Abigroup QCH Managment Saftey Observation Report AR603C

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Queensland Children's Hospital

Name Of Observers

• Observer No 1

  Yes

  No

  N/A

• Position:

  Yes

  No

  N/A

• Select date

  Date

• Observer No 2

  Yes

  No

  N/A

• Position:

  Yes

  No

  N/A

• Select date

  Date

Activity Being Observed

• Activity Description:

  Safe

  At Risk

  N/A

• Does This Activity Involve High Risk Construction Work:

  Yes

  No

  N/A

• Where is This Activity Being Carried Out:

  Safe

  At Risk

  N/A

Who is Undertaking The Activity

• Abigroup:

  Yes

  No

  N/A

• Position of Supervisor:

  Yes

  No

  N/A

• Subcontractor:

  Yes

  No

  N/A

• Name of Supervisor:

  Yes

  No

  N/A

Description Of Activity

• Activity Description:

  Yes

  No

  N/A

• Is a SWMS Available For This Activity

  Yes

  No

  N/A

• Has This SWMS Been Approved For Use

  Yes

  No

  N/A

Personnel Carrying Out Work

• Name:

  Yes

  No

  N/A

• Has This Person been Tool Boxed On This SWMS

  Yes

  No

  N/A

• Name:

  Yes

  No

  N/A

• Has This Person been Tool Boxed On This SWMS

  Yes

  No

  N/A

• Name:

  Yes

  No

  N/A

• Has This Person been Tool Boxed On This SWMS

  Yes

  No

  N/A

• Name:

  Yes

  No

  N/A

• Has This Person been Tool Boxed On This SWMS

  Yes

  No

  N/A

• Name:

  Yes

  No

  N/A

• Has This Person been Tool Boxed On This SWMS

  Yes

  No

  N/A

Areas Of Observation

• Is There a Copy Of SWMS Present With Work Crew

  Yes

  No

  N/A

• Acceptable Behaviour Shown

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

• Has A Job Hazard Analysis Card Been Completed For The Day

  Yes

  No

  N/A

• Acceptable Behaviour Shown

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

• Does The SWMS Capture All Hazards Present At The Time Of Observation

  Yes

  No

  N/A

• Acceptable Behaviour Shown

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

• Are Those Doing The Task Wearing The Required PPE

  Yes

  No

  N/A

• Acceptable Behaviour Shown

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

• Are Tools And Equipment Being Used Correctly

  Yes

  No

  N/A

• Acceptable Behaviour Shown

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

Is The Task Done As Per The SWMS

• If No List The Differences

  Yes

  No

  N/A

Name & Position Of Persons Spoken To As Part Of This Observation

• Name:

  Yes

  No

  N/A

• Position:

  Yes

  No

  N/A

• Name:

  Yes

  No

  N/A

• Position:

  Yes

  No

  N/A

• Comments:

Potential Hazards Involved In Work Activity

• Are Workers Aware Of Potential Hazards Involved in Work Activity

  Yes

  No

  N/A

• What Are These Hazards

  Yes

  No

  N/A

• Are Workers Aware Of The Control Measures In Place To Minimize The Risk Of Harm

  Yes

  No

  N/A

• What Could Be Done To Improve Saftey For This Task

  Yes

  No

  N/A

General Comments

• Document Positive Or Safe Behaviours Observed

  Yes

  No

  N/A

Does This SWMS Appear To Be Adequate

• If No List Action Required

  Yes

  No

  N/A

• Person Responsible

  Yes

  No

  N/A

• Select date

  Date

Signatures Of Observers

• Observer 1

  Sign

• Observer 2

  Sign