Planned Task Observation Checklist

Did the person being observed attend the daily pre start meeting?

Is the task being conducted covered by a JHA or Procedure?

Has the person being observed signed the JHA or Procedure?

Has a Take 5 been completed for the task? (if NO, then please detail reasons)

Reason for Observation

Are all site management rules being complied with during the task? (PPE requirements, traffic management, etc)

Does the person being observed have the appropriate competencies required for the task?

Has a Pre Start Check been completed for the items of plant being used?

Is the working environment safe to complete the task? (bund walls in place, weather conditions, etc)

Is adequate communication being used between workers completing the task? (two way radios, visual, etc?)