Risk Control Conversation

Structured safety engagement with work crews

Purpose: Engage directly with workers about the specific hazards they face today and verify controls are in place and understood.

👤 Observer Information

Observer Name *

District / Base *

Work Group *

Job Task Being Performed *

❓ Risk Control Questions

What can hurt you or kill you during this job today? *

⚡ Energy Sources Present

Based on the crew's response, select ALL energy sources present during this task.

⬇️GravityFalls, Drops

🔄MotionVehicles, Moving

⚙️MechanicalRotating, Pinch

⚡ElectricalShock, Arc

💨PressureHydraulic, Gas

🧪ChemicalToxic, Flammable

🌡️TemperatureBurns, Cold

🔋StoredSprings, Tension

☢️RadiationIonizing, UV

🦠BiologicalPathogens

🔊SoundNoise, Vibration

🏋️ErgonomicRepetitive

🛡️ Controls In Place

Select the controls the crew has in place for the identified hazards.

TIER 1Direct Controls (Most Effective)

These physically remove or isolate the hazard

Elimination

Substitution

Engineering

TIER 2Indirect Controls (Moderate)

These separate people from hazards or provide warnings

Guarding

LOTO

Warnings

TIER 3Administrative/PPE (Least Effective)

These rely on human behavior to be effective

Administrative

PPE

Are the current controls adequate for the hazards present? *

Yes

✅ Control Verification

What controls are in place? (Crew's description) *

How do you know the controls are effective? *

What could change, and how will you react if anything does change? *

📋 THA/JSA Verification

Were the hazards adequately addressed on the THA/JSA? *

Yes

Partially

📝 Observer Notes

What stands out as exceptional or might need improvement?

AnthroSafe™ Field Driven Safety