What is an LMRA checklist template?

It is a short, repeatable checklist used immediately before a task to verify real conditions, hazards, and controls at the workplace.

When should the LMRA checklist be used?

Use it before non-routine tasks, maintenance work, line changeovers, contractor work, and any activity where conditions may have changed since planning.

Who should complete the checklist?

The task team and the responsible supervisor should complete it together so the final decision reflects real task conditions and shared ownership.

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LMRA Checklist Template

A Last Minute Risk Assessment checklist helps teams verify the actual task situation before work begins. It is short by design: the goal is to confirm that hazards, people, tools, and controls still match the plan right at the point of execution.

Checklist items

Task scope and location.
Current hazards and nearby activities.
Required permits, isolations, and PPE.
Team readiness and communication.
Stop, proceed, or escalate decision.

Suggested checklist prompts

Has the task changed since it was planned?
Are all energy sources controlled and verified?
Are people clear on their roles and the stop-work signal?
Is the area safe, accessible, and free of unexpected interference?
Have we agreed on what to do if conditions change during the task?

How to use this template

Use the checklist at the work area, not in a meeting room. If the answer to any prompt is unclear or unsafe, stop the task until the condition is corrected or escalated.