Job Observation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date and time of observation

  Date

• Enter task being observed

• Duration of observation

  Select 5 mins 10 mins 15 mins 20 mins 25 mins 30 mins More than 30 mins

  • 5 mins
  • 10 mins
  • 15 mins
  • 20 mins
  • 25 mins
  • 30 mins
  • More than 30 mins

• OBSERVATION TEAM

• Please enter observer details (no more than 3 observers)

Observers

• Position of observer

• Signature of observer

  Sign

• PARTICIPANT DETAILS

• Enter participant(s) details

Participant(s)

• Name of participant

• OBSERVATIONS

Work Environment

• Are the housekeeping standards satisfactory?

  Yes

  No

  N/A

• Have interactions with other mining equipment and work groups been eliminated ?

  Yes

  No

  N/A

• Is the machine or equipment in good condition?

  Yes

  No

  N/A

• Is heat and hydration being managed?

  Yes

  No

  N/A

• Is all equipment stored and secured safely?

  Yes

  No

  N/A

• Is barricading, cones and signs in position?

  Yes

  No

  N/A

• Are personnel responding correctly to spillage or floor conditions?

  Yes

  No

  N/A

Systems and Standards

• Is the procedure or JSEA for this task understood and being followed?

  Yes

  No

  N/A

• Are work permits for this task understood and being followed?

  Yes

  No

  N/A

• Is the person trained and competent for the task?

  Yes

  No

  N/A

• Has a suitable HIT been carried out for this task? If yes include a photo of the HIT

  No

  Yes

• If no HIT has been completed, work through the HIT process with the participants and details key hazards here

• Can the participant explain the hazards and controls associated with the task being performed?

  Yes

  No

  N/A

• Is the correct isolation procedure being used?

  Yes

  No

  N/A

Tools, vehicles and equipment

• Has a pre start inspection been carried out on all equipment?

  Yes

  No

  N/A

• Are all tools and equipment in good condition?

  Yes

  No

  N/A

• Is all electrical equipment displaying the correct inspection tag, and within test date?

  Yes

  No

  N/A

• Are vehicles and equipment being operated appropriately?

  Yes

  No

  N/A

People and behaviours

• Is PPE being worn correctly?

  Yes

  No

  N/A

• Is positive communication being used correctly?

  Yes

  No

  N/A

• Is over exertion and poor positioning being managed?

  Yes

  No

  N/A

• Are all workers using 3 points of contact where applicable?

  Yes

  No

  N/A

• Can personnel explain the emergency procedures?

  Yes

  No

  N/A

Positive observations

• List positive observations, photos can also be added below.

• Add photos of positive observations here

Photos

• Add pictures

  Media

Employee Engagement

• Talk to the participants, have they got any ideas on how to do the task better/safer? What are there number 1 worries at work? What could make the job easier? Are they enjoying the job? What do they like about Roper Bar?

At risk observations

• Enter at risk observations and required actions

Observation

• Observation

• Required action

• By who

• Enter date required to be completed by

  Date