Fieldfix S.O. Daily Report (build) v 2.3 Checklist

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Mark Ludbrook

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Fieldfix S.O. Daily Report (Build) v 2.3

A report to be completed daily by the Safety Officer

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Hazard/Risk Audit

Hazard Identification.

Hazard

Approx time of observation.

Area description.

Delivery area
Outside of loading bay
Inside of loading bay
Main Hall
Entrance Area
Toilets
Production Office
FOH Office

Location.

Has the location been secured?

What is the Hazard?

Untidy Work space
Obsticles in pathway
Vehicular collision
Falling Objects
Electrical Cables
Ladders
Unauthorised Access
Falling from height.
u Unauthorised Entry
Mechanical Failure
Unstable platform
Sawdust
Toxic Substances Toxic Substances
Hot Works Hot Works
Public
EWP
Congestion
Other

What is the risk?

Trip causing injury
Cuts/Abrasions
Falling from heights
Electricoution
Risk of Serious Injury
Risk of Death

Suggested solution.

Is issue resolved?

Extra drawings or notes.

Extra Photo's

Notes.

Incidents, Notes and Sign Off

Incidents.

Check box if there has been an incident to report today.

General Area of incident

Delivery area
Outside of loading bay
Inside of loading bay
Main Hall
Entrance Area
Toilets
Production Office
FOH Office

Location.

Type of Incident?

Cuts/bruising/abrasions
Strain Injury
Broken Limbs
Electricoution
Poisioning
Death
Property Damage
Public Risk
Fire
Terrorist threat/attack
Structural Failure
Other

Names of those involved.

Who has been notified?

Is further action required?

Observations.

Note down any general observations from todays work.

With 1 being low and 10 being high, how is the morale of the crew

With 1 being low and 10 being high, how fatigued are the crew members.

Sign Off.

Signature of Safety Officer

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.