Information

  • Document No.

  • Audit Title

  • Client / Site / Business Unit

  • Project

Observation of:

  • SWMS

  • Risk Assessment

  • Hazard

Activity Observed

  • Activity Observed

  • Conducted on

  • Prepared by

  • Location on Site

  • Personnel Conducting the Observation

JMK-PP-10j. Revision 1

Photos

  • Photos of work observed

Classification

  • Is the activity defined as a class of 'High Risk Work'

  • Is there a Safe Work Method Statement available for the work?

Who is undertaking the work?

  • JM Kelly

  • 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)

  • Tap to enter information

Names of personnel carrying out the work & have they been toolbox ed/ read the SWMS?

  • Tap to enter information

  • Tap to enter information

  • Tap to enter information

  • Tap to enter information

  • Tap to enter information

  • Tap to enter information

General Comments (document positive and/or safe behaviour observed including any emergency management aspects)

  • Tap to enter information

How will repeats be prevented? (Detail WHAT PREVENTIVE/ CORRECTIVE ACTIONS must be taken & BY WHOM)

  • Tap to enter information

ACTION REQUIRED

  • 1st. Action Required:

  • Name of Person Responsible & Date Due.

  • Tap to enter information

  • 2nd. Action Required :

  • Name of Person Responsible & Date Due.

  • Tap to enter information

  • 3rd. Action Required:

  • Name of Person Responsible & Date Due.

  • Tap to enter information

Observers Name & Position Description

  • Tap to enter information

  • Tap to enter information

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