Title Page
-
Document No.
-
Jemena WALK JEM GU 0141 RF 01
-
Client / Site
-
Date and Time
-
Prepared by
-
Location
Plan
Planning Your Work
-
What is my intent? Is there anything I need to know before I go in my WALK?
WALK
OBSERVATIONS
-
Let's talk about: . The activity you are doing? . The risks involved in carrying out this activity? . How did you go about identifying these risks? . How are you controlling the risks? . Any preparation or communications that came out prior to the job? . Any possibilities that could disrupt the job? . The things that have gone really well? . Any ideas you have on how things can be done better?
DISCUSS
FEEDBACK TO: WORKGROUP / HSE COMMITTEE
-
Workgroup / HSE Committee:
-
Date:
KEY MESSAGES ANS ACTIONS
-
Recommended actions
SIGNATURE
-
Manager
-
Signature
-
Date:
-
Manager (One up):
-
Signature:
-
Date:
