Information
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Location
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Conducted on
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Observer:
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Contractor/Staff:
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Task Being Observed:
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Client
- KiwiRail
- Z Energy
- BNZ
- Enable NZ
- Plunket
- AHC
- Wellington City Council
- GWRC
- TransDev
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WAS A PRE-JOB BRIEFING, TOOLBOX CONDUCTED PRIOR TO WORKS COMMENCING ?
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ARE SWMS, JSA's, Take 5 or SWI's BEING USED TO CONTROL HAZARDS ONSITE
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HAVE WORKERS BEEN INDUCTED (Site Specific or Company)
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What is the biggest safety concern on this job?
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Have there been recent close calls? What happened? What did we do about it?
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How can someone get hurt doing this task? How have we avoided that?
CATEGORY A - Personal Protective Equipment
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All PPE is in good condition and fit for purpose.
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The Correct PPE is being used for the task
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Hard Hats (In date)
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Safety Glasses (if Required)
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Hearing Protection (if Required)
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Correct Footware (Steel Cap,Protective Toe)
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Other:
CATEGORY B - General Awareness
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Workers are aware of, and observant of, nearby hazards.
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Workers are aware of heavy equipment and demonstrate effective practices to remain clear.
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Workers are focused on the task and are free of distraction.
CATEGORY C - Work Practices
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Work Area's are coned off, barricaded appropriately
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Potential Exposure to Gas/Heat/Fumes/Temp have been addressed (if required)
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Tools in use are appropriate for the task and are used correctly.
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Housekeeping is maintained to provide an organised / clean work area. (Slips, Trips and Falls Addressed)
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Electrical Leads are Tagged and Fit for Purpose
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Where Required a Permit to Work has been Issued and copies onsite (Hot Works, Confined Spaces, At Height, )
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Workers are competent to undertake At Heights, Confined Spaces Hot-Works etc. Use of Machinery EWP's, Diggers etc
CATEGORY D - Communication
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Workers understand Duties in regards to HSE. IE; Responsible for their's and other workers Safety, Identifying Hazards, Controlling Hazards, Incident Reporting. Workers must take reasonable care of their own health and safety and reasonable care that others are not harmed by something they do or don’t do. They must also follow any reasonable instructions given to them by the PCBU, and cooperate with any reasonable health and safety policy or procedure.
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Workers are provided with and accept clear direction.
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Workers are aware of adjacent work and have briefed others on their work. Multiple WorkSites
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Teamwork is evident.
Observation Feedback
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Feedback Provided
Sign Off
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Observer:
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Auditee:
