HEAT Assessment - 2017 - The Deadly Dozen - Template

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Situational Awareness - do you really know what's happening?

• Do - Always look out for problems.

  Yes

  No

  N/A

• Do - Make sure procedures, risk assessments and checklists etc are up to date.

  Yes

  No

  N/A

• Do - Plan effectively.

  Yes

  No

  N/A

• Do - Know what to do before you start a task.

  Yes

  No

  N/A

• Do - Ask for input from your team members.

  Yes

  No

  N/A

• Do - Advise and help the team.

  Yes

  No

  N/A

• Do - Communicate effectively.

  Yes

  No

  N/A

• Do - Value input from others.<br>

  Yes

  No

  N/A

• Do - If you notice a problem speak up - Now.

  Yes

  No

  N/A

• Don't - assume everything is OK.

  Yes

  No

  N/A

• Don't - put someone in a position beyond their capability.

  Yes

  No

  N/A

• Don't - carry on regardless.

  Yes

  No

  N/A

• Don't - ignore the problem.

  Yes

  No

  N/A

• Don't - assume someone else's intentions

  Yes

  No

  N/A

• Select from range

Alerting - do you really speak up when you should?

• Do - if you see a problem alert the appropriate team member.

  Yes

  No

  N/A

• Do - be assertive.

  Yes

  No

  N/A

• Do - if you are alerted to an issue acknowledge it and act upon it effectively.

  Yes

  No

  N/A

• Don't - be afraid to speak up - it can save lives.

  Yes

  No

  N/A

• Don't - ignore a problem - it will only get worse.

  Yes

  No

  N/A

• Don't - let someone ignore you - if your first alert is ignored then repeat it.

  Yes

  No

  N/A

• Select from range

Communication - do you really understand each other?

• Do - use closed loop communication.

  Yes

  No

  N/A

• Do - use simple words and phrases where possible.

  Yes

  No

  N/A

• Do - repeat the most important parts of a message.

  Yes

  No

  N/A

• Do - if in doubt ask for confirmation.

  Yes

  No

  N/A

• Do - take care with pronunciation.

  Yes

  No

  N/A

• Do - work closely with colleagues to understand each other's cultures, taboos etc.

  Yes

  No

  N/A

• Do - if someone looks puzzled or offended, discuss the issues with them and explain what you meant and ask why it puzzled or offended them.

  Yes

  No

  N/A

• Don't - assume a message is properly understood - check.

  Yes

  No

  N/A

• Don't - use slang or colloquialisms.

  Yes

  No

  N/A

• Don't - assume something you found rude or offensive was intended - it could be acceptable in another culture.

  Yes

  No

  N/A

• Don't - assume something that is acceptable in your culture is acceptable in your culture will automatically be acceptable in another

  Yes

  No

  N/A

• Select from range

Complacency - is everything really OK?

• Do - update your situational awareness.

  Yes

  No

  N/A

• Do - get regular input from your team.

  Yes

  No

  N/A

• Do - give / receive an effective briefing at handover.

  Yes

  No

  N/A

• Do - expect to find problems - actively look out for them.

  Yes

  No

  N/A

• Do - use checklists effectively.

  Yes

  No

  N/A

• Do - get help if you don't understand a situation.

  Yes

  No

  N/A

• Don't - assume everything is OK.

  Yes

  No

  N/A

• Don't - ignore problems

  Yes

  No

  N/A

• Don't - expect something to be OK just because it has always been in the past.

  Yes

  No

  N/A

• Select from range

Culture - do you really have a good safety culture?

• Do - constantly look out for safety problems.

  Yes

  No

  N/A

• Do - report any safety issues.

  Yes

  No

  N/A

• Do - think safety at all times.

  Yes

  No

  N/A

• Do - encourage safe behaviour in others.

  Yes

  No

  N/A

• Don't - assume everything is OK.

  Yes

  No

  N/A

• Don't - ignore or hide near misses.

  Yes

  No

  N/A

• Don't - ignore other people's unsafe behaviour.

  Yes

  No

  N/A

• Don't - believe safety is someone else's problem.

  Yes

  No

  N/A

• Don't - put safety off to a later date.

  Yes

  No

  N/A

• Select from range

Local Practices- efficiency or dangerous short cuts?

• Do - follow correct procedures.

  Yes

  No

  N/A

• Do - report difficulties and problems with procedures.

  Yes

  No

  N/A

• Do - question the effectiveness of procedures.

  Yes

  No

  N/A

• Don't - take short cuts.

  Yes

  No

  N/A

• Don't - ignore problems and difficulties.

  Yes

  No

  N/A

• Don't - take risks by using unsuitable work practices or tools.

  Yes

  No

  N/A

• Don't - accept others breaking rules.

  Yes

  No

  N/A

• Select from range

Teamwork - do you work really well together?

• Do - alert team members to potential problems.

  Yes

  No

  N/A

• Do - help team members.

  Yes

  No

  N/A

• Do - discuss issues with team members.

  Yes

  No

  N/A

• Do - work with colleagues to overcome language or other communication difficulties.

  Yes

  No

  N/A

• Do - be inclusive - encourage everyone to participate in all shipboard activities.

  Yes

  No

  N/A

• Don't - assume everyone will act or behave in the same way.

  Yes

  No

  N/A

• Don't - assume everyone has the same skill and knowledge.

  Yes

  No

  N/A

• Don't - ignore problems.

  Yes

  No

  N/A

• Select from range

Capability - is your crew really capable?

• Do - ask for guidance if you are unsure.

  Yes

  No

  N/A

• Do - help each other.

  Yes

  No

  N/A

• Do - check evidence of competence and qualifications.

  Yes

  No

  N/A

• Don't - put people in roles beyond their competence.

  Yes

  No

  N/A

• Don't - claim you can do more than you really can.

  Yes

  No

  N/A

• Don't - assume people's level of competence.

  Yes

  No

  N/A

• Select from range

Pressure - busy or dangerously overloaded?

• Do - always be alert to workload pressures.

  Yes

  No

  N/A

• Do - speak up if you are overloaded.

  Yes

  No

  N/A

• Do - ensure you have the necessary resources to complete a task properly before beginning.

  Yes

  No

  N/A

• Do - ask for help if required.

  Yes

  No

  N/A

• Don't - assume that people are coping with their workload effectively.

  Yes

  No

  N/A

• Don't - take unnecessary short cuts to catch up on work.

  Yes

  No

  N/A

• Don't - struggle on regardless.

  Yes

  No

  N/A

• Select from range

Distractions - multi-tasking or dangerously distracted?

• Do - declare a red zone whilst under pilotage.

  Yes

  No

  N/A

• Do - only allow essential communications in the red zone.

  Yes

  No

  N/A

• Do - use checklists effectively to monitor progress.

  Yes

  No

  N/A

• Do - if distracted during a task go back 2 steps in the procedure before restarting.

  Yes

  No

  N/A

• Do - if you notice someone being distracted alert them.

  Yes

  No

  N/A

• Do - keep focussed on the main task.

  Yes

  No

  N/A

• Do - deal with non- essential distractions later.

  Yes

  No

  N/A

• Do - be assertive.

  Yes

  No

  N/A

• Don't - allow unnecessary interruptions.

  Yes

  No

  N/A

• Don't - be afraid to be assertive in dealing with a distraction.

  Yes

  No

  N/A

• Don't - distract someone performing a safety critical task.

  Yes

  No

  N/A

• Don't - allow minor issues to distract you from the main task.

  Yes

  No

  N/A

• Select from range

Fatigue - just tired or dangerously fatigued?

• Do - look out for the effects of fatigue.

  Yes

  No

  N/A

• Do - speak up about fatigue.

  Yes

  No

  N/A

• Don't - accept fatigue as a way of life - it's dangerous.

  Yes

  No

  N/A

• Select from range

Fit for duty - are you really fit to carry out your duties safely?

• Do - seek medical attention if you feel unwell or are injured.

  Yes

  No

  N/A

• Do - report sick if you are not well enough to work safely.

  Yes

  No

  N/A

• Do - seek help if you have personal problems.

  Yes

  No

  N/A

• Do - help your colleagues who are experiencing problems.

  Yes

  No

  N/A

• Don't - consume alcohol before work or during work periods.

  Yes

  No

  N/A

• Don't - report for duty if under the influence of alcohol.

  Yes

  No

  N/A

• Don't - take illegal drugs.

  Yes

  No

  N/A

• Don't - try to hide the effects of degraded fitness for duty.

  Yes

  No

  N/A

• Select from range