Safety Observation Form - Arrow

• Document No.

• Airport

  Select ADL APW ASP AYQ BNE BNK BME CFS HBA HVB LST NTL OOL WEI WLE

  • ADL
  • APW
  • ASP
  • AYQ
  • BNE
  • BNK
  • BME
  • CFS
  • HBA
  • HVB
  • LST
  • NTL
  • OOL
  • WEI
  • WLE

• Conducted on

  Date

• Observer

• Number of People Observed

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Task Observed

Housekeeping

• Clear of slip/trip/fall hazards?

  Safe

  At Risk

  N/A

• Work Area Organised?

  Safe

  At Risk

  N/A

Personal Protective Equipment (PPE)

• All appropriate equipment or gear worn correctly

  Safe

  At Risk

  N/A

• PPE kept in good condition?

  Safe

  At Risk

  N/A

Ergonomics

• Body position ( Are staff displaying good posture)

  Safe

  At Risk

  N/A

• Body Movements (how the task is completed)

  Safe

  At Risk

  N/A

Tools and Equipment

• Appropraite equipment being used?

  Safe

  At Risk

  N/A

• Equipment being used correctly?

  Safe

  At Risk

  N/A

• Is equipment in good condition?

  Safe

  At Risk

  N/A

Procedures

• Are S.O.P's being followed?

  Safe

  At Risk

  N/A

• Do the procedures adequately cover the task?

  Yes

  No

  N/A

• Focus Point:

• Safe Behaviours observed/actions taken to encourage safe behaviour

• Unsafe Behaviours observed/action taken to correct and prevent re-occurence