Take 5 pre-start check
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Stop and look around
- I have walked the work area
- I know where the exits and first aid kit are
- I know who else is working nearby
Hazards here today
- Working at height
- Live electrical
- Asbestos or unknown materials
- Confined space
- Hot work
- Traffic or mobile plant
- Heat or weather
- Manual handling
Any other hazard
What I am doing to control them
I have the right PPE and it is in good condition
- Yes
- No
- N/A
My tools and equipment are safe to use
- Yes
- No
- N/A
It is safe to start work
- Yes
- No
- N/A
What needs to happen first (only if "It is safe to start work" is no)
Signed
NameSignatureDateA starting point only. Check it against your state or territory rules and your own safety system before you use it. It is not legal or compliance advice.