MAD3 Engineering Take 5 Safety Form

This Take 5 Safety Form by MAD3 Engineering guides workers to pause and think before starting a task. It captures job details and prompts users to confirm understanding of the task and procedure, check that tools are correct and in good condition, and verify required PPE. The form helps identify hazards including manual handling, slips, trips and falls, mechanical and moving parts, moving plant and roads, and multiple energy sources such as electricity, water, hydraulic, gas, chemical, steam and gravity. It also considers environmental and structural hazards, chemicals, biological risks, radiation, asbestos and dangerous animals. A risk matrix supports assessment, with clear stop work guidance when risk is high. The checklist then focuses on managing changes, ensuring hazards are eliminated or controlled and that PPE, site induction and sign in are complete before proceeding, followed by a signature to authorize work.