Coaching to Fight Fatalities (In Field) - A

• Coachee:

• Coach:

• Date:

  Date

1 - Prepare and Plan

• What kinds of hazards will I be looking for (physical, chemical, mechanical, biological and ergonomic)? What are the worst possible consequences?

• Thorough recognition of potential hazards (discussed/reviewed).

  1 - Innefective

  2 - Needs Improvement

  3 - Satisfactory

  4 - Well Done

  5 - Exceptional

2 - Look Out For Hazards

• How will I check which areas and hazards need attention?

• Systematic approach to hazard recognition.

  1 - Innefective

  2 - Needs Improvement

  3 - Satisfactory

  4 - Well Done

  5 - Exceptional

3 - Reinforce Stop-Work Authority

• How will I explain the importance of intervention?

• Dialogue throughout the day reinforcing and supporting stopping unsafe work.

  1 - Innefective

  2 - Needs Improvement

  3 - Satisfactory

  4 - Well Done

  5 - Exceptional

4 - Ask and Listen

• What questions will I ask to involve my team? How will I show that I'm really listening?

• Good use of open ended, thought provoking questions.

  1 - Innefective

  2 - Needs Improvement

  3 - Satisfactory

  4 - Well Done

  5 - Exceptional

5 - Win Hearts, Then Minds

• How do I gain their trust? What actions can I take to provide on-the-ground support?

• Follow up provided, sample time provided for conversations, documented.

  1 - Innefective

  2 - Needs Improvement

  3 - Satisfactory

  4 - Well Done

  5 - Exceptional

6 - Lead With Words and Actions

• How will I ensure that my words and actions reinforce a clear message about the importance of health and safety standards on site?

• Shut down work areas, removed faulty gear, conducted inspections.

  1 - Innefective

  2 - Needs Improvement

  3 - Satisfactory

  4 - Well Done

  5 - Exceptional

7 - Consider the Severity of Consequences

• In what ways can I encourage my team to continually consider the severity of consequences, even for less likely risks?

• Conversations pertaining to realistic consequence's (people not policy based)

  1 - Innefective

  2 - Needs Improvement

  3 - Satisfactory

  4 - Well Done

  5 - Exceptional

8 - Make Sure They Stay Safe After You Leave

• How will I set up my team to continue to act safely, even after the conversation ends? What can I do to clarify expectations and timeframes for follow-up actions?

• Help, follow up, provide gear, communicate hazards, and reward behavior.

  1 - Innefective

  2 - Needs Improvement

  3 - Satisfactory

  4 - Well Done

  5 - Exceptional

9 - Follow Up on Commitments

• How will I ensure that follow-up on actions are completed?

• Document, discuss, hold accountable, reward and recognize.

  1 - Innefective

  2 - Needs Improvement

  3 - Satisfactory

  4 - Well Done

  5 - Exceptional

10 - Teach Others

• In what ways can I use our dialogue to inform future safety engagements, meetings, and reporting?

• Enter good catch, share in future huddle, forward recommendations, communicate recognition to others.

  1 - Innefective

  2 - Needs Improvement

  3 - Satisfactory

  4 - Well Done

  5 - Exceptional

• Additional Comments: