Australasian Mine Safety

Printed safety solutions T A K E 5 S A F E T Y B O O K S M a k e s a f e t y a n d c o m p l i a n c e e a s y w i t h T a k e 5 S a f e t y B o o k s Visit our website www.uniprint.com.au ALL ORDERS INCLUDE A BONUS PRODUCT OF YOUR CHOICE FREE SHIPPING ON ORDERS OVER $200 AND FREE TRAINING TOOLS INCLUDED Our Take 5 safety books have been in the field for over ten years and are endorsed by the Master Plumbers association. They allow you to: • Easily recognise and control hazards in your workplace • Create awareness among your employees • Set risk management standards • Reduce incidents in the workplace • Meet legislation • Fully Customise a book to suit your application • Comes in Take 5 Display Boxes of 20 units Range of finishes and options including: • PVC Rigid Cover / Water Protection • Larger size 105 x 200mm • Waterproof Stone Paper TAKE 5 SAFETY BOOKS ALL-IN-ONE SAFETY SOLUTIONS T a k e 5 S a f e t y B o o k ( L A R G E ) T a k e 5 S a f e t y B o o k T a k e 5 S a f e t y B o o k ( P V C A l l W e a t h e r C o v e r ) NEW STONE PAPER VERSION AVAILABLE RECYCLABLE | WATERPROOF | WASTE FREE Scan this QR Code to view exclusive discount offers or visit: www.uniprint.com.au/pages/amsj V I S I T O U R W E B S I T E T O V I E W O U R N E T W O R K O F R E T A I L O U T L E T S Take 5 Safety Book (Stone Paper) Free Take 5 Online Training It's unlimited, easy to use and benefits all workers new and experienced. A series of questions will help your staff members to understand the Real Time Safety Analysis, Hazard Identification and Incident Report pocket books. Certificate issued via email on completion to user and manager. Free Take 5 Safety Posters Remind and encourage staff to engage in site safety by downloading our free safety posters. Attention-grabbing and easy to follow, the posters help staff identify hazards, use their safety checklists correctly, and stay safe onsite. Our Take 5 Safety Poster can also be purchased in larger sizes online. Identifying the hazards All-in-one safety solutions by UniPrint This step involves spotting any potential hazards in the work area. Consider: not only your planned task and immediate environment everything around you that could affect you and those If you tick a bold square, turn over and complete the SWMS form. YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form UP Take 5 MASTER AUGUST 2013_IMPOSED internal pages 26/08/13 11:18 AM Page 1 #24201 14 07 19 2:15 Warehouse Moving pump spares pallet ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Printed safety solutions ADDRESS PO.BOX 2463 Mount Waverley VIC 3149 PHONE 03 9882 4905 EMAIL sales@uniprint.com.au See our full range of safety products www.uniprint.com.au FREE ONLINE TRAINING AVAILABLE FOR IMPLEMENTATION WITH UNLIMITED USE Steps to Safety ? ? ? Stop, step back and think ? Identify the Hazard(s) ? Assess the level of Risk Control the Hazard(s) Proceed Safely Stop, step back and think through the task These questions help identify: any relevant permits procedures training that must be in place or complied with before commencing the task. YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form UP Take 5 MASTER AUGUST 2013_IMPOSED internal pages 26/08/13 11:18 AM Page 1 #24201 14 07 19 2:15 Warehouse Moving pump spares pallet ✓ ✓ ✓ ✓ ✓ ✓ ✓ Contact your supervisor if you ticked a bold box. Do not proceed with the task until the question has been addressed. Printed safety solutions All-in-one safety solutions by UniPrint ADDRESS PO.BOX 2463 Mount Waverley VIC 3149 PHONE 03 9882 4905 EMAIL sales@uniprint.com.au See our full range of safety products www.uniprint.com.au FREE ONLINE TRAINING AVAILABLE FOR IMPLEMENTATION WITH UNLIMITED USE Steps to Safety ? ? ? Stop, step back and think ? Identify the Hazard(s) ? Assess the level of Risk Control the Hazard(s) Proceed Safely Filling in the Take 5 Checklist the job reference the date the location the time and give a brief description of the task to be performed YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with hig hly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with highly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with highly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with highly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with highly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with highly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with highly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with highly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form YES NO Date: Job Reference: Location: Task: Time: Time: am / pm Do I understand what I need to do? Do I need a SWMS for any 'High Risk Construction Work'? Do I need any permits (e.g. hot work/confined space/dig)? Do I have the correct PPE in good condition for the task? Do I have the suitable tools and equipment for the task? Do I have my vehicle parked appropriately? Am I trained, competent, licensed and fit to per form this task? YES NO Manual Handling (e.g. Lifting, awkward positions, impacts, over-exertion) Gravity (e.g. Slips, trips and falls and struck by falling objects) Mechanical (e.g. Caught in moving par ts, struck by plant or flying objects) Electrical (e.g. Electrocution from faulty tools or working close to live power) Chemical (e.g. Inhaling, swallowing or touching acid, solvents or asbestos) Pressure (e.g. Contact with highly pressurised fluid/gas or air) Noise (e.g. Hearing damage, masking of emergency alarms) Biological (e.g. Contracting diseases e.g. Hepatitis and Legionnaires) Radiation (e.g. Exposure to radiation such as x-rays, sunlight or ultra-violet) Psychological (e.g. Stress, violence, fatigue, depression) Heat and Cold (e.g. Working with hot or cold objects or exposure to environment ) Assess the level of risk 3 Risk(s) worked out? YES NO SWMS completed YES NO Proceed safely 5 Safe to proceed Control the hazards 4 Stop, step back and think 1 YES NO Identify the hazard(s) 2 If you tick a bold square, turn over and complete the SWMS form UP Take 5 MASTER AUGUST 2013_IMPOSED internal pages 26/08/13 11:18 AM Page 1 #24201 14 07 19 2:15 Warehouse Moving pump spares pallet Printed safety solutions All-in-one safety solutions by UniPrint ADDRESS PO.BOX 2463 Mount Waverley VIC 3149 PHONE 03 9882 4905 EMAIL sales@uniprint.com.au See our full range of safety products www.uniprint.com.au FREE ONLINE TRAINING AVAILABLE FOR IMPLEMENTATION WITH UNLIMITED USE Steps to Safety ? ? ? ? ? Stop, step back and think Identify the Hazard(s) Assess the level of Risk Control the Hazard(s) Proceed Safely When should you do a Take 5? Before the commencement of any task When establishing if a job is safe to perform or will require approval from your supervisor During the task when there is a change in work or environmental conditions Each person SHOULD complete the steps in their own Take 5 book Name: Date from: Date to: www.uniprint.com.au Printed safety solutions ADDRESS PO.BOX 2463 Mount Waverley VIC 3149 PHONE 03 9882 4905 EMAIL sales@uniprint.com.au See our full range of safety products www.uniprint.com.au FREE ONLINE TRAINING AVAILABLE FOR IMPLEMENTATION WITH UNLIMITED USE All-in-one safety solutions by UniPrint Steps to Safety ? ? ? ? ? Stop, step back and think Identify the Hazard(s) Assess the level of Risk Control the Hazard(s) Proceed Safely 5 Step process that requires you to: Stop, step back and think ? 1 Identify the Hazard(s) ? 2 Assess the level of Risk ? 3 Control the Hazard(s) ? 4 Proceed Safely ? 5 ADDRESS PO.BOX 2463 Mount Waverley VIC 3149 PHONE 03 9882 4905 EMAIL sales@uniprint.com.au See our full range of safety products www.uniprint.com.au FREE ONLINE TRAINING AVAILABLE FOR IMPLEMENTATION WITH UNLIMITED USE Printed safety solutions Steps to Safety Information Guide All-in-one safety solutions by UniPrint Printed safety solutions ? ? ? ? ? Stop, step back and think Identify the Hazard(s) Assess the Level of Risk Control the Hazard(s) Proceed Safely Filling in the Take 5 Checklist When at a work site, before you start work, grab your Take 5 book and fill in: • The job reference • The date • The location • The time • And brief description of the task to be performed. • Think through the task. • Identify any relevant permits, procedures or training that must be complied with before commencing the task. • Spot any potential hazards in the work area. • Refer to 11 hazard prompts to help identify what can pose a potential risk to workers, property or the environment. • If you ticked any of the highlighted boxes, you must now move on to Step 3 of the Take 5. • Assess the risk level for each identified hazard to determine what control measures are required. • Use the Hierarchy of Controls. • Work out what you can do to reduce the risk or eliminate the hazard altogether. • If none of the highlighted boxes were ticked. • It is safe to proceed with the task as hazards in the work area were identified. Incident/ lnjury Report • If you identify an incident, poor behaviour or experience a near miss on-site which could harm people, equipment or the environment, work through the questions on this form. • Your supervisor will require this information to enable appropriate action be taken. • All personnel working on the same task can perform a group Take 5 but each person should complete the steps in their own Take 5 book. • If people are performing different roles during the same task each person must complete a Take 5 for the specific hazards they are required to manage. • Your completed Take 5's should be used as a reference for future hazard identification and management with a similar work or task area. • Share your assessments with your supervisor and consider implementing new work methods to avoid repetitive hazards. ADDRESS PO.BOX 2463 Mount Waverley VIC 3149 PHONE 03 9882 4905 EMAIL sales@uniprint.com.au | See our full range of safety products www.uniprint.com.au FREE ONLINE TRAINING AVAILABLE FOR IMPLEMENTATION WITH UNLIMITED USE

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