DZIP Observation - Office V0.1

• Document No.

• Observer

• Conducted on

  Date

• Location

  Select Corporate office MP WW VP MM Colongra

  • Corporate office
  • MP
  • WW
  • VP
  • MM
  • Colongra

• Observer type

  Delta

  Contractor

• Number of people observed

• Area

  Select OFFICE STORE CHEMICAL PLANT MEETING ROOM KITCHEN WORKSHOP SITE OTHER JOURNEY CAR PARK

  • OFFICE
  • STORE
  • CHEMICAL PLANT
  • MEETING ROOM
  • KITCHEN
  • WORKSHOP
  • SITE
  • OTHER
  • JOURNEY
  • CAR PARK

• Business unit persons observed

  PROD

  CORP

  MAIN

  MIXED

• Status of persons observed

  employee

  contractor

  both

• Coached observation

  yes

  no

• Coach

Manual handling

• 1.1 Lifting / lowering

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 1.2 Pushing / pulling

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 1.3 Over extending

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 1.4 Carrying

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

Personal protective equipment

• 2.1 Mandatory PPE

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 2.3 Condition of PPE

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

Assessment / procedures

• 3.1 Pre/post job inspection

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 3.3 Housekeeping

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 3.7 Lighting

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

Visibility

• 4.1 Eyes on path

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 4.2 Eyes on Hands

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

Communication

• 5.1 Hazard communication

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 5.2 Barricades / warnings

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 5.3 Asking for assistance

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

Tools / equipment

• 6.1 Selection

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 6.3 Use

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

Vehicle Use

• 8.1 Checksheet completed

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 8.2 Use of Mobile Phone

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 8.3 Keeping Safe Distance

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 8.4 Keeping within Speed Limit

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 8.5 Use of indicator

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 8.6 Use of Seat Belt

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 8.7 Rest Breaks

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

Ergonomics

• 9.1 Posture

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 9.2 Workstation Setup

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 9.3 Electronic Display Use

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

Personal Safety

• 10.1 Public Transport

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 10.2 Other Transport / Walking

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 10.3 Awareness of Surroundings

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

• 10.4 Induction

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

Security

• 11.2 Visitors Escorted

  Safe

  At Risk

  N/A

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

Other at risk behaviour

• Info

Detail of at risk behaviour

• Barrier type

  hard

  easy

• Barrier

  Select HR Hazard recognition BS Business system RR Rewards/Recognition E Equipment / Plant D Disagree safe practices PF Personal factors C Culture PC Personal choice

  • HR Hazard recognition
  • BS Business system
  • RR Rewards/Recognition
  • E Equipment / Plant
  • D Disagree safe practices
  • PF Personal factors
  • C Culture
  • PC Personal choice

• Agree at risk

  yes

  no

• Follow up

  yes

  no

• Solution

  yes

  no

• While (activity)

• Was at risk of

• Because (barrier)

• Solution

• Picture (optional)

  Media

Additional information

• Please enter additional info and comments here.