💬 RISK CONTROL CONVERSATION

Risk Control Conversation

SLP Alaska Safety Management System

💡

Use this form to document risk control conversations with workers. These discussions help identify hazards and ensure controls are adequate before work begins.

📋 Basic Information

Observer Name *

Date *

Client/Company *

Location *

Work Group *

Job/Task *

⚡ Hazardous Energy Identification

⚡ What energy sources are present in this task?

Select all energy types that workers could be exposed to during this task.

⬇️

Gravity
Falls, drops

🚗

Motion
Vehicles, equipment

⚙️

Mechanical
Rotating, pinch

⚡

Electrical
Shock, arc flash

💨

Pressure
Hydraulic, gas

☠️

Chemical
Toxic, corrosive

🔥

Temperature
Burns, cold

🔋

Stored
Springs, capacitors

🛡️ What controls are in place for these energies?

Select the types of controls being used.

🚫Elimination

🔄Substitution

🔧Engineering

🚧Guarding

🔒LOTO

⚠️Warnings

📋Procedures

🦺PPE

⚠️ Serious Injury/Fatality Potential

Could this task result in a serious injury or fatality if controls fail or an error occurs?

⚠️ Yes - SIF Potential

✅ No - Lower Risk

🎯 Risk Control Questions

1What could go wrong with this task?

2How likely is it to happen?

3What are the potential consequences?

4What controls are currently in place?

5Are the controls adequate? If not, what else is needed?

📝 Observer Notes

Additional Observations or Comments