Title Page
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Location
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Completed by
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Conducted on
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Area where Audit is done
- Bays 101-110
- Bays 1-10
- Canteen
- First Floor
- Fuel Island
- Mash B
- Midlands
- Mails Verification
- North
- Offices
- Processing
- Soft Seating Area
- South
- Toilets
- Tracked Area
- Yard
- XD
- PROCESSING
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Shift
Safe Acts & Discussions
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Who (E, M, C)
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What, Where - Was behaviour reinforced
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Person(s) carrying out the positive Safe Act
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Category
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Any more Safe Acts & Discussion?
Safe Acts & Discussion
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Who (E, M, C)
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What, Where - Was behaviour reinforced
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Person(s) carrying out the positive Safe Act
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Category
UnSafe Acts & Discussions
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Who (E, M, C)
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What, Where - Outcome of Discussion (Actions Taken)
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Actions Completed by Or Actions Deferred Until
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Category
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Any more UnSafe Acts & Discussion?
UnSafe Acts & Discussion
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Who (E, M, C)
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What, Where - Outcome of Discussion (Actions Taken)
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Actions Completed by Or Actions Deferred Until
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Category
Safety Management Audit Training (Behavioural Coaching) Progress report
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Deferred Action Taken
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Select date
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By Whom
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Any more Deferred Action Taken
Deferred Action Taken
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Deferred Action Taken
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Select date
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By Whom
Workplace Safety Observation (Unsafe Conditions)
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Guidance Notes: During a behaviour coaching session the focus will be on the acts of the manager or the frontline employees who are working within a given area, however it is possible, during the coaching session, that you will also observe unsafe conditions. These cannot be overlooked and must be brought to the attention of the Work Area Managers.
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Location
- Bays 101-110
- Bays 1-10
- Canteen
- First Floor
- Fuel Island
- Mash B
- Midlands
- Mails Verification
- North
- Offices
- Processing
- Soft Seating Area
- South
- Toilets
- Tracked Area
- Yard
- XD
- PROCESSING
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Observed UnSafe Conditions
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Suggested Countermeasure
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Select date
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By whom
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Observed: Unsafe Conditions
Unsafe Conditions
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Location
- Bays 101-110
- Bays 1-10
- Canteen
- First Floor
- Fuel Island
- Mash B
- Midlands
- Mails Verification
- North
- Offices
- Processing
- Soft Seating Area
- South
- Toilets
- Tracked Area
- Yard
- XD
- PROCESSING
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Observed UnSafe Conditions
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Suggested Countermeasure
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Select date
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By whom
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Once the SMAT is completed please email it to your relevant managers
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The coach should leave a copy of the SMAT with the coaches. If no photocopy facilities are available at the office send a copy of the report to the coaches on return to your office.
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To complete the process the coach must load the contents of the SMAT on the national Sharepoint site.