Mowi Canada West - Eye-Observe

• Site conducted

  Select

• Job Name / Description

• Conducted on

  Date

• Prepared by

• Location
  Address

• Use the following safety models when identifying hazards and controls.

  

Information Category

• Current weather conditions

  Select Fair Hot Extreme heat Mild rain Heavy rain Mild wind Heavy wind Mild snow Heavy snow Cold Extreme cold N/A Not Applicable

  • Fair
  • Hot
  • Extreme heat
  • Mild rain
  • Heavy rain
  • Mild wind
  • Heavy wind
  • Mild snow
  • Heavy snow
  • Cold
  • Extreme cold
  • N/A Not Applicable

• Hazard(s) associated

  Select Anthropogenic / Behavioural Biological Chemical Economic / Production Loss Electrical Environmental Equipment Damage Ergonomic Extreme Cold Extreme Heat Fire / Expolsion Fatigue Health (Acute / Chronic) High Pressure Vessel / Pipes Kinetic Release / Loss of load Laceration / Cut / Puncture Mechanical Physical Trauma Pinch Points Psychosocial (Mental Health) Slip / Trip Sociological N/A Not Applicable

  • Anthropogenic / Behavioural
  • Biological
  • Chemical
  • Economic / Production Loss
  • Electrical
  • Environmental
  • Equipment Damage
  • Ergonomic
  • Extreme Cold
  • Extreme Heat
  • Fire / Expolsion
  • Fatigue
  • Health (Acute / Chronic)
  • High Pressure Vessel / Pipes
  • Kinetic Release / Loss of load
  • Laceration / Cut / Puncture
  • Mechanical
  • Physical Trauma
  • Pinch Points
  • Psychosocial (Mental Health)
  • Slip / Trip
  • Sociological
  • N/A Not Applicable

• What regulatory controls and / or information needs has been reviewed with staff regarding this task?

  Select Standard Operating Procedure Formal Risk Assessment Lockout / Tagout Procedure SDS / MSDS / WHIMIS Transportation of Dangerous Goods Pre-Use Inspection N/A Not Applicable

  • Standard Operating Procedure
  • Formal Risk Assessment
  • Lockout / Tagout Procedure
  • SDS / MSDS / WHIMIS
  • Transportation of Dangerous Goods
  • Pre-Use Inspection
  • N/A Not Applicable

Observation Category - Are there activities creating hazards without controls in place

Initial Actions

• Eyes on task

  Safe

  At Risk

  N/A

• Not Rushing

  Safe

  At Risk

  N/A

• Balance, traction, grip

  Safe

  At Risk

  N/A

Line of Fire

• Body position (falling, struck-by, pinch point, squeeze, cut, hit)

  Safe

  At Risk

  N/A

• PPE (required, adequate condition, work properly)

  Safe

  At Risk

  N/A

• Screen, guards, railings, isolation, lockout, tag out

  Safe

  At Risk

  N/A

Ergonomics

• Lifting, bending, twisting Repetitive motions

  Safe

  At Risk

  N/A

• Reaching, pulling, pushing (excessive force)

  Safe

  At Risk

  N/A

• Standing, sitting, kneeling (long periods)

  Safe

  At Risk

  N/A

• Comfortable (vs awkward position)

  Safe

  At Risk

  N/A

Procedures & Standards

• Up-to-date, understood assessment and procedures

  Safe

  At Risk

  N/A

• Following procedures

  Safe

  At Risk

  N/A

• Orderliness (housekeeping, Storage, access

  Safe

  At Risk

  N/A

Tools & Equipment

• Safe condition (pre-use inspection)

  Safe

  At Risk

  N/A

• Correct for task

  Safe

  At Risk

  N/A

• Safe use

  Safe

  At Risk

  N/A

Observations and Notes

• What are the controls, steps and processes needed for safety and compliance to address in my BeVocal Conversation?

• Notes from my BeVocal conversation.

Endorsements

• Employee Signature

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• Supervisor Signature

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