Information

  • Process:
    * Observe behaviour
    * Safety Stop Activity - introduce yourself and explain process
    * Ask person to explain tasks and risks
    * Commend positive behaviour
    * Discuss at risk behaviour
    * Get commitment to work safely
    * Thank the person
    * Action findings and provide feedback

  • Outcome:
    * Positive behaviours reinforced
    * At risk behaviours discussed and addressed
    * Record field leadership data on this form
    * Raise actions in 1SAP if required

  • New Take Time Talk - Observation
    Field Leadership Record

  • Date of TTT

  • Time of TTT

  • Site of TTT

  • Site Specific Details

  • Task / Activity Detail

  • Area Visited

  • Does this TTT relate to one of the BMA Material Risks?

  • How long did the TTT take?

  • Team Members

  • Facilitator #1

  • Facilitator #2

  • Facilitator #3

  • Facilitator #4

  • Safe Behaviours Observed

  • Were any Safe Behaviours observed?

  • Comments

  • Add media

  • Safe Behaviours Observed

  • At Risk Behaviours Observed

  • Were any At Risk Behaviours / Conditions observed?

  • Category A - Reactions of people

  • Potential consequence

  • Category B - Positions of people

  • Potential consequence

  • Category C - PPE

  • Potential consequence

  • Category D - Tools & Equipment

  • Potential consequence

  • Category E - Procedures

  • Potential consequence

  • Category F - Work Area

  • Potential consequence

  • Was immediate action taken to manage the At Risk Behaviour?

  • Has a work order been raised for any outstanding actions?

  • Task Risk Assessment Completed?

  • General Comments

  • Add media

Sign off

  • Signature of facilitators

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.