1. Vehicles / Transportation

5. Electrical / Magnetic

9. Personal / Behavioral

13. Substances

2. Gravity 6. Ergonomics 10. Pressure 14. Thermal / Fire / Explosion

3. Biological 7. Mechanical 11. Radiation 15. Work Environment

4. Climatic / Natural Events

8. Natural Environment / Ecosystem

12. Sound / Vibration

16. Other

Task:

hink Through the Task (including set-up / de-mobilization)

ecognize the Hazards – Look Up / Down / Beside / Inside.

T

RCheck below the main categories of hazards / energies that might harm me:

Hazard Types

ssess the Risks A

Name:

Company:

Supervisor:

Date: Time:

YES / NO

Have I identified a hand or finger hazard?

Risks of the Hazard: How will I be injured by the hazards that I have recognized?

No. of hazard from

above

Rio Tinto Kennecott Copper TRACK

ZERO HARM

PSM

CRM

AHC

A

HOT RS

FatalityEliminationuse CCC’s

Catastrophiceventprevention

ReducinginjuriesTRACK

eep Safety First in all Tasks:KIf work scope, people, equipment or environment (e.g. weather) change, STOP and redo TRACK.

Signature

ontrol The Hazards – Use the Hierarchy of ControlC

Controls

Specify control

type

A. Elimination (design change, different method, etc.)B. Substitution (using less hazardous alternative)C. Engineering Control (guards, barriers, alarms, etc.)D. Administrative Controls (policies, crew schedules, training, SOP’s, etc.)E. Personal Protective Equipment (PPE)

All risks recognized must be controlled.

Have I informed others who may be affectedby my work?

Do I have the right tools for the job and are theyin a safe condition?

Am I fit for duty?

If NO,See Your Supervisor

I am responsible for my safety. I will stop the job if it is unsafe.

No. of hazard from front page

The reason I will work safe today:

CRM If yes you must complete a CCC for each criticalcontrol prior to that step in the task.

Have you identified any fatal risks on this task?

Thank you for working to achieve zero harm.

Catastrophiceventprevention

What are the controls forhand or finger hazards?

YES / NO

PSMIs the process within all safe operating limits?

YES / NO

YES / NO

YES / NO

YES / NO

TRACK process and behavior to be used for every task.Written TRACK is required:1. As determined to help identify the hazards and controls for a task and any changes impacting the task.2. If unfamiliar with the hazards of the task or area.