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Risk controls and communication plan for workers operating alone
Confirm each control is in place (P), not in place (F), or not applicable (N/A) before lone work commences.
| # | Safety Item | P | F | N/A | Notes |
|---|---|---|---|---|---|
| Risk Assessment | |||||
| 1 | Lone working risk assessment completed for this task | □ | □ | □ | |
| 2 | Task suitable for lone working (no high-risk activities) | □ | □ | □ | |
| 3 | Location assessed for security risks (remote, isolated, violence) | □ | □ | □ | |
| 4 | Environmental hazards identified (terrain, weather, wildlife) | □ | □ | □ | |
| 5 | Worker medically fit for lone working duties | □ | □ | □ | |
| Communication Plan | |||||
| 6 | Mobile phone coverage confirmed at work location | □ | □ | □ | |
| 7 | Satellite phone or EPIRB provided (if no mobile coverage) | □ | □ | □ | |
| 8 | GPS tracking device active and charged | □ | □ | □ | |
| 9 | Duress alarm or man-down device issued and tested | □ | □ | □ | |
| Check-in Schedule | |||||
| 10 | Check-in frequency agreed (e.g. every 2 hours) | □ | □ | □ | |
| 11 | Nominated contact person identified and available | □ | □ | □ | |
| 12 | Escalation procedure defined if check-in missed | □ | □ | □ | |
| 13 | Expected finish time communicated to supervisor | □ | □ | □ | |
| 14 | Worker knows to report any change in plans or location | □ | □ | □ | |
| Emergency Procedures | |||||
| 15 | Worker trained in emergency procedures for location | □ | □ | □ | |
| 16 | First aid kit appropriate to task and location | □ | □ | □ | |
| 17 | Vehicle breakdown plan in place (if driving) | □ | □ | □ | |
| 18 | Emergency services access route known | □ | □ | □ | |
| 19 | Nearest hospital/medical facility identified | □ | □ | □ | |
| Competency | |||||
| 20 | Worker competent and experienced for the task | □ | □ | □ | |
| 21 | Worker trained in lone worker safety procedures | □ | □ | □ | |
| 22 | Worker holds current first aid certificate | □ | □ | □ | |
| 23 | Worker confident to stop work if conditions change | □ | □ | □ | |
Declaration
I confirm all safety controls are in place and I understand the check-in schedule and emergency procedures. I will contact my supervisor immediately if conditions change or I feel unsafe at any time.