Point of Work Assessment

Instructions:
Before work can begin, ensure that all risks are under control and the necessary prevention measures have been taken.
Remember to Stop, Think, and Act:

1. Stop: Assess the risk. What can still go wrong? What dangers do you see?
2. Think: What controls can be put in place to remove risks or to make them acceptable?
3. Act: Take action to ensure safe performance by implementing the measures necessary to remove remaining risks.
Keep the measures in place during work and evaluate the measures on completion of the work.

Checklist

At the start of the work/task: YES NO NA

Do I have sufficient information about the work to be performed? ☐ ☐ ☐
Do I consider the agreed working method to be safe? ☐ ☐ ☐
Have I read and understood the permit, if applicable? ☐ ☐ ☐
Have all the terms and conditions of the permit been met? ☐ ☐ ☐
Is the equipment needed available and is it in good working order? ☐ ☐ ☐
Does everyone have the necessary PPE? ☐ ☐ ☐
Is the working environment neat and free of obstructions? ☐ ☐ ☐
Does everyone know what to do in the event of an accident, fire, or evacuation? ☐ ☐ ☐
Do I know the emergency phone number(s)? ☐ ☐ ☐

Are there any additional dangers?

STOP to review the list below. If all dangers are ‘NO’ then proceed. For each ‘YES’ THINK about whether the risk is acceptable
and ACT to put controls in place. If you selected 'YES' and do not have sufficient controls, ask your manager for advice.
Additional Dangers? NO YES Control
Fall or tripping hazard? ☐ ☐
Risk of impact injury? ☐ ☐
Danger of being hit by moving parts or internal transport? ☐ ☐
Entrapment hazard? ☐ ☐
Danger of falling objects? ☐ ☐
Insufficient lighting? ☐ ☐
Exposure to high or low temperatures? ☐ ☐
Contact with electrical current? ☐ ☐
Contact with hazardous products or chemicals? ☐ ☐
Dust, noise or vibrations? ☐ ☐
Fire or explosion hazard? ☐ ☐
Are other people working in the vicinity of the site? ☐ ☐
Is there a risk of environmental pollution or waste? ☐ ☐
Other: ☐ ☐

Sign Off

Work Done By _________________________________ Date ____________________

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Form owner: Global HSSE CoE Revision date: 23 March 2021 Ref: GS_MS_009

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