IPL-P-SAO - SAFE ACT OBSERVATION

• Document No: IPL-P-SAO-

• Site: Portland MDSC

• Task Descriptor :

• Conducted on

  Date

• Prepared by

• Support Personnel

• Who is leading SAO?

• Task reference No?

• Activity / Task Description

• Photos of work area.

  Media

• Was area cleaned down and left in a ready condition by production?

  Yes

  No

  N/A

1.0 Documentation i.e. permits, mods, etc.

• 1.1 Permit to Work checked and signed off

  Safe

  At Risk

  N/A

• Risk control permits issued:

  SWMS

  JSA

  Permit to Work

• 1.2 JHA (eg signed and completed)

  Safe

  At Risk

  N/A

• Task control documentation used:

  Select Isolation Permit Hot Work Permit Work at Heights Permit Confined Space Access Permit Acid Isolation Permit

  • Isolation Permit
  • Hot Work Permit
  • Work at Heights Permit
  • Confined Space Access Permit
  • Acid Isolation Permit

• 1.3 Take 5

  Safe

  At Risk

  N/A

• 1.4 work flow follows JSA and TAKE 5

  Safe

  At Risk

  N/A

2.0 Isolation, Standards and Procedures

• 2.1 All potential sources of energy controlled and verified by team leader

  Safe

  At Risk

  N/A

• 2.2 Have Team members personally verified de-energising of all pores sources?

  Yes

  No

  N/A

• 2.3 Has an equipment isolation lock and tag (Green) been attached to all isolation points?

  Yes

  No

  N/A

3.0 Position of people/mobile equipment

• Are ladders to be used in the execution of the works?

  Yes

  No

  N/A

• 3.1 Are personal working clear of pinch and crush points, suspended loads, etc (fingers, hands and body)?

  Safe

  At Risk

  N/A

• 3.2 Are three points of contact when climbing or descending ladders?

  Safe

  At Risk

  N/A

• 3.3 Are work tasks planned to be done from ladders?

  Yes

  No

  N/A

• 3.4 Are work areas cramped or require flexed posture over extended periods?

  Safe

  At Risk

  N/A

4.0 Ergonomics

• 4.1 Bends knees used when lifting?

  Safe

  At Risk

  N/A

• 4.2 Load close to the body when lifting?

  Safe

  At Risk

  N/A

• 4.3 Strong spine when lifting?

  Safe

  At Risk

  N/A

• 4.4 Turns using feet and not their back?

  Safe

  At Risk

  N/A

• 4.5 Lifts with their legs?

  Safe

  At Risk

  N/A

• 4.6 Mechanical aids used / team lifting?

  Safe

  At Risk

  N/A

5.0 Tools and equipment

• 5.1 Correct tools used for task?

  Safe

  At Risk

  N/A

• 5.2 Tools being used correctly/safely?

  Safe

  At Risk

  N/A

• 5.3 Tools stored safety?

  Yes

  No

  N/A

6.1 Housekeeping/area conditions

• 6.1 Work area tidy and clear? No trip hazards?

  Safe

  At Risk

  N/A

• 6.2 Barricades and signs in place?

  Safe

  At Risk

  N/A

7.0 Personal protective equipment (PPE)

• 7.1 Hard hats used and in good order?

  Safe

  At Risk

  N/A

• 7.2 Eye and face protection used?

  Safe

  At Risk

  N/A

• 7.3 Safety shields used as required by JSA?

  Safe

  At Risk

  N/A

• 7.4 Hearing protection used?

  Safe

  At Risk

  N/A

• 7.5 Respiratory protection used and correct type for operation?

  Safe

  At Risk

  N/A

• 7.6 Hand protection (gloves) used and correct type for operation?

  Safe

  At Risk

  N/A

• 7.7 Sleeves rolled down and fastened?

  Safe

  At Risk

  N/A

• 7.8 Appropriate foot protection used?

  Safe

  At Risk

  N/A

• 7.9 Sun/heat protection

  Safe

  At Risk

  N/A

8.0 Working at heights

• 8.1 Fall arrest/restraint system in place and correct for task?

  Safe

  At Risk

  N/A

• 8.2 Restraint anchor points approved and in good condition?

  Yes

  No

  N/A

• 8.3 Equipment tags in date and equipment serviceable?

  Yes

  No

  N/A

9.0 Handling chemicals

• Are there any chemicals or similar products to be used on the task?

  Select Yes, add item below. No

  • Yes, add item below.
  • No

• Enter info for each chemical or product used.

Chemical or product

• Name of chemical or product used.

• Proposed use for chemical or product.

• 9.1 MSDS available at work area?

  Yes

  No

  N/A

• 9.2 Hazardous materials stored correctly?

  Safe

  At Risk

  N/A

• 9.3 Correct handling and transport equipment and methods used?

  Yes

  No

  N/A

• 9.4 Hazardous materials disposed correctly?

  Safe

  At Risk

  N/A

• 9.5 Hazardous materials spill kit at hand

  Safe

  At Risk

  N/A

10.0 Mobile Plant and Vehicles

• Is there any mobile plant or equipment working on the task?

  Select Yes, add item below. No

  • Yes, add item below.
  • No
Add mobile plant

• Name or description of plant used.

• Description of vehicle and proposed use!

• 10.1 Seat belts used in vehicles?

  Safe

  At Risk

  N/A

• 10.2Pre-start inspection and completed log book for plant or vehicle?

  Safe

  At Risk

  N/A

• 10.3 Drives to road conditions

  Safe

  At Risk

  N/A

• 10.4 Vehicle parked correctly (reversed/chocked)

  Safe

  At Risk

  N/A

• 10.5 Driver has a current license?

  Yes

  No

  N/A

At risk activity comments

• Was there any "at risk" behaviour observed?

At risk activity!

• What is that at risk behaviour? (number)

• What did the person say when asked why?

• Solution?

• Resolved

  Yes

  No

  N/A

Positive feedback comments

• Add any positive comments made about the safety of the task?

comments

• Comments

• feed back provided by?

  Sign

Recomendations

• Enter any recommendations here!

Recomendation

• Description

• Responsibility for implementation

SAO Sign off

• Personal engaged in task. Name, company, department?

name of people in work group

• Add signature

  Sign

• Name of company person works for?

• Holds current company induction?

• Holds current training certificate for tasks?

• SAO Lead

  Sign