POSITION OF PEOPLE

  • o Can the Worker(s) identify the potential hazards/risks in their area?
    o Body posture, twisting turning, straining, pushing pulling, over exertion using excessive force, two man lift required?
    o Exposure to slip / trip / fall hazards?

PROCEDURES

  • o Procedures not known or misunderstood?
    o Has the worker been trained on the procedure for reporting Hazards and Incidents?
    o Is the Worker(s) using the available controls to address the identified hazards/risks in the area?

WORK PRACTICES

  • o Can the operator talk about the hazards around their work area, and what controls are in place?
    o Are there controls in the form of barriers or signs?
    o Can the operator / contractor explain how to report a hazard or incident?

HOUSEKEEPING

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

TOOLS & EQUIPMENT

  • o Does the operator have a Stop and Think pad on them or in the work area that helps identify hazards?
    o Is a computer handy or is a manual book used to fill out to report hazards and incidents?
    o Is Vault used at regular site meetings to review incidents and hazards that have been reported?

PERSONAL PROTECTIVE EQUIPMENT

  • o Is a Stop and Think Pad or JSEA pad carried on their person as a form of PPE?
    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)

MAIN AREA OF FOCUS: HAZARDS & INCIDENTS

  • HAZARDS & INCIDENTS
    Note down any site, facility or building hazards noted during the observations may include; (PME, Forklifts, People Vehicle Separation, Traffic Management) High Risk tasks involving workers / contractors.

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

  • Observer 2:

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.