Was We Care Card filled out properly?
Does a Policy and/or Procedure exist for this task?
Was a copy provided to the worker?
If NO, should a procedure be developed?
Was the PPE adequate and in conformity with all applicable Policies and Procedures or standards?
Was it worn properly?
Was a Pre-Op completed and filled out properly?
Were all the practices in conformity with all applicable standards for this task?
Did the worker perform the task with adequate skills?
What is the recommended follow up action?
Has there been a Risk Assessment of this job done?
Should there be a Risk Assessment done?
Is the worker following all GOLDEN RULES applicable to this task?
Lifting, Rigging, and Hoisting
Working at Heights
Permit to Work
Protective Devices & Guarding
Personal Protective Equipment
Fit for Work
Did the worker have any concerns? If YES, please explain.
Hazards identified and addressed? If not addressed, explain.
Is another Task Observation necessary relatively soon?
Describe all conditions or practices that could lead to an accident or material damage: