Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 Guidelines
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1.1 If possible obtain the procedure for the thank being observed e.g. JSA, SOP, Safe Work Method Statement or Pre-Work.
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1.2 Observe and when safe to do so, get the employee/s attention
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1.3 Ensure that you acknowledge employees safe practices and consider the following:
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-has the employee read and understood the task procedures
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-are they following the task procedure?
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-correct PPE for the task
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-have the received instruction on PPE?
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-are employees using correct manual handling techniques?
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1.4 Explain to the employee/s the consequences of doing the task unsafely, safer ways to do the job?
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1.5 Get the employees agreement to work safely in the future.
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1.6 Any other safety issues on site?
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1.7 Thank the employee for his/her time.
2.0 Safety Observation
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2.1 Personal protective equipment (Safe condition/Unsafe condition)
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2.2 Working positions of people (Safe practice/Unsafe practice/unsafe behavior)
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2.3 Ergonomics (Safe practice/Unsafe practice/Unsafe behavior)
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2.4 Tools & Equipment (Safe practice-condition/Unsafe practice-condition)
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2.5 Procedures (Safe practice/Unsafe practice/Unsafe behavior)
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2.6 Housekeeping (Safe practice/Unsafe practice/Unsafe behavior)
3.0 Additional questions
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3.1 Have manual handling risks associated with this task been assessed? (note: this is required if the task involves over reaching, twisting, awkward positions, significant pushing or pulling, repetitive, heavy loading or significant exertion)
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3.2 Has the employee been inducted into the site?
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3.3 Has the employee been given appropriate information, instruction & supervision?
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3.4 Does the employee feel that they require any additional training to perform their duties safely?
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3.5 Can the employee explain their safety responsibilities and accountabilities?
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3.6 Can the employee explain the incident/injury procedure?
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3.7 Can the employee explain what to do if an environmental spill occurred?
Action Plan
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Hazards identified/controls
Sign off
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Employee's signature
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Infraworks representative's signature
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Client's signature