Information
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Operator Observed:
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System:
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Task being completed by the operator
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Prepared by
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Select date
Works Assessment
Section 1: PPE & Workwear
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Can the employee explain correctly "What PPE they should be wearing in this location"
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Observation - Is operator wearing correct PPE [head to toe check?] & is it in good condition
Section 2: Accidents & First-Aid
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Can the employees correctly describe what initial actions they should take in the event of an accident and do they know where the fire assembly point is?
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Can the employee correctly describe who are the first aiders in the area
Section 3: Competency & Training
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Has the employee received all the necessary training to complete the tasks they are expected to carry out
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Are there any recommendations for further training?
Section 4: Working Practice
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Observation - Is employee paying due care & attention whilst carrying out the task?
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Observation - Is the employee working safely and not posing a risk to themselves or others
Ownership
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Detail any follow up action required and who is responsible for carrying it out here:
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Unit Leader
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Operative
Requirements
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Any other considerations / comments