Information
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Document No.
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Task Observed
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Type of Observation
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Worker
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Workplace
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Equipment Used
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Area Supervisor
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Observed By
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Role
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Conducted on
Observations
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Was We Care Card filled out properly?
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Does a Policy and/or Procedure exist for this task?
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Was a copy provided to the worker?
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If NO, should a procedure be developed?
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Was the PPE adequate and in conformity with all applicable Policies and Procedures or standards?
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Was it worn properly?
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Was a Pre-Op completed and filled out properly?
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Were all the practices in conformity with all applicable standards for this task?
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Did the worker perform the task with adequate skills?
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What is the recommended follow up action?
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Has there been a Risk Assessment of this job done?
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Should there be a Risk Assessment done?
Golden Rules
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Is the worker following all GOLDEN RULES applicable to this task?
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Driving
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Ground Stability
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Lifting, Rigging, and Hoisting
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Energy Isolation
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Working at Heights
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Hazardous Substances
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Permit to Work
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Protective Devices & Guarding
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Personal Protective Equipment
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Fit for Work
Comments
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Did the worker have any concerns? If YES, please explain.
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Hazards identified and addressed? If not addressed, explain.
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Is another Task Observation necessary relatively soon?
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Describe all conditions or practices that could lead to an accident or material damage:
Review / Sign Off
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Worker
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Supervisor
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Exploration Manager
