Safety & Environmental Observations - Investigation

• Reference

• Complete the form on the next page, once completed notify EH&S

• What was the reason for the observation being reported

  Select Over production Insufficient storage Leak Building fault Not working to procedure Poor Houekeeping PPE not being worn or worn incorrectly Lighting or Equipment not turned off Other

  • Over production
  • Insufficient storage
  • Leak
  • Building fault
  • Not working to procedure
  • Poor Houekeeping
  • PPE not being worn or worn incorrectly
  • Lighting or Equipment not turned off
  • Other

• Please specify

• Now complete 5 Whys to evaluate the reason for the observation

5 Whys

• Why 1

• Why 2

• Why 3

• Why 4

• Why 5

Hierarchy of control - Corrective Action

• Using the Hierarchy of control define what measures will be implemented

  

• What measures will be used to prevent a reoccurrence of the same observation?

  Select Elimination - Remove the hazard Substitution - Replace the hazard Engineering controls - Isolate people from the hazard Administrative controls - Change the way we work Personal Protective Equipment - Protect the worker with PPE

  • Elimination - Remove the hazard
  • Substitution - Replace the hazard
  • Engineering controls - Isolate people from the hazard
  • Administrative controls - Change the way we work
  • Personal Protective Equipment - Protect the worker with PPE

Sign off

• Submit Investigation for approval

  Yes

  No