DNAP HSE Site Visit Report

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Fatal Risk

• Ask the three questions of employees

• Identify & verify a critical control

• Conduct a ‘Fatal Risk Gemba'

• Are posters on site?

  Yes

  No

  N/A

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  Media

Pre-Start meeting

• Are they being run & effective?

  Yes

  No

  N/A

• Are Fatal Risks on agenda?

  Yes

  No

  N/A

• Is Safety Partners language used?

  Yes

  No

  N/A

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  Media

Visual Management Board

• Are site HSE KPIs clear?

  Yes

  No

  N/A

• Are the KPIs updated & being met?

  Yes

  No

  N/A

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  Media

Review Take 5!s, SAO’s, permit to work, and JSAs

• Have Fatal Risks been considered?

  Yes

  No

  N/A

• Have JSAs been completed & authorized appropriately?

  Yes

  No

  N/A

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  Media

Review a recent SHAERS event

• Description clear & accurate

  Yes

  No

  N/A

• Review investigation

• Appropriate actions identified & completed?

  Yes

  No

  N/A

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  Media

• Is the HSE notice board tidy and up-to-date

  Yes

  No

  N/A

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  Media

• Conduct a SAO

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  Media

• Complete training/mentoring

• Add media

  Media

• Are Safety Management Plans current and accessible?

  Yes

  No

  N/A

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  Media

Review a recent Change on site

• Change tool completed?

  Yes

  No

  N/A

• Stored correctly?

  Yes

  No

  N/A

• Actions completed?

  Yes

  No

  N/A

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  Media

Site Safety Meetings

• Facilitate discussion

• Present Monthly Theme

• Review effectiveness of meeting

• Add media

  Media

Compliance

• Review site & individual licences

• Review security management plan and compliance

• Add media

  Media

Training

• Is employee training up to date?

  Yes

  No

  N/A

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  Media

HiPo and Hazard Alert Actions

• Have they been implemented?

  Yes

  No

  N/A

• Add media

  Media

Other

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  Media