BSOC Form 805.1 - Isolation / Barricade

• Behavioural Safety Observation Conversation - Isolation / Barricade

  

• Site:

• Task Observed:

• Observer 1:

• Observer 2:

• Conducted on

  Date

• *** The approach by the observer is to demonstrate genuine concern for the worker’s health and safety. Observers should focus on good practices as well as identifying unsatisfactory practices. Observations should be short and take no more than 15 mins. Review past observations for the area of work, and previous actions. Use consultation and discussion to identify action and gain commitment from workers to change work habits. ***

POSITION OF PEOPLE

• o Are isolation points easy to get to or in an awkward position?<br>o Exposure to moving parts and machinery hazards?<br>o Can the Worker(s) identify the potential hazards/risks in their area?<br>o Are other persons aware of the isolation and is the restricted area communicated effectively?

  Safe

  AT RISK

  n/a

PROCEDURES

• o Procedures known and understood?<br>o Has the worker been trained on the Safe Operating Procedure for Isolation and lockout? <br>o Can they explain the isolation sheet being used?<br>o Is the Worker(s) using the available controls to address the identified hazards/risks in the area?

  Safe

  AT RISK

  n/a

WORK PRACTICES

• o Are lockout locks being used when locking out?<br>o Are hasps used for multiple isolation's?<br>o Are tags placed on danger and hazard tape explaining the hazard or danger?

  Safe

  AT RISK

  n/a

HOUSEKEEPING

• o Trip hazards or debris evident?<br>o Is the Worker attending to any spills, water, slippery surfaces?<br>o Is the Worker(s) storing objects, tools, electrical leads or product in aisles, walkways and working areas that could pose a tripping hazard?

  Safe

  AT RISK

  n/a

TOOLS & EQUIPMENT

• o Is the Worker(s) using personnel locks or tags?<br>o Are locks identified with the Worker(s) name and photo?<br>o Are barricades sound or able to be moved easily?

  Safe

  AT RISK

  n/a

PERSONAL PROTECTIVE EQUIPMENT

• o Check Eyes & Face, Ears, Respiratory, Hands, arms, Feet & legs, trunk (is equipment being used appropriate, is it fit for purpose and in good condition) <br>o Are electricians using electrically safe equipment and clothing?

  Safe

  AT RISK

  n/a

MAIN AREA OF FOCUS: ISOLATION AND BARRICADES

• ISOLATION AND BARRICADES
  Note down any site, facility or building hazards noted during the observations may include; isolators appropriate and able to be locked out with locks, any broken equipment, E-stops able to be isolated, isolating PME, Forklifts isolations, barricaded areas for contractors to work on PME safely.

SAFE ACTS OBSERVED

• If all acts are safe what positive feedback was provided to the observed employees to encourage safe behaviour?

UNSAFE ACTS OBSERVED

• If any acts are unsafe what corrective action was provided to the observed employees to encourage safe behaviour?

CORRECTIVE ACTIONS REQUIRED

INCIDENTS / HAZARDS ENTERED INTO VAULT

Signatures of Observers:

• Observer 1:

• Add signature

  Sign

• Observer 2:

• Add signature

  Sign