Origin Field Delivery - Lessons Learned Assessment Tool

Origin Field Delivery - Lesson Learned Monitoring

• Origin Operations Area ( e.g. Combabula)

• Detailed Location

• Contractor:

• Conducted on

  Date

• Prepared by

• Inspection Team

Details on the Assessment

• Description of the Learning being Assessed - eg. SWER Line Incident Alert

• Describe how this learning was transmitted - eg. Pre-Start, Tool Box etc.

• Select from the list the role of the person being assessed ?

  Operator / Tradesman

  Foreman / Supervisor

  Superintendent / Manager

  Not Applicable

• Check the box if the person was on site at the time the incident was disseminated

Questions to determine the Learning Assessment Score

• Rate the level of General Knowledge on the subject . <br>( A high score indicates a strong general knowledge of the event)

  Detailed

  General

  Vague

  No Recollection

  N/a

• Rate the level of Knowledge on the event Risks ( Actual / Potential )<br>( A high score = knowledge of event actual and potential risks)

  Detailed

  General

  Vague

  No Recollection

  N/a

• Rate the level of Knowledge on event Causal Factors :<br>( A high score here = knowledge of the events causal factors -Improper use of tools , Slippery Ground etc. )

  Detailed

  General

  Vague

  No Recollection

  N/a

• Rate the level of Knowledge on Changes / Actions that eventuates from the Learning<br>( High Score = knowing as a result of the learning what changed? - New Procedure, New signs etc.

  Detailed

  General

  Vague

  No Recollection

  N/a

• Rate the Actions - are they in place and effective?

  Fully Effective

  Partly Effective

  Cause 4 Concern

  Absent / Ineffectual

  N/a

• If the Actions are not in place what hurdles prevent this - select best fit

  Mat / Tool not Avail

  Financial / Time Resources

  Supervisor/Manager not Prog

  Impractical Solution

  N/a

Additional Comments

• Did you find anything to improve the Controls

• What else in the opinion of the persons being assessed could have been done to prevent a re-occurrence?

• Actions resulting from this inspection ?

Contractor Representative

• Role:

• Signature

  Sign

Origin Energy Representative

• Role:

• Signature:

  Sign