Nautical Roofing - PLANNED TASK OBSERVATION

• Conducted on

  Date

• Observation done by:

• Reason for observation

  Select Routine observation Working at heights New employee New task New procedure Incident

  • Routine observation
  • Working at heights
  • New employee
  • New task
  • New procedure
  • Incident
• Location
  Address

• Is there a SWP?

  Yes

  No

• Task to be preformed

• Person to be observed?

Evaluation

• Was the procedure followed?

  Yes

  No

  N/A

• If not, state why

• Did the worker demonstrate that he/she understood the SWP?

  Yes

  No

  N/A

• Tools and equipment suitable for the task?

  Yes

  No

  N/A

• Is there sufficient number of tools for the task?

  Yes

  No

  N/A

• Will it be easier to preform the task with other equipment?

  Yes

  No

• If yes, what type of equipment?

• Correct PPE used and in good condition?

  Yes

  No

  N/A

• Health and safety of other personnel considered?

  Yes

  No

  N/A

• Work orderly and good house keeping practices followed?

  Yes

  No

  N/A

• Hazards identified and addressed

  Yes

  No

  N/A

• Is demarcation required, suitable,and effective?

  Yes

  No

  N/A

• When preformimg the task, any of the following can happen

  Select The worker be caught in or between something The worker can strain or overexert himself The worker can be burned Insufficient air Something can fall on worker The worker has to take up an unsafe position The worker can fall

  • The worker be caught in or between something
  • The worker can strain or overexert himself
  • The worker can be burned
  • Insufficient air
  • Something can fall on worker
  • The worker has to take up an unsafe position
  • The worker can fall

• Any further comments

• Was the employee found competent in the task?

  Yes

  No

  N/A

• Any further comments

• Recomendations

  Select New SWP Modify existing SWP Repair any damaged equipment Rearrange equipment Introduce new H&S rule Retrain worker Do ergonomic study

  • New SWP
  • Modify existing SWP
  • Repair any damaged equipment
  • Rearrange equipment
  • Introduce new H&S rule
  • Retrain worker
  • Do ergonomic study

• Comments

• Site supervisor

  Sign

• Observer signature

  Sign

• Person observed

  Sign

• Add media

  Media