SHE Leadership Walk and Talk Record

• SHE Leadership Walk and Talk Record Title (include project, location, etc.)

• Project

• Conducted on

  Date

• Conducted by

• Location
  Address

• Client / Site

• Work activity

• Contractors / Employees Visited

• Contracting Company

• Document No.

A. Site Visit - Questions

1. What are the Safety Essentials and what does the term mean to you?

• Observations/Comments

2. What task are you doing and what are the critical safety risks (things that could kill you) while you are doing this task?

• Observations/Comments

3. What are the control measures you have in place that are keeping you safe while you are doing this task?

• Observations/Comments

4. Are those control measures in line with the SHEWMS/Safety Essentials requirements and are they effectively implemented? What else could you do to reduce the risk?

• Observations/Comments

5. What feedback or suggested improvements would you like to give to Visionstream that will possibly make your workplace safer?

• Observations/Comments

B1. Safety Essentials Observed

• Electrical Works

• Working at Heights

• Driver Alertness

• Working in the vicinity of Utility Services

• Excavation Works

• Working in the vicinity of Vehicular Traffic

• Mobile Plant

• Remote or Isolated Location

• Heavy Lifting (E.g. Cranes)

• Exposure to Asbestos

B2. Environmental Aspects Observed

• Cultural Heritage

• Fire Management

• Noxious Weeds / Pests

• Vegetation Clearance / Reinstatement

• Water Pollution / Sediment Control

• Flora / Fauna

• Noise / Air Pollution

• Spill Management

• Contaminated Land

• Waste Disposal and Management

C. Positive Feedback - 'Good' SHE Behaviours and/or Conditions Observed

• Observations/Comments

D. Areas for Improvement - 'At Risk' SHE Behaviours and/or Conditions Observed

• Observations/Comments

Comments / Corrective Actions

• Are there any further comments or corrective actions required? (Corrective actions must be assigned to action owner in Cintellate)

  Yes

  No

• Comments / corrective actions

Sign-off

• Person completing visit

  Sign

Notes

• This form is to be completed for each SHE Leadership Walk and Talk and put into Cintellate before the last day of each month.
  
  1. Arrange visit with the Safety Manager/Coordinator
  2. Obtain copy of Telecommunications Safety Essentials booklet, SHEWMS and clarify site PPE requirements
  3. Arrive at site, engage with workers/subcontractors and discuss current work activities
  4. Observe tasks to determine adherence with the Safety Essentials
  5. Try not to complete the form at the time of conducting your LWT visit, but after speaking with workers (I.e. back in the car)
  6. After the LWT visit, enter in Cintellate and assign any identified corrective actions to the Project Manager
  7. The last action in Cintellate will be that you receive an email when all actions are closed out