| Am I clear on what the task is? |
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| Do I have the required skills, training, and licenses for the task? |
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| Have I checked the JSA/JHA/SWMS/procedures for the task? |
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| Is all my equipment and tools correct and in good order? |
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| Do I have the necessary permits for the task? |
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| Do I have the correct personal protective equipment? |
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| Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) |
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| Gravity (e.g. Slips, trips and falls and struck by falling objects) |
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| Mechanical (e.g. Caught in moving parts, struck by plant or flying objects) |
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| Electrical (e.g. Electrocution from faulty tools or working close to live power) |
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| Chemical (e.g. Inhaling, swallowing or touching acid, solvents) |
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| Pressure (e.g. Contact with highly pressurised fluid/gas or air) |
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| Exposure (e.g. to noise, dust, fumes, chemicals, asbestos or extreme weather) |
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| Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) |
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| Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) |
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| Psychological (e.g. Stress, violence, fatigue, depression) |
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| Other Hazards (e.g. Silica, asphyxiation) |
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| Risks understood and worked out? |
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| SWMS completed for risks identified? |
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| Safe to proceed? |
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