Corp-EHS: Generic walk around template for Good Observations and OFIs (only)

• Document no.

• Walk around title:

• Client / Site

• Location

  Select

• Conducted on

  Date

• Prepared by

• Personnel present/joined
  Address
• Other information/Remarks
  Address

Instructions

• A safety walk-around is when (for instance) a line manager or supervisor observes work taking place, inspects the
  workplace, and discusses safety performance with staff based on their observations. Note that it is
  also an opportunity to gather input (on any topic) from operational colleagues.
  [AS A CONSEQUENCE NO AUDIT LIST OR SPECIFIC QUESTIONNAIRE IS INCLUDED]

GOOD OBSERVATIONS Create as many GOs as relevant by answering "YES" and please provide additional information (do not forget to add area/equipment information etcetera)

• Good Observation 1?

  Yes

  No

  N/A

• Good Observation 2?

  Yes

  No

  N/A

• Good Observation 3?

  Yes

  No

  N/A

• Good Observation 4?

  Yes

  No

  N/A

• Good Observation 5?

  Yes

  No

  N/A

• Are there more than 5 Good Observations to report?

  Yes

  No

  N/A

• Good Observation 6?

  Yes

  No

  N/A

• Good Observation 7?

  Yes

  No

  N/A

• Good Observation 8?

  Yes

  No

  N/A

• Good Observation 9?

  Yes

  No

  N/A

• Good Observation 10?

  Yes

  No

  N/A

• Are there more than 10 Good Observations to report?

  Yes

  No

  N/A

• Good Observation 11?

  Yes

  No

  N/A

• Good Observation 12?

  Yes

  No

  N/A

• Good Observation 13?

  Yes

  No

  N/A

• Good Observation 14?

  Yes

  No

  N/A

• Good Observation 15?

  Yes

  No

  N/A

• Are there more than 15 Good Observations to report?

  Yes

  No

  N/A

• Good Observation 16?

  Yes

  No

  N/A

• Good Observation 17?

  Yes

  No

  N/A

• Good Observation 18?

  Yes

  No

  N/A

• Good Observation 19?

  Yes

  No

  N/A

• Good Observation 20?

  Yes

  No

  N/A

• Are there more than 20 Good Observations to report?

  Yes

  No

  N/A

• Please create a new inspection for this site and add information there

• Please create an additional Safety Walk for this facility and use that for additional GOs

  Yes

  No

  N/A

• Other (positive) remarks/observations?

OFIs (Opportunities For Improvement) Create as many OFIs as relevant by answering "YES" and please provide additional information (do not forget to add area/equipment information etcetera)

• OFI 1?

  Yes

  No

  N/A

• OFI 2?

  Yes

  No

  N/A

• OFI 3?

  Yes

  No

  N/A

• OFI 4?

  Yes

  No

  N/A

• OFI 5?

  Yes

  No

  N/A

• Are there more than 5 OFIs to report?

  Yes

  No

  N/A

• OFI 6?

  Yes

  No

  N/A

• OFI 7?

  Yes

  No

  N/A

• OFI 8?

  Yes

  No

  N/A

• OFI 9?

  Yes

  No

  N/A

• OFI 10?

  Yes

  No

  N/A

• Are there more than 10 OFIs to report?

  Yes

  No

  N/A

• OFI 11?

  Yes

  No

  N/A

• OFI 12?

  Yes

  No

  N/A

• OFI 13?

  Yes

  No

  N/A

• OFI 14?

  Yes

  No

  N/A

• OFI 15?

  Yes

  No

  N/A

• Are there more than 15 OFIs to report?

  Yes

  No

  N/A

• OFI 16?

  Yes

  No

  N/A

• OFI 17?

  Yes

  No

  N/A

• OFI 18?

  Yes

  No

  N/A

• OFI 19?

  Yes

  No

  N/A

• OFI 20?

  Yes

  No

  N/A

• Are there more than 20 OFIs to report?

  Yes

  No

  N/A

• Please create a new inspection for this site and add information there

• Please create an additional Safety Walk for this facility and use that for additional GOs

  Yes

  No

  N/A

• Other observations/improvement opportunities?

Overall Notes

• What is the overall condition of the workplace?

  Exceptional

  Exceeds Standards

  Meets Standards

  Needs Improvement

  Needs Significant Improvement

• Enter any general findings or comments

• Are any safety concerns present that require immediate attention?

  Safe

  At Risk

  N/A

• Ensure all safety issues are noted in the audit above, with associated corrective actions created

Accomplishments

• Log below any examples of excellent work practices that were noted on this safety walk but not mentioned above

Good Work Practice

• Team Member Name

• Good work practice:

Sign Off

• I declare that the audit above was conducted and completed accurately.

• Full name and signature of auditor

  Sign