Awx- Safe Act Observation

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. DOCUMENTS AND PERMITS

• 1.1 JHA/SWMS (Signed by supervisor detailed to task, current etc)

  Yes

  No

  N/A

• 1.2 Permits checked & signed (Excavation, Hot Work, Heights etc)

  Yes

  No

  N/A

• 1.3 Procedure for task available

  Yes

  No

  N/A

• 1.4 Communication procedure suitable to task

  Yes

  No

  N/A

• 1.5 Observe: Following written controls ( JHA, Procedures etc)

  Yes

  No

  N/A

• 1.6 Worker/s & Operator/s hold correct competency/ Blue Card etc

  Yes

  No

  N/A

2. PROCEDURES/STANDARDS

• 2.1 Energy sources controlled eg. Mechanical, electrical, hydraulic etc

  Yes

  No

  N/A

• 2.2 Isolations in Place (lock and/or tag used)<br>

  Yes

  No

  N/A

3. PEOPLE MACHINERY INTERACTION

• 3.1 Persons clear of operating Radius

  Yes

  No

  N/A

• 3.2 Fingers, hands and body away from pinch points

  Yes

  No

  N/A

• 3.3 three points of contact when ascending or descending

  Yes

  No

  N/A

• 3.4 Avoids cramped/extended posture

  Yes

  No

  N/A

• 3.5 Good stable work platform

  Yes

  No

  N/A

4. TRAFFIC MANAGEMENT

• 4.1 Is there a Traffic Management Plan (TMP)

  Yes

  No

  N/A

• 4.2 Is signage compliant with TMP and TCD's and regular checks done

  Yes

  No

  N/A

• 4.3 Are there regular checks being conducted to confirm TMP reqmts

  Yes

  No

  N/A

5. MOBILE PLANT EQUIPMENT AND TOOLS

• 5.1 Conducted Pre-Start Checks

  Yes

  No

  N/A

• 5.2 Suitable for Task (selection)

  Yes

  No

  N/A

• 5.3 Used correctly (storage and handling)

  Yes

  No

  N/A

• 5.4 Good condition ( no tools bured / split hosed)

  Yes

  No

  N/A

• 5.5 Seat belts available for all occupants & being used

  Yes

  No

  N/A

• 5.6 Drive to conditions (site rules, speed limits, road conditions)

  Yes

  No

  N/A

• 5.7 Vehicle interaction (adequate separation, effective radio communication)

  Yes

  No

  N/A

• 5.8 Correct parking (eg. V drain, chock and /or reverse)

  Yes

  No

  N/A

6. MANUAL HANDLING

• 6.1 Mechanical aids and team lifting used

  Yes

  No

  N/A

• 6.2 Bends knees when lifting

  Yes

  No

  N/A

• 6.3 Holds load close to body when lifting

  Yes

  No

  N/A

• 6.4 Does not bend or twist when lifting

  Yes

  No

  N/A

• 6.5 Does not overexert/strain when lifting

  Yes

  No

  N/A

7. HOUSEKEEPING

• 7.1 Work area tidy and hazard free

  Yes

  No

  N/A

• 7.2 Barricades and signage in place

  Yes

  No

  N/A

• 7.3 Hazardous materials stored/handled correctly

  Yes

  No

  N/A

• 7.4 Adequate workplace access and egress

  Yes

  No

  N/A

8. PPE

• 8.1 High Visibility clothing in good condition

  Yes

  No

  N/A

• 8.2 Eye and Face Protection (glasses, shield)

  Yes

  No

  N/A

• 8.3 Steel capped boots (good tread & unexposed steel caps)

  Yes

  No

  N/A

• 8.4 Hand Protection (gloves)

  Yes

  No

  N/A

• 8.5 Hearing Protection (plugs, muffs)

  Yes

  No

  N/A

• 8.6 Respiratory Protection (dust masks etc)

  Yes

  No

  N/A

• 8.7 Sun/heat/hydration protection

  Yes

  No

  N/A

• 8.8 Fall protection

  Yes

  No

  N/A

• 8.9 Other required PPE being used & in good condition (hard hat etc)

  Yes

  No

  N/A

OBSERVED AT RISK BEHAVIOURS - COMMENTS

• What was the At- Risk Behaviour

  Yes

  No

  N/A

• What did the person say when asked why?

  Yes

  No

  N/A

• Solutions to remove the At-Risk behaviour

  Yes

  No

  N/A

• Resolved

  Yes

  No

  N/A

POSITIVE FEEDBACK / COMMENTS

• Safe

  At Risk

  N/A

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