Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Behavioural Audit
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Surname:
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Name:
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Department:
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Observe the following and ask questions where necessary:
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Is the operator wearing correct PPE?
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Ask the operator: Have you received induction training?
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Is the PPE free from defects?
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Ask the operator: Have you received job-specific training?
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Is PPE worn in the correct manner?
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Ask the operator: Where can you get risk assessments?
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Is the operator wearing correct work-wear?
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Ask the operator: What to do if fire alarm sounds?
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Ask the operator: What should be done with defective PPE?
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Ask the operator: List the PPE you should wear and when?
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Ask the operator: List what work-wear should be worn?
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Are safety guards in correct position?
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Ask the operator: What should you do prior to using PPE?
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Are safety guards in good working order?
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Ask the operator: Who is responsible for wearing PPE?
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Are there any obvious machine defects?
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Ask the operator: What should be done with defective PPE?
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Correct tools for the job used by an operator?
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Ask the operator: Show location of emergency stop button/s?
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What safety devices are present?
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Ask the operator: How to isolate machine?
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What's the operator’s area of responsibility?
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Are there any slip hazards e.g. oil, water, granules etc. present?
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Ask the operator: What action is to be taken in the event of a spill?
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Are there any Trip hazards e.g. scrap, boxes etc.?
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Ask the operator: Give 3 examples of poor housekeeping?
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Are walkways clear and free of obstruction?
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Stairways / steps free from obstruction?
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General cleanliness in the area of responsibility
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General tidiness in the area of responsibility
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Where there any short cuts taken by an operator? and noted?
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Any deviations from approved method?
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Certificates of proof - specialist training i.e. Forklift cert.
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Is operator paying due care and attention?
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Possible area’s for additional training
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Performing task which trained to do?
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Record all findings and corrective action here:
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Record all findings and corrective action here:
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Auditor’s signature:
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Operator’s signature:
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Date: