George & Jade H&S

Jobs

Current job

Job / site address Main contractor Main contractor email Client / project

DatePrepared by

Work being completed

Site contact / phone Nearest medical centre

Assembly pointFirst aider

Additional hazard 1 Control Additional hazard 2 Control

I understand the work, hazards and controls, and will stop work if conditions change or become unsafe.

Worker nameSignature / initials

Worker sign date

NameSignature / initials

Date

Conditions unchanged and controls remain effective Date / time Changes / new hazards Action taken / controls added

Make a completed SSSP PDF for this job, then share it or email it to the main contractor.