Information
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Audit Title
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Conducted on
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Prepared by
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Location
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Observation Team
Job Observed:
Person(s) Observed
Conduct
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Emotion - excessive stress
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Attention to task
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Participation in SAO process
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Horseplay
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Communication with others
Standards
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Compliance to standards (Procedures, Work Instructions, Rules)
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Work Permits used where required
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Organised work flow
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Position of People
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Struck by, fall, slip, trip
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Caught in/on/between
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Visible to others
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Temperature extremes
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Ergonomics
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Ingress/Egress - ladders, cabs
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Housekeeping
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Fire hazards
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Waste disposal, spillage
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Equipment storage
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Driving
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Seat belts worn
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Drive to conditions
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Road regulations followed
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Lights/indicators/flags used
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Licences
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Use of horns when moving
PPE
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Head-Ears-Eyes-Feet
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Hands
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Vests/Aprons
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Breathing
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Clothing - Reflective, clean, condition
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UV Protection
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Other (specify)
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Tools/Equipment
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Right for the job, correctly used
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Good condition
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Pre-use checks done
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Chemicals
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Locks applied
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Tags, Use/type
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Isolation/Tagging
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Signage
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Handling equipment/methods
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Inhalation/absorption/ingestion
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Segregation/separation
Further Actions
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Discuss with Operator
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Discuss with Supervisor
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Raise an Incident Report (SHAERS)
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Discuss at toolbox meeting
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