Henkels & McCoy SCO

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

The Six Steps to Observe

• 1. Introduce yourself and observe crew. 2. Comment on safe work practices. 3.Comment/ask question on "at risk" or unsafe behaviors. 4. Get agreement to work safe. 5. Discuss other safety issues. 6. Thank crew.

• In the first part of the SCO before getting to the PPE section once you have typed in your selections please answer YES to complete the sections.

• Customer

• OUID

• Date

  Date

• LOB: POWER

• Sign Job Briefing Sheet

  Yes

  No

  N/A

• Number of Employees

• Length of Observation in minutes

• Observers name and employee number:

• Joint observers name and employee number:

  Yes

  No

  N/A

• Joint observers name and employee number:

  Yes

  No

  N/A

PPE (Personal Protective Equipment)

• Eyes and Face

  Safe

  At Risk

  N/A

• Head

  Safe

  At Risk

  N/A

• Body-legs/arms

  Safe

  At Risk

  N/A

• Feet

  Safe

  At Risk

  N/A

• Other

  Yes

  No

  N/A

Worker's Attitude

• Rushing

  Safe

  At Risk

  N/A

• Complacency

  Safe

  At Risk

  N/A

• Frustration

  Safe

  At Risk

  N/A

• Fatigue

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Effective Communication

• Crew understands job plan

  Yes

  No

  N/A

• Observer properly briefed on arrival

  Yes

  No

  N/A

• Continuous communications between crew members (i.e., verbal, hand signals, and communicated among crew members

  Yes

  No

  N/A

• Hazard Recognition (i.e., hazards identified and communicated among crew members.

  Yes

  No

  N/A

• Changes in conditions communicated.

  Yes

  No

  N/A

• Other

  Safe

  At Risk

  N/A

Safe Working Position

• Driving

  Safe

  At Risk

  N/A

• Line of fire (i.e., pinch points, struck by)

  Safe

  At Risk

  N/A

• Flash Potential (i.e., chemicals, gas, conductors, welding)

  Safe

  At Risk

  N/A

• Working off balance or awkward positioning

  Safe

  At Risk

  N/A

• Mobile equipment use

  Safe

  At Risk

  N/A

• Terrain hazard (i.e., pits, trenches, embankments)

  Safe

  At Risk

  N/A

• Temporary traffic control set up

  Safe

  At Risk

  N/A

• Lifting by overreaching/twisting/bending

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Tools and Equipment

• Right tool for the task

  Safe

  At Risk

  N/A

• Using tool in a safe manner

  Safe

  At Risk

  N/A

• Condition of tools and safety items

  Safe

  At Risk

  N/A

• Right equipment for task

  Safe

  At Risk

  N/A

• Condition of equipment

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Housekeeping

• Slip, trip, and fall hazards in the work area

  Safe

  At Risk

  N/A

• Tools and materials organized

  Safe

  At Risk

  N/A

• Vehicle/equipment organized

  Safe

  At Risk

  N/A

• Environmental standards maintained

  Yes

  No

  N/A

• Other

  Safe

  At Risk

  N/A

"Safe" Observation Discussion

"At Risk" Observation Discussion

Follow Up Actions-Make sure to put a name and due date with each follow up action.

• Yes

  No

  N/A