Safety Interaction

• Is this safety interaction being done Face to Face (FTF) or On the Phone?

  Face to Face (FTF)

  On the Phone

• Script: "Hi [Employee Name], I'm [Your Name], and I’m here to conduct a safety interaction. This involves having a quick chat about the work you are doing, then taking a few minutes to observe the task before providing feedback."

• Conducted on

  Date

• Worker Name

  Sign

• Client Name

• Zenith Search Representative

• Location
  Address

Conversation

• Can you tell me about the work you're doing here?

• How could someone get hurt doing this job?

• Are there any potential safety risks or unsafe conditions you’ve noticed?

  Yes

  No

• Have you completed a pre-start, take 5, or risk assessment for this task (e.g. JSA, JSA, SWMS) or reviewed an SOP for the task?

  Yes

  No

• Are the tools and equipment you’re using in good condition and appropriate for the task?

  Yes

  No

• Are all necessary safety mechanisms in place and functioning properly?

  Yes

  No

• Have you checked that your work environment safe and free from uncontrolled hazards?

  Yes

  No

• Are there any environmental conditions (e.g., lighting, ventilation) that could affect safety?

  Yes

  No

• Have you observed any unsafe behaviours or techniques that need to be addressed?

  Yes

  No

Observation

• Watch the person perform the task and focus on what you can physically observe.

• Task obsevations:

• Are there any hazards present that weren't identified in the conversation?

  Yes

  No

• Is work being performed with the controls described in during the conversation?

  Yes

  No

• Are tools, equipment, and safety mechanisms being used in a safe manner and operating properly.

  Yes

  No

• Is the work environment and conditions safe?

  Yes

  No

Feedback

• "Thank you for sharing this information. I observed that [specific safe behaviour] was well done."
  
  "I also noticed [specific unsafe behaviour]. Let’s discuss how we can correct this."

• Do you have any safety concerns or suggestions?

• Do you have any safety issues or concerns?

  Yes

  No

• Do you have any hazards, near misses or incidents to report?

  Yes

  No

• Do you know who you would see if you needed first aid treatment?

  Yes

  No

• Can you tell me where the emergency assembly point is?

  Yes

  No

• If you are injured at work, what do you need to do?

• Did you have a proper induction when you started working here?

  Yes

  No

• What would you do if something was too heavy to lift?

• Are you included in toolbox meetings or safety meetings?

  Yes

  No

• If you’re not sure how to do something, what do you do?

• What would you do if you were asked to perform a job which differs from the job you were told about by Zenith Search?

• If you were asked by the client to perform a task which you had not been trained to perform, what would you do?