Template

STOP Take 5 Safety Checklist

by David Richards, from the Community

Use this STOP Take 5 checklist to pause before work, confirm you are fit for duty, understand the task, and verify training, permits, PPE, tools, and emergency readiness. Record job details and location, review hazardous energy sources and controls, and identify hazards above, below, behind, and inside the work area. Document risks and confirm controls reduce exposure to ALARP. Sign onto the relevant task risk assessment or procedure, then proceed once hazards are controlled. Designed for mining and heavy industry but adaptable to any high risk site.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Take 5 Risk Assessment Checklist Free Sample
This Take 5 pre task risk assessment checklist helps teams pause for five minutes before work, review the task, check training and PPE, identify hazards, agree controls, and confirm the job can proceed safely. Use it to capture photos, document risks and controls, record observations, and sign off completion. Suitable for construction and field operations.
by liam deer, from the Community
Downloads: 0
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Template
Take 5 Safety Form
Use this Take 5 safety form to pause and think before starting work. The checklist guides teams to understand the task and procedure, confirm the right tools and PPE, identify hazards such as manual handling, moving parts, energy sources, chemicals, and environmental factors, and assess risk using a simple matrix. If risks remain medium or high, do not proceed. Complete a JSEA or consult a supervisor. Once hazards are eliminated or controlled and induction requirements are met, sign off and proceed.
by Folkert Drijfhout, from the Community
Downloads: 100+
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Template
Take 5 Pre Task Risk Assessment
A ready to use Take 5 pre task risk assessment checklist to help teams pause before work, think through the job, and control hazards. Capture task details and location, confirm training and documentation, check tools and PPE, then identify hazards by type with photo evidence. Rate likelihood and risk, set priority actions, assign owners and due dates, and verify controls. Conclude with monitoring and required signatures for safe, documented starts.
by Helen Helen.Kirk@quattrope.com, from the Community
Downloads: 10+
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Template
STOP TAKE-5 Safety Checklist
This STOP TAKE-5 safety checklist helps workers pause before starting a task to identify hazards, evaluate likelihood and consequence, set raw and residual risk ratings, and implement controls. Use it to verify permits, PPE, and equipment condition, document hazard removal, and discuss potential issues, then confirm the job can proceed safely. Fully customizable and suitable for field teams across construction, maintenance, and operations.
by Mandy Grieve, from the Community
Downloads: 40+
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STOP Take 5 Safety Checklist

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