HB-HSEQ-F-052 Task Observation

• 

• HB-HSEQ-F-052

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Observers (at least 1 subcontractor representative)

Observor 1

• Name?

• Position/Role?

• Signature

  Sign

Observer 2

• Name?

• Position/Role?

• Signature?

  Sign

Observer 3

• Name?

• Position/Role?

• Signature?

  Sign

Observation Details

• Date:

• Time:

• Number of Persons observed:

• Company being observed:

• Project Name:

• Location of Observation:

• Activity Observed:

• Has a SWMS/Risk Assessment been conducted for the task observed?J

  Yes

  No

  N/A

• SWMS/JSA Title:

• Has the worker been inducted and signed into the SWMS/JSA?

  Yes

  No

  N/A

Does the observation relate to one or more High Risk Activity Events?

• Mobile Equipment

• Working at Heights

• Confined Spaces

• Power Tools

• Lifting and Cranes

• Hazardous Materials

• Does the SWMS/JSA adequately describe the sequence of basic job steps?

  Yes

  No

  N/A

• Are the controls on the SWMS adequate to control the risks identified, & are they being followed?

  Yes

  No

  N/A

• Were there any additional risk identified?

  Yes

  No

  N/A

• Comments?

• Safe behaviours observed? and Feedback?

• At risk behaviours observed? and Feedback?

• Further action required ? What? By when?

• Are there any preventative actions or CAR raised out of this inspection?

  Yes

  No

  N/A

• If so, Comments?

• Close out Date

  Date