Safety Visits

General Details

• Audit Title

• Observer

• Conducted on

  Date

• Time

  Date

• Site

  Balranald

  Somoran

  Cataby

  Jacinth Ambrosia

• Area

• Location
  Address

Safety Visit Details

• Other Observers

Other observers

• Other Observers

• Task

• Observation

Observations

• Observation

• Safe or Unsafe

  Safe

  Unsafe

• Category

  Select Reactions PPE Position of People Tools & Equipment Procedures Housekeeping

  • Reactions
  • PPE
  • Position of People
  • Tools & Equipment
  • Procedures
  • Housekeeping

• Select Adjust PPE Change positions Stop job Rearrange job Complete isolation

  • Adjust PPE
  • Change positions
  • Stop job
  • Rearrange job
  • Complete isolation

• Select Head Eyes Face Ears Hands/Arms Respiratory Trunk Legs/Feet All

  • Head
  • Eyes
  • Face
  • Ears
  • Hands/Arms
  • Respiratory
  • Trunk
  • Legs/Feet
  • All

• Select Struck by Striking against Caught between Falling Too hot/cold Electrical Inhaling Absorbing Swallowing Repetitions Awkward position

  • Struck by
  • Striking against
  • Caught between
  • Falling
  • Too hot/cold
  • Electrical
  • Inhaling
  • Absorbing
  • Swallowing
  • Repetitions
  • Awkward position

• Select Right for job Used correctly In safe conditions

  • Right for job
  • Used correctly
  • In safe conditions

• Select JHA used Right for the job Std practice documented Std practice maintained Tags and permits in place JHA controls in place Take used

  • JHA used
  • Right for the job
  • Std practice documented
  • Std practice maintained
  • Tags and permits in place
  • JHA controls in place
  • Take used

• Select Trips and falls Barricading Rubbish Storage

  • Trips and falls
  • Barricading
  • Rubbish
  • Storage

Actions

Actions

• Action

• Responsibility

• Due date

  Date