• Is the person/s wearing the correct PPE for the task they currently undertaking?

  • Is PPE supplied adequate for the task?

  • Is PPE being worn properly?

Emergency procedures.

  • Can the worker produce a RADAR booklet and/or a JSA form for their work task?

  • Can the worker describe where the closest fire alarm is?

  • Can the worker describe where the closest evacuation assembly area is?

  • Can the worker describe where the closest fire hose and fire extinguisher is located?

Worker/s to identify 3 key hazards.

  • Hazard no. 1

  • Hazard no. 2

  • Hazard no. 3

Observer/s to make 3 observations and obtain a response

  • Observation no. 1

  • Observation no. 2

  • Observation no. 3

Signature and Finalization

  • General Comments/Feedback

  • I have completed this assessment to the best of my knowledge. This audit is not intended to identify all safety and health hazards, but to identify all visible/known hazards as of the date printed on the completed assessment.

  • Workers signature

  • Supervisors signature

  • Select date

  • Overall Safety Score

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