MFM DLG Stop Shift Task Audit

• Conducted on

  Date

• Prepared by

Details

• Document number

• Site and location

• Operation/activity

• Operative name

• Company

Select an operation/Activity on site and complete the following checklist

• Have you received a site induction?

  Yes

  No

  N/A

• Do you understand the risks/hazards associated with this operation?

  Yes

  No

  N/A

• Do you understand the method statement for this operation?

  Yes

  No

  N/A

• Have you received any formal training. If yes - what?

  Yes

  No

  N/A

• Have you been told to wear any personal protective equipment for this operations? If yes - what?

  Yes

  No

  N/A

• Is the work being carried out in line with your understanding of the contract service,eve, agreements and key performance indicators?

  Yes

  No

  N/A

• Do you understand the workmanship/service delivery standards required for the work?

  Yes

  No

  N/A

• Is the work being carried out in line with applicable processes and procedures?

  Yes

  No

  N/A

• Have you attended a recent tool box talk for this operation?

  Yes

  No

  N/A

• Have you been made aware of any safety alerts recently? (If one has been circulated)

  Yes

  No

  N/A

• Who is your supervisor on site?

  Yes

  No

  N/A

Questions to the supervisor (of the operation)

• Supervisors name:

• Is a documented risk assessment available for the activity?

  Yes

  No

  N/A

• Is an approved, documented method statement available for this operation?

  Yes

  No

  N/A

• Are you familiar with the requirements of the method statement?

  Yes

  No

  N/A

• Is the operation being carried out in accordance with the method statement?

  Yes

  No

  N/A

• Is there evidence that the risks and method statement have been briefed?

  Yes

  No

  N/A

• Are you aware of the standards or workmanship/service delivery that have been agreed for the work?

  Yes

  No

  N/A

• Is there a local record of staff and operative training?

  Yes

  No

  N/A

• Is there a record of tool box talks given and the names of those who attended?

  Yes

  No

  N/A

• Have other methods of safety communication been used locally? If yes what?

  Yes

  No

  N/A

General comments

• General comments:

• Name of person being audited

  Sign

• Name of person completing the stop shift audit

  Sign

• Date and time

  Date

• DLG-Stop-Shift-Task-Audit_v1.-DLGPT-SSA-001