Information

  • Document No.

  • Site / Area

  • Conducted on

  • Conducted by

  • Location
  • Personnel Consulted

Conversation & Observations

Objective

  • 1. To demonstrate a commitment to safety
    2. Engage staff and management together
    3. Provide two way feedback on safety
    4. Create a focus and culture on safety

Instructions

  • 1. Start a conversation about safety with an employee using the examples of questions provided below (if required)
    2. List any positive or negative findings based on the conversation
    3. Conduct a site walk around checking items listed in the observations table
    4. Add corrective actions identified into the action plan
    5. Provide a copy to the manager of the area / site visited as well as the safety team

Conversational Prompts

  • • Tell me about your job? How does it work?
    • What are the most common hazards for this job?
    • Do you have a site safety / operational plan / SWPs in place?
    • What are the most significant hazards you have at this site / for this activity?
    • What are the particular controls you have in place and are they effective?
    • Is there a safer way of doing this activity?
    • How are you trained in SWPs? Does this help you to work safely?
    • What incidents / near misses have you had lately and what corrective actions have been taken?
    • Is the plant right for the task being done?
    • What training have you had for this particular task?
    • Are you aware of the latest safety alert / KeepSAFE?
    • Are there specific competencies for any plant being operated?
    • What additional things can FCNSW / I do to ensure people / you are working safely?
    • What was the last incident you heard about at this location.... outside this location?

Positive Findings

  • Enter positive findings

Negative Findings

  • Enter negative findings

Observations (If No, enter action required)

  • Site induction given on arrival and persons wearing correct PPE?

  • Chemicals appropriately labelled & SDS available?

  • Signage in place and housekeeping in good order?

  • Unsafe equipment / plant tagged out?

  • Vehicles adhere to site / road speed limits?

  • Vehicles kept / maintained in good condition?

  • Worker not in the line of fire? (heavy equipment in area, separation distances etc)

  • Persons operating mobile plant are appropriately licensed / competencies available?

  • Contractors operating according to site safety plan? Is it specific?

  • Lifting equipment available and in good working order?

  • Emergency exits / designated walkways clear from obstructions?

  • Any other hazards / observations that you have identified?

  • Enter additional actions here

Action Plan

Authorisation

  • Please Sign

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.