Professional Documents
Culture Documents
HAZARD:
What could go wrong and
what would the effect be?
CONTROLS:
How can the hazard be prevented?
Working at height
-Dropped objects
- Falling
Pause&Check times:
Changes:
DE-BRIEF: Additional comments and learning comments
RESPONSIBILITIES:
Who is going to take
action?
CONTROLS
IN PLACE?
Yes
No
Hazard/Risk
Can all personnel in the group answer YES to the
Management
following questions?
Hazard/Risk
Will the work involve:
Identification
Environmental impact?
Manual handling moving objects/loads? (If
yes obtain /complete a manual handling
assessment
Working near objects that may move?
Working in an area with poor lighting or a
tight/confined space?
Working at height?
Working near areas that could cause personnel
to slip, trip, or fall?
Area:
Location:
Talk Leader: .
Person Supervising: .
Job:
Date & Time:
Attendees
Area
Operator
6....
2 ..
3 ..
4 ..
10.
Reviewed by (initials):
Action required:
Update procedures
Talk leader ..
H.O.D.
Office
.
...
Update risk
assessments
Other
(Raise remedial action form or
change requests as necessary)