Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.00 Operation worker assessment

  • Facility location

  • Staff being assessed

1.01 Site Safety and Induction

  • Has all Safety and relevant site induction been completed and documented?

  • If no, explain.

1.02 Is employee familiar with relevant CPPs related to the operations?

  • Are CPPs and operational instructions readily available to employee?

  • If No, explain.

1.03 OJT (On the Job) experience for the staff to understand the operations.

  • Has there been sufficient time In service for the staff to fully understand the operations?

  • How long has the staff been working in and around the work being assessed?

  • Names/s of staff that provided coaching and operational supervision.

  • If not, then to advise of additional time required and who will coach the staff..

1.04 Operational Procedure

  • Does the staff demonstrate intimate knowledge of the facility and its key equipment location?

  • Does the staff have the ability to accurately gauge the tanks and document readings?

  • Does the staff have an understanding of the related fuel receiving party requirements, and maintain regular contact with them?

  • Does the staff have the ability to fill out and submit the daily reports?

  • Does the staff have understand the operator log and requirements?

1.05 Site access and visitor processing

  • Is the staff familiar with the security requirements of the facility, and are the capable of implementing security protocol?

  • If Not, explain.

  • Does the staff know how to do site induction and do the have the induction material available?

1.10 Assessor Summary

  • Do you feel the staff is sufficiently experienced and possess the competency to conduct the operations required?

  • Are there any special condition required for the staff to fulfill the role required?

  • State the conditions to approving the staff for the role.

1.11 Approval

  • Do you support a "Can Do" level for this person being evaluated?

  • If not explained recommendations and next steps.

  • Name of staff being evaluated.

Supervisor Sign off

  • I, supervisor of above mentioned facility, have evaluated the staff mentioned and the information is true as of this date.

  • Signature

  • Signature of staff evaluated.

  • Add signature

  • Select date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.