1HOUR BOOTS ON THE GROUND - duplicate

• Site conducted

  Select

• Conducted on

  Date

• Performed by

• Which was coached by

• GPS Location
  Address

• Areas covered

  Select

• Starting at

  Date

• Finished at

  Date

• Number of hour(s)

ACTIVITY(ES) PERFORMED

• Type of ACTIVITIES / OBSERVATIONS

  Select S (Situation & Hazard Spotting) P (People Practices) O (Organizational review _ Task Observations) T (Technical review _ Life Saving Audits)

  • S (Situation & Hazard Spotting)
  • P (People Practices)
  • O (Organizational review _ Task Observations)
  • T (Technical review _ Life Saving Audits)
HAZARD SPOTING

• Was the situation safe - a good Practice ?

  Yes

  No

  N/A

• What was the hazard spotted ?

  Select

• Description of the observation

• Spot _ Should it be recorded as a SIFp ?

  SIFp - to be recorded

  Not Sure SIFp - To be reviewed

  Not SIFp

• Spot _ Recordable good Save

• What was / were the hazards controlled ?

  Select

• description of the observation

sPot - VISIBLE FELT LEADERSHIP INTERACTIONS (BBS)

• sPot - VFL_BBS _ Was the task performed safely - a safe Practice ?

  Yes

  No

  N/A

• What was the hazard spotted ?

  Select

• Description of the observation

• What was his / her role ?

  Select

• What type of activity ?

  Routine

  Scheduled Non routine

  Unscheduled task

• What was agreed with the person observed ?

• sPot _ Should it be recorded as a SIFp ?

  SIFp - to be recorded

  Not Sure SIFp - To be reviewed

  Not SIFp

• sPot _ Recordable good Save

• What was / were the hazards controlled ?

  Select

• Content of discussion with the worker

• What was his / her role ?

  Select

• What type of activity ?

  Routine

  Scheduled Non routine

  Unscheduled task

FEEDBACK DEBRIEF AND COMPLETION

• Was the full observation outcome debriefed with the workers at site ?

  Yes

  No

  N/A

• Was the full observation outcome debriefed with the their supervisor the area owner and, or the Job Owner

  Yes

  No

  N/A

• Main issues / observations that require a follow up by management

• Workers supervisor's or area owner's initials for acknowledging receipt of the comment

  Sign

TASK OBSERVATIONS

• • Decide to conduct and observation
  • Select a task (job)
  • Make sure the task is being or about to be undertaken
  • Obtain any relevant Work Instructions, Risk Assessments etc. for the task
  • (If there are no work instructions etc. advise the supervisor to develop one and choose a different task)
  • Seek technical assistance for more complex tasks if required
  • Visit the task site and inform the worker(s) that you are observing his/her compliance to the Work Instruction
  • Observe the task.
  • Provide feedback to the worker
  • File this checklist in the office and record the Task Observation outcome in Curve if further follow up actions are needed (attached the check list)
  

BACKGROUND

• Description of the task performed

• Was this activity scheduled in advance ?

  Yes

  No

  N/A

• When Job started ?

  Date

• When your observation started ?

  Date

• Existence of a work instruction or procedure

  Yes

  No

  N/A

• Reference of the procedure

• Area / Work location

  Select

• Area Owner name

• Workers' supervisor or team leader name

• Workers Role

  Select

DISCUSSION WITH WORKER PRIOR TO OBSERVATION

• What is the task?

• Was/were the worker(s) formally trained in this task?

  Yes

  No

  N/A

• Do(es) the worker(s) know where the Work Instruction for this task is located?

  Yes

  No

  N/A

• How much experience does the worker have in this task (months)

• What are the main hazards of the task from the worker(s) point of view

  Select

• Describe the controls in place to make him / her safe?

• Tell what would make the task safer or more efficient?

•   Is the task performed in the same manner by all workers?

  Yes

  No

  N/A

• Where are you in relation to the completion of the task?....

  Not started

  Just the begining

  In the middle

  Almost completed

• try and cover the areas missed - at least verbally or by demonstration

• Description of the previous steps / stages

ON THE JOB APPLICATION REVIEW

• Are the workers following the Work instruction / JSA steps and tasks requirement ?

  Yes

  No

  N/A

• Are the workers applying the controls listed in the Work instruction, permits, risk assessments and Last Minutes Risk Assessment?

  Yes

  No

  N/A

• Was there no deviation ?

  Yes

  No

  N/A
Deviations observed others than Behavioural

• Describe the deviation

• Type of gap

  Select SOP or WI to be updated Technical controlto be modified Tools to be repaired or modified

  • SOP or WI to be updated
  • Technical controlto be modified
  • Tools to be repaired or modified

• spOt _ Should it be recorded as a SIFp ?

  SIFp - to be recorded

  Not Sure SIFp - To be reviewed

  Not SIFp

• spOt _ Recordable good Save

• Could the task be completed without any unsafe / potentially unsafe acts ?

  Yes

  No

  N/A

• Is the job housekeeping acceptable?

  Yes

  No

  N/A

• Is the plant / equipement in good and safe condition

  Yes

  No

  N/A

• Do the workers understand the risk and the controls and are they effective?

  Yes

  No

  N/A

• Are the tools and equipment in good order?

  Yes

  No

  N/A

• Do they know how to raise an alarm in an emergency?

  Yes

  No

  N/A

After Observation in the office _ Desktop exercice

• Are the workers competent in the tasks they are performing?

  Yes

  No

  N/A

• Are there records of worker's training ?

  Yes

  No

  N/A

• Are there modifications / CAPA planned that will modify the work conditions ?

  Yes

  No

  N/A

FEEDBACK DEBRIEF AND COMPLETION

spOt - VISIBLE FELT LEADERSHIP INTERACTIONS (BBS)

• spOt - VFL_BBS _ Was the performed safely - a safe Practice ?

  Yes

  No

  N/A

• What was the hazard spotted ?

  Select

• Description of the observation

• What was agreed with the person observed ?

• spOt _ Should it be recorded as a SIFp ?

  SIFp - to be recorded

  Not Sure SIFp - To be reviewed

  Not SIFp

• spOt _ Recordable good Save

• What was / were the hazards controlled ?

  Select

• Content of discussion with the worker

• What was his / her role ?

  Select

• What type of activity ?

  Routine

  Scheduled Non routine

  Unscheduled task

• Was the full observation outcome debriefed with the workers at site ?

  Yes

  No

  N/A

• Was the full observation outcome debriefed with the their supervisor and the area owner

  Yes

  No

  N/A

• Main issues / observations that require a follow up by management

• worker supervisor Initials for acknowledging receipt of the comment

  Sign

• Area owner Initials for acknowledging receipt of the comment

  Sign

LIFE SAVING AUDIT

• Was this activity scheduled in advance ?

  Yes

  No

  N/A

• Was a pre-established Job Risk Assessment (JSA, safety plan,..) performed ?

  Yes

  No

  N/A

BACKGROUND

• Description of the Job performed

• Date when Job started

  Date

• Existence of a work order

  Yes

  No

  N/A

• Reference of the Work Order

• Area / Work location

  Select

• Job Owner name and contact

• Name of Company doing the Job

• Is that company the main contractor?

  YES

  NO

• Company name of the main contractor

• Job Contractor Responsible's name

• Workers' supervisor or team leader name

DOCUMENTATION REVIEW

• Work Order Issuance ?

  Yes

  No

  N/A

• Work Order Quality

  Select

• General Work Permit Issuance ?

  Yes

  No

  N/A

• General Work Permit

  Select

• Pre-Start Risk review performed ? (Briefing /Take 5 / LMRA)

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Which type of Pre Start Risk review

  Select Safety briefing by team leader / supervisor Take 5 fulfilled and signed Last Minutes Risk Assessment discussed

  • Safety briefing by team leader / supervisor
  • Take 5 fulfilled and signed
  • Last Minutes Risk Assessment discussed

• Pre-Start Risk review performed Quality

  Select

• Job Methodology received from Contractor prior to GWP ?

  Yes

  No

  N/A

• Contractor Job Methodology Quality ?

  Select

• Safety Plan / JSA established at least a day prior to Job start ?

  Yes

  No

  N/A

• Safety Plan / JSA Quality

  Select

• Contractor Risk Assessment received at least a week prior to job start ?

  Yes

  No

  N/A

• Contractor Risk Assessment received at least a week prior to job start ?

  Select
Others Documents

• High Hazard Permit To Work issued ?

  Yes

  No

  N/A

• Hazards controlled by this HHPTW

  Select

• Type of document

• Document quality

  Select

• What should have been the document to be issued ?

ON THE JOB APPLICATION REVIEW

• Is the above documentation sufficiently cross–referenced?

  Yes

  No

  N/A

• Are the workers following the job methodology?

  Yes

  No

  N/A

• Are the workers applying the controls listed in the permits, risk assessments and Last Minutes Risk Assessment?

  Yes

  No

  N/A

• Are Hold Points required? Especially check Isolations (No. of locks /No. of workers etc.)

  Yes

  No

  N/A

• Has the job methodology changed?

  YES

  NO

• Has the relevant documentation (Permits; Risk Assessments; etc.) been updated?

  Yes

  No

  N/A

• ensure changes have been approved and documentation is updated)

• Is the job housekeeping acceptable?

  Yes

  No

  N/A

• Does the Pre-start briefing / LMRA / TAKE 5 cover all of the hazards from the other documentation (Permits, JSAs etc.)?

  Yes

  No

  N/A

• Have all workers signed onto the GWP? (Check the no. of signatures against the number of actual workers)

  Yes

  No

  N/A

• Are the workers competent in the tasks they are performing?

  Yes

  No

  N/A

• Do the workers understand the risk and the controls and are they effective?

  Yes

  No

  N/A

• Do they know how to raise an alarm in an emergency?

  Yes

  No

  N/A

• Are the tools and equipment in good order?

  Yes

  No

  N/A

• Is the safety briefing discussed at least once per day and recorded?

  Yes

  No

  N/A

• Have the Job owner and other managers made sufficient visits to this job? (Higher Risk jobs require more inspections)

  Yes

  No

  N/A

• Are the above documents being actively used to make the job safe?

  Yes

  No

  N/A

• Are there any additional risks that require further control? (If Yes, ensure they are implemented. Record findings here):

  YES

  NO

• Ensure you don't leave the work area before those risks were debriefed on the spot with the Kenvue Job Owner

FEEDBACK DEBRIEF AND COMPLETION

Main Observations / deviations observed others than Behavioural

• Describe the deviation

• Reference of the document related to that gap

• spoT _ Should some of those issues been recorded as a SIFp ?

  SIFp - to be recorded

  Not Sure SIFp - To be reviewed

  Not SIFp

• spoT _ Is there any recordable GOOD SAVES

• Describe the good saves to be recorded

spoT-VISIBLE FELT LEADERSHIP INTERACTIONS (BBS)

• spoT- VFL_ BBS _ Was the task performed safely - a safe Practice ?

  Yes

  No

  N/A

• What was the hazard spotted ?

  Select

• Description of the observation

• What was agreed with the person observed ?

• spoT _ Should it be recorded as a SIFp ?

  SIFp - to be recorded

  Not Sure SIFp - To be reviewed

  Not SIFp

• spoT _ Recordable good Save

• What was / were the hazards controlled ?

  Select

• Content of discussion with the worker

• What was his / her role ?

  Select

• What type of activity ?

  Routine

  Scheduled Non routine

  Unscheduled task

• Was the full observation outcome debriefed with the workers and their supervisor at site ?

  Yes

  No

  N/A

• Was the full observation outcome debriefed with the area owner and the Job Owner

  Yes

  No

  N/A

• Kenvue area owner Initials for acknowledging receipt of the outcome

  Sign

• Kenvue Job owner Initials for acknowledging receipt of the outcome

  Sign