of the group by asking open questions on the above of the others, know the hazards, use the right tool, wear
points the right PPE and comply with all the HSE requirements. Supervisor: -----------------------------------------

AT THE END OF EACH WORKING SHIFT, THE WORK AREA MUST BE LEFT IN A CLEAN AND TIDY MANNER
 Section 3
Tool Box Meeting Task Hazard Analysis
This section is used to summarise the team’s discussion and analysis of hazards identified, one task per form
Planned Task for the day: Project/Job/Activity

Foremen: Date: Dept: Location/site

Task Breakdown Hazard/Threat Control/Barrier Responsible Party

Step 1:

Step 2:

Step 3:

Step 4:

Step 5:

Step 6:

Step 7:

Step 8:

Step 9:

Step 10:

Foreman Signatures::
Remember sources of energy :
Motion, Chemical, Radiation, Electrical, Gravity, Heat/Cold, Biological, Pressure