Field Leadership Interaction - duplicate

• Site conducted

  Select

• Date & Time Conducted

  Date

• Observers Name

• Area Visited

• Job / Task Description

Additional Team Members Present

• undefined

undefined

• Number of Workers Observed

Guidance - Interaction

• Introduce yourself (and others) and explain the objective of the Field Interaction

• Show interest and ask the worker about the task being undertaken

• Ask about potential hazards and the controls that are in place to manage the risk present

• Use open-ended questions to encourage detailed and personal responses

• Discuss "safe" behaviours observed and provide positive feedback to reinforce the behaviour

• Discuss the "at risk" behaviours observed and frame the conversation to discuss potential consequences and 'of what could happen

• Problem solve with the worker to work through "safe" behaviours and solutions

• Seek commitment from the worker to modify the "at risk" behaviour

• Continue positive communication with worker and thank the participant

Positive Behaviours Observed

• undefined

  Select

• undefined

  Select

• Correct PPE? i.e., glasses/face shield/ hearing protection

  Yes

  No

  N/A

• Hard Hat required and worn?

  Yes

  No

  N/A

• Gloves required, worn and fit for purpose?

  Yes

  No

  N/A

• Safety Boots worn?

  Yes

  No

  N/A

• Dust masks/respirators required, worn and fit for purpose?

  Yes

  No

  N/A

• undefined

  Select

• Safe distance from rotating equipment and tight clearances?

  Yes

  No

  N/A

• Body in a safe position? Potential to be struck by object or energy?

  Yes

  No

  N/A

• Eyes on task / direction of movement?

  Yes

  No

  N/A

• Potential to strike body against object?

  Yes

  No

  N/A

• undefined

  Select

• Clean and clear work area? Correct storage equipment

  Yes

  No

  N/A

• Sufficient lighting to carry out task

  Yes

  No

  N/A

• Weather allows for the safe operation of work

  Yes

  No

  N/A

• Dust, diesel or fume present in the work environment

  Yes

  No

  N/A

• undefined

  Select

• Correct lifting, safe load and use of mechanical aids?

  Yes

  No

  N/A

• Safe posture for back, neck wrist and legs

  Yes

  No

  N/A

• Repetitive, sustained and/or awkward movements?

  Yes

  No

  N/A

• undefined

  Select

• Procedures sufficiently guide the work being undertaken?

  Yes

  No

  N/A

• Worker familiar with procedure and understands the content?

  Yes

  No

  N/A

• Worker following procedural requirement?

  Yes

  No

  N/A

• Hazards assessed and risk-controlled? Risk Management tool used? i.e., Take 5, JHA

  Yes

  No

  N/A

• undefined

  Select

• Correct tool for the job? Tools in good working order?

  Yes

  No

  N/A

• Tools used as intended to be used?

  Yes

  No

  N/A

• Work conditions safe to operate tools and equipment.

  Yes

  No

  N/A
Opportunities for Improvement i.e., "at-risk behaviours" and actions identified

• undefined

  Select

• undefined

  Select

• Correct PPE? i.e., glasses/face shield/ hearing protection

  Yes

  No

  N/A

• Hard Hat required and worn?

  Yes

  No

  N/A

• Gloves required, worn and fit for purpose?

  Yes

  No

  N/A

• Safety Boots worn?

  Yes

  No

  N/A

• Dust masks/respirators required, worn and fit for purpose?

  Yes

  No

  N/A

• undefined

  Select

• Safe distance from rotating equipment and tight clearances?

  Yes

  No

  N/A

• Body in a safe position? Potential to be struck by object or energy?

  Yes

  No

  N/A

• Eyes on task / direction of movement?

  Yes

  No

  N/A

• Potential to strike body against object?

  Yes

  No

  N/A

• undefined

  Select

• Clean and clear work area? Correct storage equipment

  Yes

  No

  N/A

• Sufficient lighting to carry out task

  Yes

  No

  N/A

• Weather allows for the safe operation of work

  Yes

  No

  N/A

• Dust, diesel or fume present in the work environment

  Yes

  No

  N/A

• undefined

  Select

• Correct lifting, safe load and use of mechanical aids?

  Yes

  No

  N/A

• Safe posture for back, neck wrist and legs

  Yes

  No

  N/A

• Repetitive, sustained and/or awkward movements?

  Yes

  No

  N/A

• undefined

  Select

• Procedures sufficiently guide the work being undertaken?

  Yes

  No

  N/A

• Worker familiar with procedure and understands the content?

  Yes

  No

  N/A

• Worker following procedural requirement?

  Yes

  No

  N/A

• Hazards assessed and risk-controlled? Risk Management tool used? i.e., Take 5, JHA

  Yes

  No

  N/A

• undefined

  Select

• Correct tool for the job? Tools in good working order?

  Yes

  No

  N/A

• Tools used as intended to be used?

  Yes

  No

  N/A

• Work conditions safe to operate tools and equipment.

  Yes

  No

  N/A

Corrective Action

• Are there any corrective actions as a result of observations?

  Yes

  No

  N/A

Feedback about the Interaction

• undefined

Sign-off

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