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SLAM Assessment Sample

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corredeiran
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45 views

SLAM Assessment Sample

Uploaded by

corredeiran
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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S.L.A.

M if not sure
Date: Section/Area:

Please √ checklist
1. STOP - Engage your Mind before hands.

Am I trained, competent & Am I fit to perform the task? Do I understand the task? (Is Is there a current Procedure or
authorised (aware, rested, alert) the task planed?) SWP for the task?

Yes Yes Yes Yes


No No No No
N/A N/A N/A N/A
Can the task be done without a Am I using the appropriate Do I know what to do in an
permit? tools/PPE for the task? emergency?
IF NOT STOP AND CHECK WITH
Yes Yes Yes SUPERVISOR / FOREMAN
No No No
N/A N/A N/A
2. LOOK - At the workplace and find the hazards

Have I completed basic


Does the task involve hazardous Is Isolation required? If yes Can I slip, trip or fall? If "At housekeeping in my work area?
forms of energy? If "YES" complete assessment! Risk" complete assessment! If "At Risk" complete
complete assessment! assessment!

Yes Yes Safe Safe


No No At Risk At Risk
N/A N/A N/A N/A

Will I come in contact with


Can I get caught in or between Have I planned the mobile/moving equipment? If Do I need to barricade or block
anything? If "At Risk" Complete communication for the task? If "At Risk" complete my work area? If "At Risk"
assessment! "At Risk" complete assessment! assessment! complete assessment!

Safe Safe Safe Safe


At Risk At Risk At Risk At Risk
N/A N/A N/A N/A

3. ASSESS: The effects of 4. MANAGE: With


the hazards on people, effective controls & by
Can I get hurt &/or introduce property & equipment. advising others.
hazards to others? If "At Risk" Employee name & Surname:
complete assessment!
PROCEED WITH TASK IF "Safe" If you are unable to perform
TO DO SO! the task safely, contact your
Supervisor / foreman.
Sign:
Safe Safe
At Risk At Risk
N/A N/A Foreman / Supervisor HSE Dept

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