Information
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PTO / CTO Title
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AURECON: Document No.
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Work area
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Conducted on
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Prepared by
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Location
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Personnel involved:
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Occupation of the person being assessed:
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Contractor or sub-contractor involved
Observations
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Is there a risk assessment for the task being observed?
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Is the task being conducted covered by a Procedure or method statement?
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Has the person being observed signed the JSA?
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Is the JSA for the task completed correctly?
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Are all site management rules being complied with during the task? (PPE requirements, traffic management, etc)
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Does the person being observed have the appropriate competencies required for the task?
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Is a work permit required for the task? <br><br>If so, is the permit approved by the EPCM?
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Is all appropriate PPE used as prescribed?<br><br>PPE correctly applied?
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Is all plant and equipment being used for the task fit for purpose and in a safe and serviceable condition?
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Is the working environment safe to complete the task? (bund walls in place, weather conditions, etc)
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Is adequate communication being used between workers completing the task? (two way radios, visual, etc?)
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Is there any source of energy present, identified and attended to? (Eliminate or Isolate)
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Is there any training required for the task and is the worker competent to perform the task?
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Is the four steps to safety applied and was the person observed able to relate to it with regards to the task that is carried out?
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Is simultaneous operations taking place and have all parties communicated with each other? (Joint operations)
Instructions or Advice Provided to Person Being Observed? GUTS principle applied?
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Instructions to make the task safer
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Advice given
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Positive Feedback to Observed Person
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Opportunities for Improvement
Deviation Actions
Fatal risk deviations - FRC BECSA
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FRC 1: Vehicle and mobile equipment
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FRC 2: Explosives and blasting
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FRC 3: Ground control
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FRC 4: Hazardous material
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FRC 5: Isolation and lock-out
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FRC 6: Permit to work
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FRC 7: Working at height
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FRC 8: Lifting operations
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FRC 9: Drowning
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FRC 10: Equipment safe guarding
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FRC 11: Oxy-fuel gas
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Others not FRC
Behaviour deviations
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Checklists completed correctly?
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Pre-use inspection carried out
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SOP followed
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Hazards identified
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Negligence or in violation
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Authorised to perform task
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Licences for the task
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OEM specifications followed
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PPE compliant - correct use
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Safety devices tampered with?
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Intoxication - drugs and or alcohol
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Drug test performed
System deviations
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Checklist completed
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Risk assessment and or JSA completed
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MSDS available
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SOP in place
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Proof of competency
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Proof of training
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Operating outside scope of work
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Operational requirements specified
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PPE availability
Equipment deviations
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Safe access and egress
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Chemicals controlled effectively
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Design requirements followed
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Use of correct tools for the task
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Electrical equipment safety
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Engineering changes documented
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Engineering approval
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Ergonomics addressed
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Housekeeping
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Maintenance
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Lockout facilities
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Safety guarding
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Operating within limits
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Spillages observed
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Unsafe acts
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Unsafe conditions
Signatures
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Signature of the Observer
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Signature of the person being observed
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Signature of the Supervisor / Foreman