Contractor Name
Hazard Category
Select
PPE Use
Fall on the same level
Striking/ hitting objects
Struck by/ caught between
Plant & traffic management
Hazardous substances
Contact electricity
Fall from height
Manual handling
Exposure to heat/ cold/ UV
Tools and equipment
PPE Use Fall on the same level Striking/ hitting objects Struck by/ caught between Plant & traffic management Hazardous substances Contact electricity Fall from height Manual handling Exposure to heat/ cold/ UV Tools and equipment
Select
Hard hat
Eye protection
Hearing protection
Respiratory protection
Gloves / hand protection
Hi visibility clothing / vest
Hard hat Eye protection Hearing protection Respiratory protection Gloves / hand protection Hi visibility clothing / vest
Leads and hoses on ground
Materials poorly stored
Rubbish on ground
Floor wet and slippery
Tools on ground
Select
Hoses incorrectly coupled
Guards not in place
Running in the workplace
Access ways restricted
Poor lighting
Sharp edges uncovered
Compressed air used to clean
Gas cylinders stored incorrectly
Stored pressure not controlled
Hoses incorrectly coupled Guards not in place Running in the workplace Access ways restricted Poor lighting Sharp edges uncovered Compressed air used to clean Gas cylinders stored incorrectly Stored pressure not controlled
Select
Materials not restrained
Debris from grinding and cutting
Foreign objects - wind blown
In area of moving plant
Incorrect distance -moving loads
SWL exceeded during lift
Loads slung from cranes
Materials not restrained Debris from grinding and cutting Foreign objects - wind blown In area of moving plant Incorrect distance -moving loads SWL exceeded during lift Loads slung from cranes
Select
Poor or no signage
Spotter not being used
Poor barricades or bunting
Emergency access blocked
Pedestrians in line of plant
Pathways blocked
Poor or no signage Spotter not being used Poor barricades or bunting Emergency access blocked Pedestrians in line of plant Pathways blocked
Incorrect handling and storage
Lack of information
Not working to JSA, MSDS
Select
Defective tools and leads
Lead/tools not tested/tagged
No earth leakage in place
Electric leads in damp area
Leads tied to metal rails
RCD not being used
Defective tools and leads Lead/tools not tested/tagged No earth leakage in place Electric leads in damp area Leads tied to metal rails RCD not being used
Select
No or poor handrails
Penetrations not covered
Working outside handrails
Ladders- No points of contact
Ladders used not EWP/scaffold
Ladders not secured
Fall arrest not used
Fall arrest incorrectly used
No or poor handrails Penetrations not covered Working outside handrails Ladders- No points of contact Ladders used not EWP/scaffold Ladders not secured Fall arrest not used Fall arrest incorrectly used
Select
Awkward grip
Poor body position
Twisting, reaching etc
Over exertion (heavy weight)
Repetition
Sharp edges
Fast movement
Pushing / pulling
Awkward grip Poor body position Twisting, reaching etc Over exertion (heavy weight) Repetition Sharp edges Fast movement Pushing / pulling
Poor storage of combustibles
Spark control; Cutting/Grinding
Exposure to heat and cold
UV sun block not being used
Wrong tool used
Tool unsafe / used incorrectly
Guards not in place
Positive Observation
Intervention
Warning
On Job Counselling
Re-induction
Infringement Notice
Comments
Add photo if required
Media
link copied
Anonymous
Behavioural Observation Report
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You should independently determine whether the template is suitable for your circumstances.