Planned Task Observation. /. Critical Task Observation

• PTO / CTO Title

• Document No.

• Work area

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel involved:

• Occupation of the person being assessed:

• Contractor or sub-contractor involved

Observations

• Is there a risk assessment for the task being observed?

  Yes

  No

  N/A

• Is the task being conducted covered by a Procedure or method statement?

  Yes

  No

  N/A

• Has the person being observed signed the JSA?

  Yes

  No

  N/A

• Is the JSA for the task completed correctly?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is a work permit required for the task? <br><br>If so, is the permit approved by AVENG?

  Yes

  No

  N/A

• Is all appropriate PPE used as prescribed?<br><br>PPE correctly applied?

  Yes

  No

  N/A

• Is all plant and equipment being used for the task fit for purpose and in a safe and serviceable condition?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is there any source of energy present, identified and attended to? (Eliminate or Isolate)

  Yes

  No

  N/A

• Is there any training required for the task and is the worker competent to perform the task?

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

• Is simultaneous operations taking place and have all parties communicated with each other? (Joint operations)

  Yes

  No

  N/A

Instructions or Advice Provided to Person Being Observed? GUTS principle applied?

• Instructions to make the task safer

• Advice given

• Positive Feedback to Observed Person

• Opportunities for Improvement

Deviation Actions

Fatal risk deviations - FRC BECSA

• FRC 1: Vehicle and mobile equipment

  Safe

  At Risk

  N/A

• FRC 2: Explosives and blasting

  Safe

  At Risk

  N/A

• FRC 3: Ground control

  Safe

  At Risk

  N/A

• FRC 4: Hazardous material

  Safe

  At Risk

  N/A

• FRC 5: Isolation and lock-out

  Safe

  At Risk

  N/A

• FRC 6: Permit to work

  Safe

  At Risk

  N/A

• FRC 7: Working at height

  Safe

  At Risk

  N/A

• FRC 8: Lifting operations

  Safe

  At Risk

  N/A

• FRC 9: Drowning

  Safe

  At Risk

  N/A

• FRC 10: Equipment safe guarding

  Safe

  At Risk

  N/A

• FRC 11: Oxy-fuel gas

  Safe

  At Risk

  N/A

• Others not FRC

  Safe

  At Risk

  N/A

Behaviour deviations

• Checklists completed correctly?

  Yes

  No

  N/A

• Pre-use inspection carried out

  Yes

  No

  N/A

• SOP followed

  Yes

  No

  N/A

• Hazards identified

  Yes

  No

  N/A

• Negligence or in violation

  Safe

  At Risk

  N/A

• Authorised to perform task

  Yes

  No

  N/A

• Licences for the task

  Yes

  No

  N/A

• OEM specifications followed

  Yes

  No

  N/A

• PPE compliant - correct use

  Yes

  No

  N/A

• Safety devices tampered with?

  Yes

  No

  N/A

• Intoxication - drugs and or alcohol

  Yes

  No

  N/A

• Drug test performed

  Yes

  No

  N/A

System deviations

• Checklist completed

  Yes

  No

  N/A

• Risk assessment and or JSA completed

  Yes

  No

  N/A

• MSDS available

  Yes

  No

  N/A

• SOP in place

  Yes

  No

  N/A

• Proof of competency

  Yes

  No

  N/A

• Proof of training

  Yes

  No

  N/A

• Operating outside scope of work

  Safe

  At Risk

  N/A

• Operational requirements specified

  Yes

  No

  N/A

• PPE availability

  Yes

  No

  N/A

Equipment deviations

• Safe access and egress

  Yes

  No

  N/A

• Chemicals controlled effectively

  Yes

  No

  N/A

• Design requirements followed

  Yes

  No

  N/A

• Use of correct tools for the task

  Yes

  No

  N/A

• Electrical equipment safety

  Yes

  No

  N/A

• Engineering changes documented

  Yes

  No

  N/A

• Engineering approval

  Yes

  No

  N/A

• Ergonomics addressed

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Maintenance

  Yes

  No

  N/A

• Lockout facilities

  Yes

  No

  N/A

• Safety guarding

  Yes

  No

  N/A

• Operating within limits

  Safe

  At Risk

  N/A

• Spillages observed

  Safe

  At Risk

  N/A

• Unsafe acts

  Yes

  No

  N/A

• Unsafe conditions

  Yes

  No

  N/A

Signatures

• Signature of the Observer

  Sign

• Signature of the person being observed

  Sign

• Signature of the Supervisor / Foreman

  Sign