SG D STAFF ASSESSMENT ( operative level )

• Conducted on

  Date

• Prepared by

• Job number

• Site address

• Assessors name

STAFF ASSESSMENT ( operatives level )

• Employees name

  Select Tony Emery Nigel Stephens Jakub Pastrik Jimmy Howlett Dan Meads Keith Marshall Stephen Howlett Connor Penhaligon Glenn Peacock Jason Cashmen Jason Flint Liam Flint Nicky Dunne Kiefer Bowers Danny Burton Grant Johnson Robert weighell Lee Sandlands Adam Goldsmith Darren Johnson Marek Barnes Phillip Smith David Budzinski Adrian Leitner Mihai Nanau Lucasz Sieminowicz Chris Lane Marel Barnas Ellis Ford Martin Cozens Tom Grincevic

  • Tony Emery
  • Nigel Stephens
  • Jakub Pastrik
  • Jimmy Howlett
  • Dan Meads
  • Keith Marshall
  • Stephen Howlett
  • Connor Penhaligon
  • Glenn Peacock
  • Jason Cashmen
  • Jason Flint
  • Liam Flint
  • Nicky Dunne
  • Kiefer Bowers
  • Danny Burton
  • Grant Johnson
  • Robert weighell
  • Lee Sandlands
  • Adam Goldsmith
  • Darren Johnson
  • Marek Barnes
  • Phillip Smith
  • David Budzinski
  • Adrian Leitner
  • Mihai Nanau
  • Lucasz Sieminowicz
  • Chris Lane
  • Marel Barnas
  • Ellis Ford
  • Martin Cozens
  • Tom Grincevic

• Photo of employee

  Media

• Did the operative have a good understanding of English ?

  Yes

  No

MODULE 4 SITE SET UP , MAINTENANCE & DISMANTLING

• Could the operative say why the DCU should be as close to the enclosure as possible ( if not directly connected) ?

  Yes

  No

• Could the operative say why the NPU’s should be as far away from the airlock as possible ?

  Yes

  No

• Did the operative know what a rise in gauge of the NPU might mean ?

  Yes

  No

• Did the operative know how many air changes per hour an enclosure should have minimum ?

  Yes

  No

• Did the operative know how long an NPU should run after work finish’s ?

  Yes

  No

OBSERVATIONS / ACTIONS REQUIRED

• Above 80% on first attempt given toolbox talk on incorrect answers requires normal supervision

  Yes

  No

• Between 60% - 79% on first attempt given toolbox talk on incorrect answers requires close supervision

  Yes

  N A

• Below 60% on first attempt given toolbox talk on incorrect answers requires very close supervision & retaining on module 6

  Yes

  N / A

MODULE 5 CONTROLLED STRIPPING TECHNIQUES

• Could the operative describe the correct method of removal for AIB ?

  Yes

  No

• Could the operative describe the correct method of removal for Sprayed coating ?

  Yes

  No

• Could the operative describe the correct method of removal for Pipe Work ( wrap & cut )?

  Yes

  No

• Could the operative describe the correct method of removal for Pipe Work ( injection ) ?

  Yes

  No

• Could the operative describe the correct method of removal for Debris / Residue ?

  Yes

  No

OBSERVATIONS / ACTIONS REQUIRED

• Above 80% on first attempt given toolbox talk on incorrect answers requires normal supervision

  Yes

  No

• Between 60% - 79% on first attempt given toolbox talk on incorrect answers requires close supervision

  Yes

  N A

• Below 60% on first attempt given toolbox talk on incorrect answers requires very close supervision & retaining on module 6

  Yes

  N / A

MODULE 6 RPE

• Is the individuals RPE stored correctly ?

  Yes

  No

• Did the operative check the face piece correctly ?

  Yes

  No

• Did the operative check the power supply correctly ?

  Yes

  No

• Did the operative undertake the 10 second test correctly ?

  Yes

  No

• Did the operative undertake the flow test correctly ?

  Yes

  No

OBSERVATIONS / ACTIONS REQUIRED

• Above 80% on first attempt given toolbox talk on incorrect answers requires normal supervision

  Yes

  No

• Between 60% - 79% on first attempt given toolbox talk on incorrect answers requires close supervision

  Yes

  N A

• Below 60% on first attempt given toolbox talk on incorrect answers requires very close supervision & retaining on module 6

  Yes

  N / A

MODULE 7 PERSONAL PROTECTIVE EQUIPMENT & CLOTHING

• Did the operative know the correct PPE for this job .?

  Yes

  No

• Could the operative say what PPE should be worn when transferring waste ?

  Yes

  No

• Did the operative know what type / class overalls should be worn inside the enclosure ?

  Yes

  No

• Could the operative name the basic 5 point PPE ?

  Yes

  No

• Did the operative know the importance of wearing PPE correctly ?

  Yes

  No

OBSERVATIONS / ACTIONS REQUIRED

• Above 80% on first attempt given toolbox talk on incorrect answers requires normal supervision

  Yes

  No

• Between 60% - 79% on first attempt given toolbox talk on incorrect answers requires close supervision

  Yes

  N A

• Below 60% on first attempt given toolbox talk on incorrect answers requires very close supervision & retaining on module 6

  Yes

  N / A

MODULE 8 TRANSIT PROCEDURES & DECONTAMINATION

• Could the operative say the correct place to fit his RPE when going to work ?

  Yes

  No

• Could the operative say the correct place to remove his RPE when returning from work ?

  Yes

  No

• Could the operative say the correct place to remove his red overalls when returning from a work ?

  Yes

  No

• Could the operative say the correct amount of time to be spent in the shower as a minimum ?

  Yes

  No

• Could the operative say the correct place to wash his RPE ( in airlock ) when returning from a work ?

  Yes

  No

OBSERVATIONS / ACTIONS REQUIRED

• Above 80% on first attempt given toolbox talk on incorrect answers requires normal supervision

  Yes

  No

• Between 60% - 79% on first attempt given toolbox talk on incorrect answers requires close supervision

  Yes

  N A

• Below 60% on first attempt given toolbox talk on incorrect answers requires very close supervision & retaining on module 6

  Yes

  N / A

MODULE 9 CLEANING & CLEARANCE AIR TESTING

• Could the operative say what the clearance level is ?

  Yes

  No

• Could the operative describe stage 1 of 4 stage clearance process ?

  Yes

  No

• Could the operative describe stage 2 of 4 stage clearance process ?

  Yes

  No

• Could the operative describe stage 3 of 4 stage clearance process ?

  Yes

  No

• Could the operative describe stage 4 of 4 stage clearance process ?

  Yes

  No

OBSERVATIONS / ACTIONS REQUIRED

• Above 80% on first attempt given toolbox talk on incorrect answers requires normal supervision

  Yes

  No

• Between 60% - 79% on first attempt given toolbox talk on incorrect answers requires close supervision

  Yes

  N A

• Below 60% on first attempt given toolbox talk on incorrect answers requires very close supervision & retaining on module 6

  Yes

  N / A

MODULE 10 PLANT & EQUIPMENT

• Could the operative say how often a NPU should be serviced ?

  Yes

  No

• Could the operative say how often a H type vac should be serviced ?

  Yes

  No

• Could the operative say how often a Injection machine should be serviced ?

  Yes

  No

• Could the operative say how a Vacuum should be transported ?

  Yes

  No

• Did the operative know what to do with a damaged / broken piece of plant

  Yes

  No

OBSERVATIONS / ACTIONS REQUIRED

• Above 80% on first attempt given toolbox talk on incorrect answers requires normal supervision

  Yes

  No

• Between 60% - 79% on first attempt given toolbox talk on incorrect answers requires close supervision

  Yes

  N A

• Below 60% on first attempt given toolbox talk on incorrect answers requires very close supervision & retaining on module 6

  Yes

  N / A

MODULE 11 WASTE MANAGEMENT & DISPOSAL

• In which stage of the baglock should the red bag be place into the clear bag ?

  Yes

  No

• Did the operative know how to deal with an oversize parcel ?

  Yes

  No

• Did the operative know were a bag should be sprayed when being removed from an enclosure ?

  Yes

  No

• Did the operative know what PPE to wear when transferring waste ?

  Yes

  No

• Did the operative understand the importance of keeping the waste route clean ?

  Yes

  No

OBSERVATIONS / ACTIONS REQUIRED

• Above 80% on first attempt given toolbox talk on incorrect answers requires normal supervision

  Yes

  No

• Between 60% - 79% on first attempt given toolbox talk on incorrect answers requires close supervision

  Yes

  N A

• Below 60% on first attempt given toolbox talk on incorrect answers requires very close supervision & retaining on module 6

  Yes

  N / A

MODULE 12 EMERGENCY PROCEDURES

• Could the operative say what to do if a waste bag split on the way to the skip ?

  Yes

  No

• Did the operative know what to do if there was a power failure while he was in the enclosure ?

  Yes

  No

• Did the operative know what to do if there was a Major injury while he was in the enclosure ?

  Yes

  No

• Did the operative know what to do if the fire alarm sounded while he was in the enclosure ?

  Yes

  No

• Did the operative know what to do with a breach to the enclosure ?

  Yes

  No

OBSERVATIONS / ACTIONS REQUIRED

• Above 80% on first attempt given toolbox talk on incorrect answers requires normal supervision

  Yes

  No

• Between 60% - 79% on first attempt given toolbox talk on incorrect answers requires close supervision

  Yes

  N A

• Below 60% on first attempt given toolbox talk on incorrect answers requires very close supervision & retaining on module 6

  Yes

  N / A

• Assessors signature

  Sign

• Employees signature

  Sign