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Observation
Employee Name/s
name of employee 1
name of employee 2 etc
Any Contractor or others included in the audit ?
Non Employees
Date of observation
Site Visit or Phone Call
Site Location
Score
Observation Details
Pillar
People
Safety
Productivity
Quality
Customers
Behaviours
General Contact
People Measure
Safety Measure
Productivity Measure
Time on Site
Efficiency (Agreed vs Actual)
Proactive foresight
Productive Time
Learning ability & Productivity
Progression / Log books & field assessments
Quality Measure
Customers Measure
Behaviours Measure
Followup
Select Follow-up date
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is
permissible in your workplace or jurisdiction.
