Title Page
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Company Name
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Location
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Company Representative (name and title)
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Conducted on
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Prepared by (name and title)
Introduction
Scope
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The scope of this Safety Observation is to monitor the health and safety of labour hire workers while on placement, ensuring they are continually provided with a safe work environment and workplace. Our company conducts this in consultation with labour hire workers and the client (host). This involves engaging in discussions and observations to understand the work environment and culture, identifying any health and safety concerns, documenting potential hazards and non-compliance issues in clear, specific terms, and promptly reporting observations to facilitate timely corrective actions in consultation, cooperation and coordination with the client (host).
Copyright
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All rights reserved. No part of this document may be reproduced or transmitted in any form by any means, electronic or mechanical, including photocopying and recording, or by an information storage or retrieval system, except as may be permitted, in writing, by our company.
Confidentiality Statement
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In order to maintain the integrity and credibility of the risk analysis processes and to protect the parties involved, it is understood that our company and its representatives will not divulge to unauthorised persons any information obtained during this Safety Observation unless legally obliged to do so.
Consultation with the Client (Host)
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Can you provide an update on any changes in the work environment since our last visit?
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How would you describe the current state of the safety culture here?
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Have there been any recent incidents or near misses that we should be aware of?
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Please provide information about the investigation of these incidents and risk control measures introduced.
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Are there any recurring health and safety concerns raised by workers?
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Please describe these concerns
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Are there specific forums or meetings where labour hire workers can voice their health and safety concerns?
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Please describe these forums/meetings
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Can you confirm that our labour hire workers have not been requested to work outside the scope of the original job order or asked to work at different locations that we have not authorised?
- Yes, confirmed there have been no changes
- No, there have been deviations
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Please describe these deviations
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Determine if these changes present a work health and safety risk.
Consultation with Labour Hire Workers
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List the names of the labour hire workers consulted during the Safety Observation.
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When asked, did the labour hire workers raise any concerns about health and safety?
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Have the location or duties of any labour hire workers changed in any way from the original scope of their assignment?
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When asked if they've been exposed to or involved in any incidents, did the labour hire workers report any?
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How did the labour hire workers describe the workplace culture? Please provide details:
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How did the labour hire workers describe ways they can voice their health and safety concerns? Please describe the forums or meetings available for this purpose:
Summary
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Based on the consultation with both the client and the labour hire workers, are there any immediate risks identified that require labour hire workers to cease work immediately?
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Instruct labour hire workers to stop work immediately, notify our Senior Management, and follow their instructions.
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Based on the consultation with both the client and the labour hire workers, are there any concerns that need to be escalated to our senior management?