Pre-job safety meeting form
Scope and steps
What are we doing, and in what order?
Hazards on this job
Check all that apply.
- Falls from height
- Struck by or caught in
- Pressure or stored energy
- Electrical
- Heat, cold or weather
- Fire or ignition sources
- Gas, fumes or dust
- Lifting or rigging
- Vehicles and traffic
- Simultaneous operations
Controls and PPE
How will each hazard be controlled?
Roles and communication
Who leads, who watches, how do we talk?
Emergency plan
Muster point, nearest help, who calls it in.
Stop-work reminder
Anyone can stop the job. Nobody gets in trouble for it.
- Everyone knows they can stop the work
- We stop if the job or conditions change
- We talk again before restarting
Sign-on