Information

  • Document No.

  • Audit Title

  • Crew / Site

  • Personnel observed

  • Location
  • Conducted on

  • Prepared by

Observed Safety Hazards & Risks Categories (tick where applicable)

  • PROCEDURE

  • Is Action Required

  • PPE

  • Is Action Required

  • WORK ENVIRONMENT

  • Is Action Required

  • TOOLS / EQUIPMENT

  • Is Action Required

  • BODY USE / POSITION

  • Is Action Required

  • MOBILE EQUIPMENT

  • Is Action Required

Hazard / Risk observed not previously defined

    Hazard / Risk Identified
  • Hazard / Risk

Commendable Safe Behaviour Observed

Safety Inspection Completion Sign Off

  • The Officer completing this Safety Observation must ensure that the final report is sent through to Safety Services for recording of Hazards and required follow up Actions.

  • Observation Completed by

  • The Site Representative accepts the findings of this Safety Observation and if required shall ensure that any corrective actions indentified during this Observation shall be actioned immediately.

  • Site Representative (if relevant)

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