N1-N2 Observation Form

• Engineer Name

• Engineers Number

• Team Manager

• Job Number

• Job type

• Conducted on

  Date

• Prepared by

• Location
  Address

Documentation Inspection

• Engineer has received bulletins and briefs from his TM ( state issue number )

• Engineer has current Health & Safety Folder ( folder issue number )

• Engineer has got Emergency Procedures cards

• Engineer has current ATS Check Sheet : Date

• Engineer Near - Miss Incidents

• Engineer aware of the escalation process

Hazard Awareness Observation

• Vehicle parked safely

• Has risk assessment been completed

• Hazards identified and controlled or removed

• Customer Interaction - is customer aware of potential hazards

• Engineer takes on site ownership

• Storage of equipment internal and external of vehicle

Use of Mandatory PPE

• Hard hat

  Yes

  No

  N/A

• Ear Protection

  Yes

  No

  N/A

• Dusk Mask

  Yes

  No

  N/A

• Hi Vis Vest

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Safety Boots

  Yes

  No

  N/A

SSOW Competency Observation

• Use of Stud Meter / Pipe Detector

• Eye Bolt Use

• Ladder Stand Off / Microlite

• Ratchet Straps

• Laddermate / Gravel Bag

• Y-Hang / Manacroix

• Fall Arrest

• Ladder Usage

• Roof Working

• Drilling Techniques

• Securing and Removal of Ladders from vehicle

• Cow Tails

• Manual Handling

• Engineer Signature

  Sign

• Manager Signature

  Sign