Part D — Risk & Change

LMRA Checklist

Owner

HSE Manager / Document Controller

Review / trigger

Annual review; update on legal, authority, project or client change

Checkpoints

#	Area	Checkpoint / Requirement	Evidence / Acceptance Criteria	Responsible	Frequency
1	LMRA Trigger & Timing	LMRA conducted immediately before commencing any task, at the actual point of work, not in advance in an office	Time/location stamp on LMRA card matches task start time and GPS/area tag	Worker/Team Leader	Before every task
2	LMRA Trigger & Timing	LMRA repeated whenever there is a break in work exceeding the site-defined threshold (e.g. shift change, lunch break)	LMRA log showing new entry after each recorded break	Team Leader	On resumption after break
3	LMRA Trigger & Timing	LMRA re-performed when task location, scope or personnel involved changes from what was originally planned	Updated LMRA card referencing revised scope/location	Team Leader	On any change
4	LMRA Trigger & Timing	LMRA conducted by every individual worker for their specific task element, not only by the supervisor for the crew	Individual LMRA cards or app entries for each crew member	Each Worker	Before every task
5	LMRA Trigger & Timing	LMRA timing correlates with validity window of the associated Permit to Work	Cross-check of LMRA timestamp against PTW validity period	PTW Holder	Before every task
6	LMRA Trigger & Timing	Weather or environmental condition changes (wind, rain, heat, visibility) trigger a fresh LMRA where relevant	LMRA card with weather condition field completed and reassessed	Worker/Team Leader	On condition change
7	LMRA Trigger & Timing	LMRA conducted for short-duration and 'simple' tasks with the same rigour as complex tasks	Sample audit of LMRA cards for short-duration tasks showing full completion	HSE Officer	Random audit, weekly
8	LMRA Trigger & Timing	Night shift and low-visibility tasks include a documented lighting/visibility adequacy check within the LMRA	LMRA card with lighting adequacy tick box completed	Night Shift Supervisor	Before every night task
9	Task & Scope Understanding	Worker can clearly state the task to be performed and confirms it matches the permit/work order scope	Verbal confirmation recorded on LMRA card or toolbox talk log	Worker	Before every task
10	Task & Scope Understanding	Sequence of work steps reviewed mentally or verbally against method statement immediately before starting	LMRA card cross-reference to method statement step number	Worker/Team Leader	Before every task
11	Task & Scope Understanding	Boundaries of the work area and adjacent hazardous zones identified and understood by the crew	Sketch or marked area boundary on LMRA card/PTW site plan	Team Leader	Before every task
12	Task & Scope Understanding	Any last-minute change of plan, tool, or method from the approved method statement flagged for review before proceeding	Deviation note captured on LMRA card and escalated if required	Worker/Team Leader	As deviation occurs
13	Task & Scope Understanding	Interfaces with other ongoing activities in the vicinity (SIMOPS) checked immediately before starting work	LMRA card SIMOPS check field completed with confirmation from area authority	Team Leader	Before every task
14	Task & Scope Understanding	Access and egress routes for the task, including emergency evacuation path, physically confirmed clear	Visual confirmation noted on LMRA card	Worker	Before every task
15	Task & Scope Understanding	Task-specific stop-work triggers agreed and understood by all crew members before work begins	Stop-work criteria discussed and acknowledged, recorded on LMRA card	Team Leader	Before every task
16	Task & Scope Understanding	Worker fatigue, fitness for duty and any personal factors affecting ability to perform task safely self-assessed	Fitness-for-duty declaration section signed on LMRA card	Worker	Before every task
17	Hazard Identification at Point of Work	Actual physical hazards present at the work location (not just generic hazards) visually identified and listed	LMRA card hazard checklist completed with site-specific entries	Worker	Before every task
18	Hazard Identification at Point of Work	Overhead hazards (crane loads, suspended equipment, power lines) checked immediately above the work location	Overhead hazard field ticked with observation noted	Worker/Team Leader	Before every task
19	Hazard Identification at Point of Work	Underground/buried services and excavation hazards re-verified against permit sketch at the exact dig location	On-site verification against excavation permit drawing, physical cable/pipe locate marks checked	Excavation Supervisor	Before every task
20	Hazard Identification at Point of Work	Presence of hazardous energy sources (electrical, mechanical, pneumatic, hydraulic, stored energy) confirmed isolated or controlled	Visual verification of isolation tags/locks at point of work	Worker	Before every task
21	Hazard Identification at Point of Work	Confined space atmosphere and physical hazards re-checked immediately before entry, independent of earlier permit gas test	Point-of-entry gas test reading recorded on LMRA card, per ADOSH-SF/ADNOC confined space requirements	Gas Tester/Entry Supervisor	Immediately before each entry
22	Hazard Identification at Point of Work	Slip, trip and fall hazards in immediate work area (uneven ground, spills, loose materials) identified and addressed	Housekeeping/hazard note on LMRA card with corrective action taken	Worker	Before every task
23	Hazard Identification at Point of Work	Interaction hazards with mobile plant, vehicles or pedestrians in the immediate vicinity assessed	Traffic/pedestrian interface field completed on LMRA card	Worker/Banksman	Before every task
24	Hazard Identification at Point of Work	Chemical/material hazards specific to the task (adjacent process fluids, stored chemicals) checked at the point of work	SDS reference and hazard note recorded on LMRA card	Worker	Before every task
25	Weather & Environmental Conditions	Ambient temperature and heat stress risk assessed against site heat stress management programme thresholds	LMRA card heat stress field completed referencing WBGT/heat index reading, per MOHRE mid-day break and heat stress guidance	Worker/Team Leader	Before and during every task in high heat
26	Weather & Environmental Conditions	Wind speed checked against safe working limits for work at height, lifting and crane operations	Anemometer reading logged on LMRA card against permitted threshold	Lifting Supervisor/Worker	Before every task at height/lifting
27	Weather & Environmental Conditions	Visibility conditions (dust storm, fog) assessed as adequate for safe task performance	Visibility observation recorded on LMRA card	Worker/Team Leader	Before every task
28	Weather & Environmental Conditions	Sun glare and direct sunlight exposure risk for tasks involving vehicles/plant operation assessed	Glare risk note recorded where relevant	Plant Operator	Before every task
29	Weather & Environmental Conditions	Rain, standing water or humidity risk to electrical equipment and slip hazards assessed at point of work	Environmental hazard field completed on LMRA card	Worker	Before every task
30	Weather & Environmental Conditions	Marine/offshore or waterside tasks include sea state and tidal condition check where applicable	Sea state/tide reading logged on LMRA card	Marine Coordinator	Before every marine task
31	Weather & Environmental Conditions	Adequate hydration and shade/rest facilities confirmed accessible before commencing outdoor task in high heat	Hydration/rest facility confirmation ticked on LMRA card	Worker/Team Leader	Before every outdoor task
32	Personal Protective Equipment Verification	Task-specific PPE required per risk assessment/method statement physically worn and correctly fitted	Visual inspection confirmed and ticked on LMRA card	Worker	Before every task
33	Personal Protective Equipment Verification	PPE condition (no visible damage, within service/inspection date) verified immediately before use	PPE inspection tag/date checked and noted	Worker	Before every task
34	Personal Protective Equipment Verification	Specialised PPE (fall arrest harness, respiratory protection, gas detector) function-tested at point of work	Function test result recorded on LMRA card	Worker	Before every task
35	Personal Protective Equipment Verification	PPE appropriate to the specific hazard identified during the LMRA (not just standard PPE) selected and donned	Additional PPE field completed on LMRA card matching hazard identified	Worker	Before every task
36	Personal Protective Equipment Verification	Personal gas monitor calibration status and bump test verified as current before entering hazardous atmosphere	Bump test sticker/log checked against current date	Worker	Before every task
37	Tools & Equipment Fitness for Use	Hand tools and power tools visually inspected for damage and confirmed appropriate for the specific task	Pre-use tool inspection checklist ticked on LMRA card	Worker	Before every task
38	Tools & Equipment Fitness for Use	Lifting equipment and accessories (slings, shackles) checked for current inspection tag/colour code at point of use	Visual tag/colour code verification recorded	Rigger/Worker	Before every lift
39	Tools & Equipment Fitness for Use	Portable electrical equipment checked for valid PAT test tag and physical condition before connection	PAT test tag date verified against current period	Worker	Before every task
40	Tools & Equipment Fitness for Use	Ladders and access equipment inspected for stability, condition and correct footing before use	Pre-use ladder inspection checklist completed	Worker	Before every use
41	Tools & Equipment Fitness for Use	Hot work equipment (welding sets, grinders) checked for fire risk mitigation (spark containment, fire extinguisher present) at exact work location	Fire watch and extinguisher presence confirmed on LMRA card, per Civil Defence hot work requirements	Fire Watch/Worker	Before every hot work task
42	Tools & Equipment Fitness for Use	Equipment/tools match those specified in the risk assessment; substitutions flagged for review before use	Substitution note recorded and approved if applicable	Team Leader	As substitution occurs
43	Tools & Equipment Fitness for Use	Barricades, warning signs and physical barriers for the task erected and confirmed adequate at point of work	Barrier/signage check ticked on LMRA card with photo if required	Worker/Team Leader	Before every task
44	Team Communication & Roles	Roles and responsibilities of each crew member for the specific task confirmed and understood immediately before starting	Verbal role confirmation recorded on LMRA card/toolbox talk	Team Leader	Before every task
45	Team Communication & Roles	Communication method between crew members and with control room/supervisor confirmed working (radio check)	Radio/communication check logged on LMRA card	Team Leader	Before every task
46	Team Communication & Roles	Emergency response arrangements specific to this task and location briefed to all workers	Emergency arrangement briefing acknowledged on LMRA card	Team Leader	Before every task
47	Team Communication & Roles	Language barriers addressed to ensure all crew members understand hazards and controls discussed	Interpreter/multilingual briefing confirmation noted	Team Leader	Before every task
48	Team Communication & Roles	Any new or unfamiliar worker joining the task introduced to site-specific hazards before work starts	New worker orientation note recorded on LMRA card	Team Leader	On introduction of new worker
49	Team Communication & Roles	Signal/hand signal protocol confirmed and understood for tasks involving lifting or mobile plant	Signal protocol briefing confirmed on LMRA card	Banksman/Rigger	Before every lift/plant task
50	Team Communication & Roles	Worker empowered and confirmed understanding of authority to stop work if conditions change or hazard identified	Stop-work authority acknowledgment signed by worker	Worker	Before every task
51	Rescue & Emergency Preparedness	Rescue plan specific to the task (e.g. confined space, work at height) confirmed in place and equipment on site	Rescue equipment presence verified and rescue plan reference checked on LMRA card	Standby Person/Entry Supervisor	Before every task requiring rescue plan
52	Rescue & Emergency Preparedness	Standby person/attendant present, briefed and dedicated solely to monitoring duties for the task	Attendant presence and briefing confirmation logged	Entry Supervisor	Before every applicable task
53	Rescue & Emergency Preparedness	First aid kit and nearest first aider identified and accessible for the specific work location	First aid accessibility check recorded on LMRA card	Worker/Team Leader	Before every task
54	Rescue & Emergency Preparedness	Muster point and evacuation route from the specific work location confirmed known to all crew members	Muster point confirmation ticked on LMRA card	Team Leader	Before every task
55	Rescue & Emergency Preparedness	Communication with emergency response team tested for remote/isolated work locations before starting	Comms test with ERT logged for isolated task locations	Team Leader	Before every isolated task
56	Rescue & Emergency Preparedness	Rescue equipment (tripod, winch, SCBA) function-checked immediately before task commencement	Equipment function check ticked on LMRA card	Standby Person	Before every task requiring rescue equipment
57	Documentation & Verification	LMRA card/app entry fully completed with no blank mandatory fields before work commences	Completed LMRA record with all fields populated	Worker	Before every task
58	Documentation & Verification	LMRA findings cross-checked for consistency against the associated Permit to Work and risk assessment	Cross-reference verification note on LMRA card	PTW Holder	Before every task
59	Documentation & Verification	Supervisor/area authority spot-checks LMRA quality and completion for a sample of ongoing tasks	Spot-check log with sample size and findings recorded	Area Supervisor	Daily
60	Documentation & Verification	LMRA records retained and traceable to the specific task, date, time and personnel involved	LMRA card filed/archived with unique task/permit reference	Document Controller	Per task, ongoing
61	Documentation & Verification	Digital LMRA app/system (where used) confirmed functioning and data synced to central HSE database	System sync confirmation log	IT/HSE Systems Administrator	Daily
62	Documentation & Verification	Trend analysis of LMRA findings conducted to identify recurring hazards or stop-work triggers	Monthly LMRA trend report reviewed by HSE Committee	HSE Manager	Monthly
63	Documentation & Verification	Corrective actions arising from LMRA-identified hazards tracked to closure	Action tracking register with closure evidence	HSE Officer	Ongoing
64	Site-Specific & Process Safety Considerations	Proximity to live process equipment, pressurised systems or high-energy sources reassessed at the exact task location	Proximity hazard field completed with distance/barrier noted on LMRA card	Worker/Process Operator	Before every task
65	Site-Specific & Process Safety Considerations	Simultaneous operations status board/log checked immediately before starting work in shared areas	SIMOPS board check confirmed and logged on LMRA card	Team Leader	Before every task
66	Site-Specific & Process Safety Considerations	Radiography or other high-hazard concurrent activities in the vicinity checked and clearance confirmed	Radiography exclusion zone clearance confirmed on LMRA card, per FANR requirements where applicable	Radiation Safety Officer/Team Leader	Before every task near radiography
67	Site-Specific & Process Safety Considerations	Static electricity and flammable atmosphere precautions verified immediately before task in classified hazardous area	Bonding/earthing and atmosphere check recorded on LMRA card	Worker	Before every task in hazardous area
68	Site-Specific & Process Safety Considerations	Line-of-fire and dropped-object hazards at the specific work location identified and mitigated	Line-of-fire hazard field completed with mitigation noted	Worker/Team Leader	Before every task
69	Site-Specific & Process Safety Considerations	Vibration, noise or manual handling ergonomic risks specific to the task location assessed at point of work	Ergonomic risk field completed on LMRA card	Worker	Before every task
70	Site-Specific & Process Safety Considerations	Security or restricted-area access requirements for the specific location confirmed satisfied before entry	Access authorisation confirmed on LMRA card	Security/Team Leader	Before every task in restricted area
71	Personal Protective Equipment Verification	Fall protection anchor point selected and load capacity confirmed suitable at exact point of work	Anchor point rating verification recorded on LMRA card	Worker	Before every task at height
72	Personal Protective Equipment Verification	Face/eye protection matched to specific splash, radiation or particulate hazard at the task location	Task-specific eye protection field completed on LMRA card	Worker	Before every task
73	Personal Protective Equipment Verification	Hearing protection selected based on actual measured or posted noise level at point of work	Noise level reference/posted sign checked against hearing protection used	Worker	Before every task in noise zone
74	Tools & Equipment Fitness for Use	Pressure testing/hydraulic tools checked for current calibration certificate before use at point of work	Calibration certificate date verified on LMRA card	Worker	Before every task
75	Documentation & Verification	Language of LMRA card/app matches worker's primary language or is supplemented with pictorial hazard icons	Localised/pictorial LMRA format confirmed in use	HSE Officer	Ongoing
76	Site-Specific & Process Safety Considerations	Weather-related process risk (e.g. lightning near tall structures/tanks) checked immediately before task at exposed location	Lightning detection system status checked and logged on LMRA card	Worker/Team Leader	Before every task at exposed location
77	Final Go/No-Go Decision	All identified hazards at point of work confirmed to have an existing or newly applied control before proceeding	Final hazard-control matching confirmed and signed on LMRA card	Worker/Team Leader	Before every task
78	Final Go/No-Go Decision	Worker formally confirms 'safe to start' decision and signs/authorises the LMRA card immediately before work begins	Signed 'safe to start' declaration on LMRA card with timestamp	Worker	Before every task
79	Final Go/No-Go Decision	Any single unresolved red-flag hazard results in work being stopped and escalated, not proceeding conditionally	Stop-work escalation record where red flag raised	Team Leader	As triggered
80	Final Go/No-Go Decision	Supervisor countersigns high-risk task LMRAs before work is authorised to proceed	Supervisor countersignature on LMRA card for high-risk tasks	Area Supervisor	Before every high-risk task
81	Final Go/No-Go Decision	Go/no-go decision re-validated at defined intervals during long-duration tasks (e.g. every 2-4 hours)	Interim re-validation entries logged on LMRA card during task duration	Worker/Team Leader	Every 2-4 hours during task
82	Final Go/No-Go Decision	Decision to proceed, delay or cancel task recorded with reason, avoiding undocumented informal decisions	Decision outcome field completed with reason code on LMRA card	Team Leader	Before every task
83	Final Go/No-Go Decision	Escalation contact (HSE/Supervisor) identified and available to consult in case of uncertainty during LMRA	Escalation contact name/number recorded on LMRA card	Worker	Before every task
84	Final Go/No-Go Decision	Peer verification (second worker cross-check) performed for high-consequence tasks before final go decision	Peer verification signature captured on LMRA card	Second Worker/Buddy	Before every high-consequence task
85	Final Go/No-Go Decision	LMRA outcome communicated to control room or area authority before commencing high-risk or isolated work	Control room notification log entry cross-referenced to LMRA	Team Leader	Before every high-risk/isolated task
86	Final Go/No-Go Decision	No task proceeds where required competent person (e.g. gas tester, banksman) is not physically present as per LMRA finding	Personnel presence verification recorded on LMRA card	Team Leader	Before every task
87	Final Go/No-Go Decision	Post-task debrief captures whether LMRA accurately predicted actual site conditions encountered	Post-task debrief note appended to LMRA record	Worker/Team Leader	After every task
88	Final Go/No-Go Decision	Near-miss or good-catch arising from LMRA process reported through site HSE reporting system	Near-miss/good-catch report reference linked to LMRA card	Worker	As occurs

Each checkpoint records Status (Yes / No / N/A), Comments, Corrective Action and Sign-off. Switch to Complete in-app to fill it here, or download the blank version to complete on site.

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