Take 10

Digital Safety Card

How It Works

1. Save Your Info
Create a quick profile once to save your name, employee ID, branch, email copy address, and default recipients.
2. Complete a Take 10
Start a new Take 10, apply saved info if available, and complete the task planning sections before beginning work.
3. Submit
Send the completed Take 10 to the selected recipients and keep a local history on this device.

A few minutes of planning helps slow the job down, organize the hazards, and make sure the work starts the right way.

Submission Info Name(s) Employee ID Branch Number Send Me a Copy Email (required) Recipient Emails (at least one required)

Save this information for next time

Asset / Equipment Asset Number (optional) Equipment Type / Hauler Name

Step 1: Task (What work are you doing?) Other exposures noticed (using BEGIN Strategy)

Step 2: Exposures (What could hurt you or others?) Other (BETA Test)

Step 3: Controls

Identify the exposure, then list the control that will reduce or prevent the hazard.

What hazard or condition could cause harm? What will you do to reduce or prevent that hazard?

Step 4: PPE Other PPE

Step 5: Supporting Photos (Optional) Attach supporting photos

Add photos only when they help explain the work area, condition, equipment issue, or concern better than words alone.

Photos attached: 0 of 3

Notes Notes (optional)

Optional Observation Flag Flag a noteworthy observation

Not part of the standard Take 10 process. Use only if you observe a condition, defect, hazard, equipment issue, or concern that deserves additional visibility.

Describe the observation

I acknowledge this Take 10 represents the planning and hazard assessment completed before work began. This form may be submitted after work has started due to operational demands, but the hazards, controls, and observations recorded reflect the pre-task review.