Title Page

  • Conducted on

  • Lead Assessor

  • Secondary Assessors

  • Host

  • Safety Manager / Facilitator

  • Local Management Team Members

Areas Visited / Employees Engaged

  • A brief description of the area(s) visited

  • Employees engaged at the visited area
  • Name of employee

  • Job title of employee

Observations. Positives / Good Practice

  • Consider - Leadership, employee engagement, machinery condition, visual management, PPE standards, LOTO, vehicle pedestrian interface, manual handling.

  • Brief explanation of noted positive / good practice

  • Picture of the positive / good practice

Observations. Opportunities for Improvement / Concern

  • Consider - Leadership, employee engagement, machinery condition, visual management, PPE standards, LOTO, vehicle pedestrian interface, manual handling

  • Brief explanation of the opportunity for improvement.

  • Image of the opportunity for improvement.

Dynamic Tasks

  • Are there any dynamic activities being undertaken during your tour?<br>Look for engineering activities by JELD-WEN employees.

  • Has the engineer completed a dynamic assessment for the task?

  • Review the dynamic assessment and offer coaching where necessary. Thank the engineer for their assistance and effort.

  • Stop the task, call the area manager and engineering manager for the site.

  • Including any live dynamic assessments review a total of 5 including filed from previous tasks. Add comments below.

  • Giving one point for each satisfactory dynamic assessment review the five supplied.

Contractor Control

  • Are there any contractors shown on the contractor control board?

  • Are the RAMS, inductions and site control documents complete and available in the numbered pouch complete?

  • Is the location of the contractor noted on the site map?

  • Visit the location of the contractor and inspect their work against the RAMS, contractor handbook and legal compliance.

  • Are you satisfied that the contracted work is being completed safely? Allow for OFI's in your answer.

  • Any further comments or opportunities for improvement?

  • Are there any other contractors noted to be working on site during your tour?

  • Are their details available on the contractor control board?

  • Inspect the works and controls, look for any required permits to work. Is the work being carried out safely?

  • Stop the works immediately and call the host. If unknown call the engineering manager.

Housekeeping

  • Score the stated elements, 5=Excellent, 4=Very Good, 3=Good, 2=Improvement Req'd, 1=Significant Improvement Req'd Add actions to each element as required.

  • Score the standard of housekeeping observed during the tour.

  • Safety Critical Equipment - Fire extinguishers, safety critical PPE i.e. harnesses, respiratory equipment, glass handling cut resistance.

  • Tools and Plant. Are they in a well kept condition and suitable for the task?

  • Materials - Stored correctly, designated locations used, no overstocking, safely stacked?

  • Waste Management - Bins not over flowing, waste segregated and bins marked with type?

  • Access and Egress - Are there clear routes by safe walkways - fire doors clear of obstruction?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.