Observational Audit V1

• Audit Title

Audit Overview

• Audit Team:

• Location:

• Date:

• Type of Activity observed

• Agreement to observe with crew concerned

Activity Planning

• Toolbox meeting held

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• All crew involved attended toolbox

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Full description of the operation given by task leader

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Tasks and responsibilities assigned

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Environmental conditions assessed (MOPO Matrix Of Permitted Operations)

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Simultaneous Operations considered (SIMOPS)

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Risk Assessment reviewed (Job Hazard Analysis)

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Permit to Work in place if restricted activity

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Lock out / Tag out in place if required (LOTO )

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Comments:

Work Environment

• Good housekeeping in work area

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Physical barriers in place (chains, barriers, warning lights, notices)

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Walkways and escape routes clear

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Adequate lighting

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Ladders and work platforms rigged correctly

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Comments:

Personal Protective Equipment

• Head

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Ears & Eyes

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Face & Respitory

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Hands & Arms

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Feet & Legs

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Coveralls or Work Wear

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Comments:

Well being

• Rest and re-hydration breaks

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Warm up exercises before manual tasks

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Working at a safe pace

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Sun screen available and used

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Comments:

Position of People

• Caught in or between

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Striking against

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Falling on, off, between or into

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Overhead loads

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Lines of recoil (equipment under tension)

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Comments:

Reactions

• Changing position

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Adjusting PPE

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Stopping Work ( Step back)

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Re-arranging

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Hiding & dodging

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Escape routes

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Comments:

Tools and Equipment

• Right for the job

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Used correctly

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• In a safe condition

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Changing tools

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Tools signed out (Work at height, sensitive equipment)

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Comments:

Process Control

• Procedures adequate

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Procedures reviewed periodically

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

• Emergency plans in place

  Select Acceptable Not acceptable Not Applicable

  • Acceptable
  • Not acceptable
  • Not Applicable

Debrief with crew observed

• Agreements made:

• Actions agreed:

• Recognition for good performance

• Safe to continue operation