MSAP - Job Task Observation - J

• Audit Title:

• Area/Cell/Location:

• Area Supervisor:

• Conducted on:

  Date

• Conducted By:

• Task Observed:

• Equipment Used:

• Employee Name/Number:

• Department:

• Workplace:

• Did you advise the worker beforehand that a task observation would be carried out?

  Yes

  No

  N/A

• Was We Care Card filled out properly?<br>

  Yes

  No

  N/A

• Does a Policy and procedure exist for this task?

  Yes

  No

  N/A

• Did you provide a copy to the worker?

  Yes

  No

  N/A

• Should a procedure be developed?

  Yes

  No

  N/A

• Was the personal protective equipment (PPE) adequate and in conformity with all applicable Policy and Procedures or standards?

  Yes

  No

  N/A

• Was it worn properly?

  Yes

  No

  N/A

• Was 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 a risk assesment be done?

  Yes

  No

  N/A

• Did you give directives or instruction to the worker?

  Yes

  No

  N/A

• If so, explain:

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is another task observation necessary relatively soon?

  Yes

  No

  N/A

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

Approvals:

• Employee:

  Sign

• Select date

  Date

• Supervisor:

  Sign

• Select date

  Date

• General Foreman:

  Sign

• Select date

  Date