ESS Remote Service

• Document No.

• Task Observed

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Behaviour

• Has the SWSP been signed by the operator?

  Yes

  No

  N/A

• Comments

• Is the SWSP being followed?

  Yes

  No

  N/A

• Comments

• Was a SAM being followed?

  Yes

  No

  N/A

• Comments

Personal Protective Equipment

• Is the correct PPE available?

  Yes

  No

  N/A

• Comments

• Is the PPE in good condition?

  Yes

  No

  N/A

• Comments

• Is the PPE a proper fit & used correctly?

  Yes

  No

  N/A

• Comments

Manual Handling

• Are warm up & stretching exercise undertaken prior to doing physical work?

  Yes

  No

  N/A

• Comments

• Are appropriate lifting techniques used?

  Yes

  No

  N/A

• Comments

• Is the load too heavy for the individual (greater than 15kg) or lifting greater than 05 kg above shoulder height?

  Yes

  No

  N/A

• Comments

• Is the load awkward or difficult to handle?

  Yes

  No

  N/A

• Comments

• Are the fingers, hands and other body parts safety positioned to avoid moving objects/machinery?

  Yes

  No

  N/A

• Comments

Repetitive Task

• Is there frequent / prolonged manual handling?

  Yes

  No

  N/A

• Comments

• Is there prolonged bending at the waist?

  Yes

  No

  N/A

• Comments

• Is there frequent twisting of the back?

  Yes

  No

  N/A

• Comments

• Are awkward positions assumed for long periods?

  Yes

  No

  N/A

• Comments

• Are hands above the shoulder for long periods?

  Yes

  No

  N/A

• Comments

Equipment

• Is the equipment right for the job?

  Yes

  No

  N/A

• Comments

• Was the equipment visually inspected prior using?

  Yes

  No

  N/A

• Comments

• Is the equipment in good condition?

  Yes

  No

  N/A

• Comments

Housekeeping

• Is the work area clear of trip / slip hazards?

  Yes

  No

  N/A

• Comments

• Are materials / equipment stored correctly?

  Yes

  No

  N/A

• Comments

• Are chemicals appropriately labelled & diluted?

  Yes

  No

  N/A

• Comments

• Fire fighting equipment accessible / unblocked?

  Yes

  No

  N/A

• Comments

• Are hazards barricaded and / or signs erected?

  Yes

  No

  N/A

• Comments

Slips, Trips & Falls

• Are pathways & handrails used?

  Yes

  No

  N/A

• Comments

• Is non-slip footwear worn & in good condition?

  Yes

  No

  N/A

• Comments

• Are spills cleaned up immediately?

  Yes

  No

  N/A

• Comments

Electricity

• Is the electrical items test status current?

  Yes

  No

  N/A

• Comments

Food Safety

• Received Foodsafe Handlers training?

  Yes

  No

  N/A

• Comments

• Adhering to FoodSafe practices?

  Yes

  No

  N/A

• Comments

Vehicle

• Does the driver hold a valid licence (site / general) and has the driver being assessed as competent in line with Compass procedures?

  Yes

  No

  N/A

• Comments

• Has a pre-start inspection been carried out?

  Yes

  No

  N/A

• Comments

Communication

• Does the operator communicated effectively with others involved in the task?

  Yes

  No

  N/A

• Comments

Other & Environmental Issue

• Any observations not covered by above?

  Yes

  No

  N/A

• Comments

Corrective Actions

• Action / Recommendation

• Action By

• Action Date

• Add signature

  Sign