Information
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Document No.
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Audit Title
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Client / Site / Business Unit
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Project
Observation of:
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SWMS
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Risk Assessment
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Hazard
Activity Observed
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Activity Observed
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Conducted on
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Prepared by
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Location on Site
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Personnel Conducting the Observation
JMK-PP-10j. Revision 1
Photos
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Photos of work observed
Classification
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Is the activity defined as a class of 'High Risk Work'
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Is there a Safe Work Method Statement available for the work?
Who is undertaking the work?
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JM Kelly
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Subcontractor
Name of Subcontractor
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Name & Position of Supervisor:
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Brief description of work/ hazard.
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Is the task performed as per the SWMS / RISK ASSESSMENT <br>(if the answer is no list the differences)
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Names of personnel carrying out the work & have they been toolbox ed/ read the SWMS?
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General Comments (document positive and/or safe behaviour observed including any emergency management aspects)
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How will repeats be prevented? (Detail WHAT PREVENTIVE/ CORRECTIVE ACTIONS must be taken & BY WHOM)
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ACTION REQUIRED
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1st. Action Required:
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Name of Person Responsible & Date Due.
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2nd. Action Required :
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Name of Person Responsible & Date Due.
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3rd. Action Required:
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Name of Person Responsible & Date Due.
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Observers Name & Position Description
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