Take 5 Workers Health & Safety Booklet

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The Take 5 Workers Booklet is designed to assist workers in assessing hazardous tasks prior to undertaking them. The booklet includes sections on quick risk assessment, risk matrix, job safety analysis (JSA), minor incident reports and emergency information.

At 10cm (width) x 14cm (height) the booklet is easy to keep in your toolbox / vehicle glove box.

The Take 5 booklet begins with the Take 5 rules, asking the user to:

  • Identify the hazard
  • Think about what could go wrong
  • Control the hazard
  • Proceed with the task

Pre-Task Checklist

The fold out form requires the user to answer 17 yes / no questions to determine whether permission is required before they commence with the task.

Following the flow chart, positioned above the checklist, if all answers fall into a green box the user is good to begin the task, if one or more answers are in a red box they must complete a JSA on the back of checklist or complete a work permit or refer to the supervisor before beginning the task. 

If the residual risk rating is low they may continue with the task. If the residual risk is moderate or greater they must contact their supervisor for review and obtain authorisation to proceed.  

The booklet contains:  

  • a minor hazard/ incident report form in duplicate
  • Personalised information i.e. next of kin
  • Contacts details
  • Training matrix details
  • Emergency Response
  • First Aid Response
  • Safety Values
  • Environmental Procedures
  • a 5x5 Risk Matrix


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