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Risk Assessment

You are responsible for your own safety and those working with you. Make sure you can do the work safely!
Who am I?
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Name and Surname
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What am I doing?
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Brief Description of the Task
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Risk Assessment
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Question
Answer
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Who is working with me?
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Who is my supervisor?
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Who is my department head?
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Who is my safety representative?
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5
Who told me to do this work?
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6
Who is supervising me doing this work?
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7
When was I trained for this task?
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8
When last did I read the formal risk assessment for this task?
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9
When was I observed doing this task safely?
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10
What is the instruction (name and number) for this task?
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11
What safety precautions must I take?
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12
When was the machine last maintained?
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What safeties are on the machine?
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14
What safeties are not on the machine?
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15
Is the machine safe to work on or with?
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16
What document (name and number) describes the material I am handling?
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17
Is the material safe to handle as per the instructions?
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18
What can touch me?
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19
What can I touch?
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20
What can fall on me?
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21
What can I fall into?
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22
What can I be caught in, between or on?
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23
What can hit me?
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24
What can I do, that could injure me?
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25
What else can go wrong?
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What will I do to prevent bad things from happening?
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27
What PPE am I wearing?
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28
Do I feel safe to continue working?
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