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Task Specific Safe Work Procedure: Project Name

The document outlines a task-specific safe work procedure including potential hazards, required personal protective equipment, safety considerations, training information and references. It provides steps to safely perform the task and requires review and sign-off.

Uploaded by

Juan Camilo Romero
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© © All Rights Reserved
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32 views1 page

Task Specific Safe Work Procedure: Project Name

The document outlines a task-specific safe work procedure including potential hazards, required personal protective equipment, safety considerations, training information and references. It provides steps to safely perform the task and requires review and sign-off.

Uploaded by

Juan Camilo Romero
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Task Specific Safe Work Procedure

Project Name

TASK DESCRIPTION TASK LOCATION

POTENTIAL HAZARDS TO WORKER: PERSONAL PROTECTIVE EQUIPMENT / DEVICES


(H-HIGH M-MEDIUM LOW-LOW) REQUIRED / OTHER SAFETY CONSIDERATIONS
H M L Risk for injury  List Equipment & PPE
Awkward/sustained postures 
Excessive force 
Repetitive movements
Vibration
Compression  List Safety Considerations
Sharp points or edges 
Pinch points 
Material falling TRAINING & REFERENCE INFORMATION
Surfaces causing slips, trips or falls
Working at heights  List Training Information
Moving machinery 
Chemical contact / fumes 
Biological hazards
Electrical currents
Extreme heat or cold affecting References
Noise  List References
Combustibles or flammables 
Other 
_______________________________
Steps to perform this task safely to control the above risks:

I have reviewed this Safe Work Procedure. I understand that this procedure is to be used to comply with [Insert
Facility Name] Safety & Health Policies as well as the Manitoba Workplace Safety & Health Act & its Regulations.

EMPLOYEE NAME: _________________________ EMPLOYEE SIGNATURE: _________________________

REVIEWED BY: ____________________________ DATE: _________________________

Department / Area: Approved By: Date Created: Review / Revision date:


Insert Department Administrator Insert Date Insert Date

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