Title Page
Senior Manager Site Safety Tour Observation
Rev. No 1.2 July 17, 2017
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Client / Site LID
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Location
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Conducted on
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Conducted by
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Staff Present:
General Overview / Observations
Instructions: For each behavior or condition observed, identify if it is safe, at risk, or not applicable. For each, you can add a comment, action and / or picture (file size limitations apply) If at risk: Enter a concrete action that provides a practicable solutions for the concern and assign to supervisor / employee in box at bottom. Observe a safe behavior or "best practices", describe it in comment section to enable communication to the business as improvement. Once completed, save and email the audit to the Site Leader and the district HSE Leader.
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What are your general observations of the behaviors and work area / site?
Detailed Observations & Recommendations for improvement
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Any site induction (emergency response, security, first aid, authorized entry only, sign-in, safety rules) expected at site and received for you from escort / supervisor?
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Any welfare and hygiene (e.g. heating, extreme temperature, lighting, ventilation, toilet accommodation, lunch / resting facilities, tidiness, or pedestrian safety) concerns?
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Any expected visible emergency provisions (e.g. evacuation routes, muster points, fire alarm, first aid location, fire extinguishers / blankets, hurricane shelter, earthquake instructions) in place?
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Any signs indicating specialized equipment or skill requirements for area to be entered beyond standard PPE issued? e.g. double hearing protection, respirator, confined space monitoring, arc flash / high voltage, biohazards, explosive / flammable atmosphere, radiation)?
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What working practices (risk assessments, effectiveness / appropriateness controls for risk, PPE, equipment inspections / conditions, facilities, worker / sub-contractor / visitor safety behaviors do you observe?
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Any slip, trip, fall hazards that are not controlled (lack of tape, cones, barriers, markings, signs, inadequate surface materials / condition, housekeeping (tools / materials on ground), impact from weather conditions, environmental conditions)?
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Any fall hazards that are not controlled (> 1.2m / 4 feet or within 3m / 10 feet from edge)?
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Any transportation / moving equipment hazards that are not controlled?
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Any life critical risk activities taking place that may requiring work permit showing uncontrolled hazards (working at height, live electrical, hazardous energy, line breaking, pressure vessels, direct exposure to hazardous materials asbestos / PCB / Lead, hot work, restricted / confined space)? --Inquire with supervisor if stop work (until risks controlled) may be necessary--
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Any significant risk activities with inadequate / questionable controls (rigging, cranes, mobile equipment, scaffolding, excavations, trenching, elevator shafts, adjacent to traffic, radiation, hazardous materials, heavy / awkward material handling, high noise / temperature / fumes / dust, etc.)?
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Any equipment being worked on that may contain hazardous energy that is NOT locked and tagged out (electric, kinetic, hydraulic, etc.) or zero energy state has not been verified? If diagnostics or troubleshooting require live equipment, are controls in place and effective?
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Any exposed electrical > 24 V present or equipment with arc flash potential with < 1.1m / 42 inches clearance?
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Any equipment (man / genie lifts, work platforms, fork-trucks, cranes etc.) in use requiring documented pre-use inspection that have not been completed or do not appear to be in good condition?
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Any ladders, respirators, harnesses, gloves, hardhats etc. that require visual pre-use inspection that do not appear to be in good condition?
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Any hot work activities near workers without adequate clearance / signage / flammables nearby / unprotected gas cylinders / lacking PPE?
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Anyone working above or over locations where workers are found? e.g. crane moving load over people, tools / equipment on scaffolding / catwalks that may fall below
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Any large hazardous material storage areas or transport trucks without labels / placards identifying contents, safety datasheets, PPE, spill kits, emergency medical measures or secondary containment?
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Any concerns about access for operations to perform work? (equipment next to roof edge, sensors above hot surfaces, chemicals, moving parts, no space for ladder / work platform, condition of structure / stairs, above / under / through piping / ducts, tight / confined space)?
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Any life critical or significant risk activities for which no / inadequate risk assessment in place?
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Any HSE PPE / safety signs / notices not being followed / or missing from obvious hazards at site?
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Any customers / members of public / other workers or crews engaged in activities that present immediate risk to HSE of employees to others in area?
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Any other hazards without adequate controls?
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What new "good practices to share" do you observe that you think should be considered at other locations?
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Senior Manager Name / Signature:
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Area Manager / Supervisor Name / Signature
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Other staff name / signature: