Risk Review Inspection

• Name of Interviewee

  Select

• Role of Interviewee

• Location
  Address

• Conducted on

  Date

• Work task/s being undertaken:

Training

• What model of equipment is being used?

• What is the experience level of the operator?

  Less than three months

  More than a year

  More than 3 years

• How was the operator trained?

  Select In person training (practical longer than 1hour) Theoretical assessment Verbal (description without equipment present) Induction only No training

  • In person training (practical longer than 1hour)
  • Theoretical assessment
  • Verbal (description without equipment present)
  • Induction only
  • No training

• Did training include reading and understanding the SOP’s, SWMS, Risk Assessments related to the equipment?

  Yes

  No

  Partial

• Has the documentation been made available to the operator/do they know where to locate this information?

  Yes

  No

• When did the training take place?

• Who trained the operator?

• Did the trainer deem the operator as competent?

• Why did they deem the operator as competent? Was there a practical test, and comprehension test or is it done by hours of experience (ie 100hrs) and if so how is this tracked and documented (is there a competency sign off form (verification))? Attach if available.

• Who trained the trainer?

• Did the operator feel competent to operate the equipment at the end of training?

  Yes

  No

Safe Operation

• Did the operator undertake a hazard walk/assessment/checklist of the site prior to operating equipment?

  Yes

  No

  N/A

• Did the equipment pass the pre-start check?

  Yes

  No

  N/A

• Attach pre-start if available

• Why not?

  No pre-start available

  System not implemented

  Unable to access pre-start

• Is a seatbelt being worn?

  Yes

  No

  N/A

• Is the ROPs in the correct position?

  Yes

  No

  N/A

• Can the operator communicate the circumstances for the use of ROPs?

  Yes

  No

  N/A

• Can the operator communicate the circumstances for the use of ROPs?

  Yes

  No

  N/A

• Is there an established safe zone (distance between any body of water, drop-off, or retaining wall (of 2 metres) during operation?

  Yes

  No

  N/A

• Can the operator communicate the safety requirement of a safe zone and identify hazards on site?

  Yes

  No

  N/A

• Can the operator communicate the safety requirement of a safe zone and identify hazards on site?

  Yes

  No

  N/A

• Is the equipment being operated on a slope?

  Yes

  No

  N/A

• Can the operator communicate the slope rating for the model of equipment?

  Yes

  No

  N/A

• What is the slope rating?

  Select 0-10 10-15 15-20 20-25 25-30 30+

  • 0-10
  • 10-15
  • 15-20
  • 20-25
  • 25-30
  • 30+

• What is the slope of the embankment

  Select 0-10 10-15 15-20 20-25 25-30 30+

  • 0-10
  • 10-15
  • 15-20
  • 20-25
  • 25-30
  • 30+

• What direction is the operator across the slope in?

  Across the slope

  Up and down

• Can the worker communication why this was selected?

  Yes

  No

  N/A

• Correct unsafe operation immediately and report to Operations Manager.

• What is the condition of the ground?

  Fair

  Dry

  Wet

  Extremely Dry

• What is the speed the operator was working at?

• What gear was the operator working in?

• Can the operator communicate the reason for gear choice?

  Yes

  No

  N/A

• What PPE is being worn at the time of operation?

  Select Ear Plugs Ear Muffs Safety Glasses HiVis Long Sleeves Short Sleeves Long Pants Shorts Steel Caps P2 Mask Spray Suit

  • Ear Plugs
  • Ear Muffs
  • Safety Glasses
  • HiVis
  • Long Sleeves
  • Short Sleeves
  • Long Pants
  • Shorts
  • Steel Caps
  • P2 Mask
  • Spray Suit

• Is a fire extinguisher present on/near/with the equipment?

  Yes

  No

  N/A

• If an extinguisher is required report to HSEQ for corrective action.

• Additional Notes/Comments: