JOB SAFETY OBSERVATION

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

FOLLOW PROCEDURES

• Thinksafe hazards identified

  Safe

  At Risk

  N/A

• Report all injurues/incidents immediately

  Safe

  At Risk

  N/A

• Operate equipment as designed

  Safe

  At Risk

  N/A

• Conducted pre-start check

  Safe

  At Risk

  N/A

OBSERVATIONS

• Keep hands clear of sharp objects

  Safe

  At Risk

  N/A

• Watch where stepping e.g. uneven ground

  Safe

  At Risk

  N/A

• Does Not rush

  Safe

  At Risk

  N/A

HOUSEKEEPING

• Access to walkways clean and unobstructed

  Safe

  At Risk

  N/A

• Storage of materials and equipment in place

  Safe

  At Risk

  N/A

• Housekeeping standards being maintained

  Safe

  At Risk

  N/A

BODY POSITION

• Maintain 3 points of contact

  Safe

  At Risk

  N/A

• Maintain safe posture when driving/operating equipment

  Yes

  No

  N/A

• Takes appropriate breaks, stretches prior to manual handling or repetitive work

  Safe

  At Risk

  N/A

• Used legs and back, kept loads close to body, does not exert beyond capabilities

  Safe

  At Risk

  N/A

• Aware of underfoot conditions when on uneven ground

  Safe

  At Risk

  N/A

VEHICLE OPERATIONS

• Stops and gives way when driving

  Safe

  At Risk

  N/A

• Drives to conditions

  Safe

  At Risk

  N/A

• Parks correctly, park brake applied

  Safe

  At Risk

  N/A

• Pre -Start checked as required

  Safe

  At Risk

  N/A

TOOLS AND EQUIPMENT

• Selects the correct equipment for the task

  Safe

  At Risk

  N/A

• Reports and tags out equipment

  Safe

  At Risk

  N/A

• Follows correct safe work permit process

  Safe

  At Risk

  N/A

• Is aware of mobile equipment at all times

  Safe

  At Risk

  N/A

• Aware of the correct tagging requirements for isolation

  Safe

  At Risk

  N/A

STORED ENERGY

• Aware of stored energy (Hydraulics, Air lines, power cords, Tyres, Pressure washer etc)

  Safe

  At Risk

  N/A

• Has pressure been released

  Yes

  No

  N/A

• Has equipment been locked an tagged out

  Yes

  No

  N/A

PPE

• Wears gloves when handling sharp objects

  Yes

  No

  N/A

• Helmet,glasses,boots worn

  Yes

  No

  N/A

• Specialized PPE used

  Yes

  No

  N/A

• Correct clothing worn

  Yes

  No

  N/A

ADDITIONAL COMMENTS

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