• Take Five

    Prestart Form
  • Date
     - -
  • Do I have the required skills and knowledge to complete the task safely?*
  • Do I fully understand all aspects of the work?*
  • Am I fit for work, competent and authorised to perform the task?*
  • Am I aware of the emergency procedures and do I have the means to activate them if needed? (i.e. mobile phone or radio)*
  • Have I ensured that the task will not impact on the environment/community? (i.e. dust, spills and noise)*
  • I have identified and isolated all sources of energy?*
  • Are my tools and equipment suitable for the task and in a safe operating condition?*
  • Is my PPE suitable for the task, do I know how to use it and is it in good condition?*
  • Am I aware of other people and equipment in my work area and have I communicated with them?*
  • Site Hazards identified*
  • Are all identified hazards covered by the SWMS?*
  • Should be Empty: