Donate

Take 5

Rio Tinto - Take 5

First Name

Surname

Date / Time

Job Analysis

PHOTO UPLOAD

Am I fit for work and ready?

If NO - please include details

Am I new to the task or working with anyone new?

If YES - please include details

Could I be in the line of fire?

If YES - please include details

	Yes	No
Do I have the correct PPE/Tools?
Do I need to isolate?
Am I in the area where the task is to be performed?