Doc. No.
DSTI
Review: 001
Date:
DAILY SAFE TASK INSTRUCTION Page 1 of 2
DAILY SAFE TASK INSTRUCTION (DSTI’)
(CHECKLIST -BEFORE WORK COMMENCES)
AREA: DATE:
TO STANDARD
DESCRIPTION CORRECTIVE MEASURES
YES NO
All workers are medically fit for the day
Correct P.P.E (Utilized & available)
Safe access to work area – clean, tidy &
declaration signed
Sufficient / correct barricading erected
Electrical equipment in good condition
All tools / equipment pre-inspected
Correct permits for application (Valid)
Lock –out required and in place?
Scaffolding tagged accordingly
Safe Lifting & Rigging equipment
Correct tools & equipment available
SMI board up to date
No overhead work allowed
Am I familiar with the task
Do I understand the job instruction?
Have I been properly trained to use the equipment
The above list does not exclude and or wave any other checklist and or legal requirements!
CURRENT JOB - WHAT ARE THE HAZARDS/RISK – LIST CONTROLS RISK
LIST MAIN STEPS OF TASK? JOB & ENVIRONMENT? REQUIRED\ RATING
Note:
If tasks change, this list and the Risk Assessment must be revised before proceeding with the new/changed task.
I hereby certify that the above items were checked and all workers under my supervision received a safe task instruction:
Responsible Person:
(Foreman/Supervisor) Print Name Signature:
Safety Officer
Safety Officer onsite Signature:
Doc. No. DSTI
Review: 001
Date:
DAILY SAFE TASK INSTRUCTION Page 1 of 2
DSTI ATTENDANCE REGISTER
Site Name: ENKANINI SOUTH HOUSING DEVELOPMENT - KHAYELITSHA
Date:
Company: ROBZAR CONSTRUCTION
NAME & SURNAME SIGNATURE
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