Safety Tour Record (Safety Management Audit Tool)

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Site

  Select Hoddesdon No N/A Wellingborough

  • Hoddesdon
  • No
  • N/A
  • Wellingborough

• Date

  Date

• Auditor(s)

Observational

Safety Audit

• Unplanned

  Hoddesdon

  No

  N/A

  Wellingborough

• Observation

  Hoddesdon

  No

  N/A

  Wellingborough

• Acts

  Hoddesdon

  No

  N/A

  Wellingborough

• No. Unsafe

  Hoddesdon

  No

  N/A

  Wellingborough

• Acts

  Hoddesdon

  No

  N/A

  Wellingborough

• No. Unsafe Conditions

  Hoddesdon

  No

  N/A

  Wellingborough

• Reinforcement of safe behaviours such as the use of PPE, housekeeping and the use of safe methods and procedures is the most effective form taking place

  Hoddesdon

  No

  N/A

  Wellingborough

• (Awareness, lapse, training, supervision, habit). Can it be resolved now? Indicate on the form the classification of contact

  Hoddesdon

  No

  N/A

  Wellingborough

• (E= Employee, M= Manager or Supervisor, C = Contractor).

• Note: Take time to observe, stop work safely, introduce yourself and purpose of Job Safety Observations. Start with positive items

Positive Items: Safe Acts / Conditions

• What & Where - Was Good Behaviour Reinforced

• No. Who

• No Who

• What & Where - Outcome of any Discussion -

• Actions taken

Possible UnSafe Acts / Conditions

• No. What & Where - Outcome of any Discussion -

• Actions taken

• Action completed or deferred (Who + When)

  Hoddesdon

  No

  N/A

  Wellingborough

• Email Feedback - (comments/ completed actions) to be sent by senior local manager to NNC Managing Director & UK

• HSE Manager. Auditor to file on Share Point System

  Hoddesdon

  No

  N/A

  Wellingborough

• Email feedback completed

  Y

  N

• Additional supporting images (Where applicable)

  Media