Title Page
-
Fraser Coast Regional Council
-
eDocs #2832704
-
Conducted on
-
Prepared by
-
Who are you observing?
-
Details of Other:
-
Work Group:
-
Location
-
Provide description of Task:
-
This card will be used to identify Safe and At Risk Behaviors relevant to the activity. All "EVENTS" will be captured using the Event Notification Form. All relevant sections will be marked SAFE or UNSAFE.
Is PPE worn in accordance with SWP/SWMS or SDS?
-
Head area including Eyes, Face, Ears
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Trunk area including Hands, Legs, Feet
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Respiratory System
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Fall arrest, restraint
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
Are Procedures in place
-
Procedures applied and followed
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Has SLAM/Risk Assessment been completed?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Do identified risks have a control in place?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Isolations in place?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Permits (CSE/Hot Work/MUTCD/personal lock)
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
Positioning of People – is there a risk of person
-
Strike against (is body in the line of fire)
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Struck by or Caught between (plant or equipment)
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Falling - are barricades in place?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Exposure to hazardous substances (absorb, inhale, swallow)
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Exposure to electrical current
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
Appropriateness of Tools, Plant and Equipment
-
Correct for the task/activity?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Vibration or Temperature issues?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
In a safe condition?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Is it being used correctly?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Have pre operational checks been completed?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
Is Work Environment Safe?
-
Is it a restricted space?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Work area design - does it accommodate the activity?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Tools and Grips
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Lighting
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Potential for noise?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Risks to environment controlled?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation for 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
Manual Handling
-
Correct manual handling techniques used?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation of 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Team lift or mechanical aid to be used?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation of 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
-
Are areas clear of obstructions?
-
Cause:
- A - Not Available
- B - Poor condition
- C - Disagree with risk
- D - Not concentrating
- E - Instruction given
- F - No Supervision
- G - Condition of equipment
- H - Procedure
- I - Time pressure
- J - Poor training
- K - Lack of motivation
- L - Lack of Experience
- M - Fatigue
- N - Unaware of hazard
- O - Team leader pressure
- P - Personal choice not to
- Q - Not comfortable
- R - Other
-
Explanation of 'other' cause:
-
Corrective Actions
-
Who is responsible?
-
Who is responsible?
-
Details to be entered into Audit and Risk System
