Rivergum Homes Task Observation Form

• Project Name

• Location
  Address

• Trade

• Date

  Date

• Site Supervisor/WHS Manager

• Task

• Worker

• Has the worker been inducted?

  Yes

  No

  N/A

• Does the worker know where the evacuation point is?

  Yes

  No

  N/A

• Is the worker undertaking works in accordance with approved Safe Work Method Statement?

  Yes

  No

  N/A

• Has the worker signed Safe Work Method Statement?

  Yes

  No

  N/A

• Is worker wearing appropriate Personal Protective Equipment (PPE)?

  Yes

  No

  N/A

• Who are the Job Site's First Aiders?

• Are tools tagged and tested?

• Are tools in good condition/appropriate for task?

• Work conditions and housekeeping?

• Are required permit Active?

• Plant compliant?

• Is SWMS site specific?

Unsafe Acts or Unsafe Conditions Noted

Job Observation Reviewed with Worker

• Yes

  No

  N/A

Corrective Action Recommended

Site Supervisor/WHS Manager Signature

• Add signature

  Sign