Title Page
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Site conducted
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Conducted on
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Name of Observer
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Area
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Task/Activity Details
CRA_H&S_F_030 Safety Observation
- MANAGEMENT OF RISKS
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Work conforms to JSA / SWI or procedure
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Take 5 completed
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Isolation and lock out performed
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Working at heights / Confined space / Hot work
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Are all required permit / Checklists in place?
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Is there potential for uncontrolled release of stored pressure?
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Has the risk of entanglement been considered?
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Has barricading been considered to prevent unwanted interaction? Pedestrian
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Has barricading been considered to prevent unwanted interaction? Vehicular
BODY MECHANICS
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Good lifting techniques used
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Minimal twisting (nose and toes together)
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Workplace design ok
TOOLS AND EQUIPMENT
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Correct tool for the task used
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Tool inspected and safe to use
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Fire extinguishers in place for hot work
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Electrical tools and leads in test and tag date
PERSONAL PROTECTIVE EQUIPMENT
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Correct PPE worn for the task
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PPE inspected and in good order
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P2 dust mask / Half face respirator worn
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Hearing protection worn
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PPE as per SDS for chemicals used
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PFD's worn for working over water
PEOPLE RELATED FACTORS
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Positive communication witnessed
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Understands the task and associated hazards
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Performing the task to the required standard
HOUSEKEEPING / AREA CONDITIONS / ENVIRONMENT
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Good visibility
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Clean and tidy work area
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No obstructions in work area
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Access to emergency equipment unobstructed
ACTIONS
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Was immediate action taken to manage "at risk" behaviour(s)?
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DETAILS / COMMENTS OF SAFETY OBSERVATION
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DO YOU HAVE ANY SUGGESTIONS FOR IMPROVEMENT ON THE TASKS YOU ARE CONDUCTING?