Job Task Observation

• Document No.

• Task Observed

• Type of Observation

  Initial

  Follow Up

• Worker

• Workplace

• Equipment Used

• Area Supervisor

• Observed By

• Role

  Supervisor

  General Foreman

  Superintendent

  Dept. Manager

  General Manager

• Conducted on

  Date

Observations

• Was We Care Card filled out properly?

  Yes

  No

  N/A

• Does a Policy and/or Procedure exist for this task?

  Yes

  No

  N/A

• Was a copy provided to the worker?

  Yes

  No

  N/A

• If NO, should a procedure be developed?

  Yes

  No

  N/A

• Was the PPE adequate and in conformity with all applicable Policies and Procedures or standards?

  Yes

  No

  N/A

• Was it worn properly?

  Yes

  No

  N/A

• Was a Pre-Op completed and filled out properly?

  Yes

  No

  N/A

• Were all the practices in conformity with all applicable standards for this task?

  Yes

  No

  N/A

• Did the worker perform the task with adequate skills?

  Yes

  No

  N/A

• What is the recommended follow up action?

  Training

  Job Coaching

• Has there been a Risk Assessment of this job done?

  Yes

  No

  N/A

• Should there be a Risk Assessment done?

  Yes

  No

Golden Rules

• Is the worker following all GOLDEN RULES applicable to this task?

  Yes

  No

  N/A

• Driving

  Yes

  No

  N/A

• Ground Stability

  Yes

  No

  N/A

• Lifting, Rigging, and Hoisting

  Yes

  No

  N/A

• Energy Isolation

  Yes

  No

  N/A

• Working at Heights

  Yes

  No

  N/A

• Hazardous Substances

  Yes

  No

  N/A

• Permit to Work

  Yes

  No

  N/A

• Protective Devices & Guarding

  Yes

  No

  N/A

• Personal Protective Equipment

  Yes

  No

  N/A

• Fit for Work

  Yes

  No

  N/A

Comments

• Did the worker have any concerns? If YES, please explain.

  Yes

  No

• Hazards identified and addressed? If not addressed, explain.

  Yes

  No

  N/A

• Is another Task Observation necessary relatively soon?

  Yes

  No

• Describe all conditions or practices that could lead to an accident or material damage:

Review / Sign Off

• Worker

  Sign

• Supervisor

  Sign

• Exploration Manager

  Sign