Safety Observation

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Company Information

• Company Name

• Individual Name

General Site Requirements

• Individual has a valid MSIC

  Yes

  No

  N/A

• MSIC is properly displayed above the waist

  Yes

  No

  N/A

• Advise Individual of display requirements when inside a Maritime Security Zone

• Provide name of MSIC holder providing escort

• AAT Site Induction has been completed and is Valid

  Yes

  No

  N/A

• Hi vis clothing and safety footwear worn

  Yes

  No

  N/A

• Individual is aware of the Traffic Management Plan for the site

  Yes

  No

  N/A

• Individual is aware of the Terminal Speed Limits

  Yes

  No

  N/A

• Flashing lights are operational on vehicle

  Yes

  No

  N/A

• OBSERVATION TYPE

  Select AAT Operations Stevedore Operations Truck Driver Self Loading Third Party Contractor

  • AAT Operations
  • Stevedore Operations
  • Truck Driver Self Loading
  • Third Party Contractor

STEVEDORE OPERATIONS

• Buses in use to block roadways during discharge

  Yes

  No

  N/A

• Work area and/or discharge route is clearly identified by traffic cones and signage

  Yes

  No

  N/A

• Company is Compliant in Rapid

  Yes

  No

  N/A

• Has a Site Safety Agreement been issued?

  Yes

  No

  N/A

• Provide details

• Radio issued by Security and on correct channel

  Yes

  No

  N/A

TRUCK DRIVER SELF LOADING

• Valid Driver’s Licence sighted

  Yes

  No

  N/A

• Loading is conducted in a safe area away from main flow of traffic

  Yes

  No

  N/A

• Work not on ground level is conducted safely

  Yes

  No

  N/A

• Company is Compliant in Rapid

  Yes

  No

  N/A

• Has a Site Safety Agreement been issued?

  Yes

  No

  N/A

• Provide details

• Radio issued by Security and on correct channel

  Yes

  No

  N/A

• Is contractor conducting Hot Work, Work at Heights or Electrical Work?

  Select Hot Work Work at Heights Electrical Work Other

  • Hot Work
  • Work at Heights
  • Electrical Work
  • Other

• If yes, complete relevant section below.

HOT WORK

• JSA completed prior to work commencing

  Yes

  No

  N/A

• Hot work equipment is tested and tagged and in good working order

  Yes

  No

  N/A

• Safety observer required and in place

  Yes

  No

  N/A

• Correct PPE (face shield/goggles/welding helmet/overalls/gloves/mask) is worn

  Yes

  No

  N/A

• Relevant smoke detectors/sprinklers isolated; Isolation of fire system

  Yes

  No

  N/A

• Removable combustible materials/flammable liquids removed 5m radius

  Yes

  No

  N/A

• Non-removable combustible items have been wet down

  Yes

  No

  N/A

• Drains inside 5 metre radius covered with fire blankets

  Yes

  No

  N/A

• Appropriate fire-fighting equipment available adjacent to work area

  Yes

  No

  N/A

• Sparks contained – ground level/working at heights

  Yes

  No

  N/A

• Welders earthed to work at weld point

  Yes

  No

  N/A

• Exhaust spark guards fitted to machinery

  Yes

  No

  N/A

• Electric leads placed correctly

  Yes

  No

  N/A

• Warning signs in place to identify hot work zone

  Yes

  No

  N/A

• Barricade/fencing erected

  Yes

  No

  N/A

• Air conditioning units isolated

  Yes

  No

  N/A

• Safe access and egress provided

  Yes

  No

  N/A

• Adjacent areas inspected and made safe

  Yes

  No

  N/A

• Ventilation/dust extraction units to be used

  Yes

  No

  N/A

• Welding screen required

  Yes

  No

  N/A

WORKING AT HEIGHTS

• Personnel have been trained in RIIWHS204E - Work safely at heights

  Yes

  No

  N/A

• If using EWP or scissor lift, relevant licence is in date

  Yes

  No

  N/A

• JSA/SWMS completed prior to work commencing

  Yes

  No

  N/A

• Working at Heights equipment inspected and in good condition

  Yes

  No

  N/A

• Harness/es and safety equipment are worn

  Yes

  No

  N/A

• Rescue plan/communication requirements have been decided on

  Yes

  No

  N/A

• Safety Observer in place if required

  Yes

  No

  N/A

• Exclusion zone in place

  Yes

  No

  N/A

ELECTRICAL WORK

• Contractor’s Electrical Licence sighted

  Yes

  No

  N/A

• JSA/SWMS provided

  Yes

  No

  N/A

• Equipment is tested and tagged and in good working order

  Yes

  No

  N/A

• Isolation point/s are clearly identified

  Yes

  No

  N/A

• Insulating mat and covers used *Live Work*

  Yes

  No

  N/A

• Safety observer *Live Work*

  Yes

  No

  N/A

• Low voltage rescue kit on hand*Live Work*

  Yes

  No

  N/A

• Provide details

• Task being completed

• Location of task

• Is there a Safe Work Method Statement or Job Safety Analysis available for the task?

  Yes

  No

  N/A

• Has the operator been trained in the SWMS?

  Yes

  No

  N/A

• Is the operator wearing the correct PPE?

  Yes

  No

  N/A

• Is there any equipment, plant or machinery being used to complete the task

  Yes

  No

  N/A

• Provide details of equipment, machinery or Plant ID

• Does the employee hold a current high risk licence?

  Yes

  No

  N/A

• Exclusion zone is in place

  Yes

  No

  N/A

Additional information

• Individual has been notified of applicable non-conformances

  Yes

  No

  N/A

• Are there other photos to attach?

  Yes

  No

  N/A

• Comments

COMPLETED BY

• Name

  Sign

• Name

  Sign

• Name

  Sign