FIELD SAFETY OBSERVATION CARD (Visible Felt Leadership)

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• Contractor

• EPCM Audit No:

• Site Audit No:

• Priority (H-high, M-medium, L-low)

"At Risk" answer to the following questions requires immediate action!

A. WORKING HABITS/COMPETENCY/BEHAVIOURS

• PPE

  Safe

  At Risk

  N/A

• Risk awareness<br>

  Yes

  No

  N/A

• Positions of people

  Yes

  No

  N/A

• Competency and training

  Yes

  No

  N/A

• Supervisor (action condoned)

  Safe

  At Risk

  N/A

• Emergency procedure

  Yes

  No

  N/A

B. HOUSEKEEPING/WORK ENVIROMENT

• Access/ Egress

  Safe

  At Risk

  N/A

• Safe working platforms

  Yes

  No

  N/A

• Slips/trips/falls/tidy

  Safe

  At Risk

  N/A

• Lighting

  Yes

  No

  N/A

• Scaffolding

  Safe

  At Risk

  N/A

• Hygiene

  Yes

  No

  N/A

C. COMMUNICATION & PROCEDURES/JSA/RA

• Registers

  Yes

  No

  N/A

• Signage

  Yes

  No

  N/A

• Toolbox talks/DSTI

  Yes

  No

  N/A

• JHA/RA covering job

  Yes

  No

  N/A

• SWP covering activity

  Yes

  No

  N/A

• Critical procedures

  Yes

  No

  N/A

• Permits & lock-out

  Safe

  At Risk

  N/A

• SMI board (adequate)

  Yes

  No

  N/A

• Non-verbal/verbal

  Yes

  No

  N/A

D. MANUAL HANDLING & ERGONOMICS

• Awkward positions/posture

  Yes

  No

  N/A

• Repetitive motions

  Yes

  No

  N/A

• Over exertion

  Yes

  No

  N/A

E. PROTECTION & ELEVATED WORK/RESCUE

• Attached at all times

  Yes

  No

  N/A

• Barricading

  Safe

  At Risk

  N/A

• Overhead protection

  Yes

  No

  N/A

• Elevated work

  Yes

  No

  N/A

• Lanyards on all tools

  Yes

  No

  N/A

• Stacking and storage

  Safe

  At Risk

  N/A

• Rescue plan/procedures

  Yes

  No

  N/A

F. PLANT & EQUIPMENT

• Mechanical

  Yes

  No

  N/A

• Electrical/energy

  Yes

  No

  N/A

• Tools & portable equipment

  Safe

  At Risk

  N/A

• Mobile / transport

  Yes

  No

  N/A

• Lifting & rigging

  Safe

  At Risk

  N/A

G. HAZARDS & HAZARDOUS WORK

• Physical

  Yes

  No

  N/A

• Chemical

  Yes

  No

  N/A

• Biological

  Yes

  No

  N/A

• Environmental

  Yes

  No

  N/A

• Confined space

  Safe

  At Risk

  N/A

• Hot work

  Yes

  No

  N/A

SAFE ACTS OBSERVED & COMMENDATIONS

AT RISK BEHAVIOURS OBSERVED

CORRECTIVE ACTIONS REQUIRED