Information

  • The purpose of this observation is to ensure that KD's contractors are performing specific tasks safely.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Observers (at least 1 subcontractor representative)

Observor 1

  • Name?

  • Company/Position/Role?

  • Signature

Observer 2

  • Name?

  • Company/Position/Role?

  • Signature?

Observation Details

  • Number of Persons observed:

  • Company being observed:

  • Project Name:

  • Location of Observation:

  • Activity Observed:

  • Purpose of Observation

Procedures

  • Has a SWMS/Risk Assessment been conducted for the task observed?

  • SWMS/JSA Title:

  • Does the SWMS/JSA adequately describe the sequence of basic job steps?

  • Has the worker been inducted and signed into the SWMS/JSA?

  • Are the controls on the SWMS adequate to control the risks identified, & are they being followed?

  • Has a Take 5 been conducted?

  • Has lock-out tag-out been conducted as per procedure?

Training

  • Are the personnel trained and competent?

  • How is the training delivered?

  • Where and how are the training records kept?

  • Have all personnel been inducted?

PPE

  • Are personnel wearing the appropriate PPE?

  • Is the PPE in good working order?

Housekeeping

  • Is the area clean and tidy?

Mobile Plant and Equipment

  • Is there any Mobile Equipment being used?

  • Are the personnel trained and competent to use the plant and equipment?

  • Has the equipment been pre-started and is it in good working order?

  • Is the equipment regularly serviced?

  • Is safety guarding in place and appropriate?

High-Risk Activites

  • Working at Heights

  • Hot works

  • Confined Spaces

  • Lifting and Cranes

  • Hazardous substances

Tools and Equipment

  • What tools and equipment is being used?

  • Do any of the tools require pre-start and has it been conducted?

  • Power Tools

  • Are tools in good working order?

  • Are the tools appropriate for the task being conducted?

Competency Questions

  • Who is being questioned?

  • What would you do if there was an emergency?

  • Where is the emergency stop or isolation point?

  • What do you do if there is an incident?

  • What are some risks in relation to this task and what controls do you have in place?

  • Were there any additional risk identified?

  • Comments?

  • Safe behaviours observed? and Feedback?

  • At risk behaviours observed? and Feedback?

  • Further action required ? What? By when?

  • Are there any preventative actions or OFI's raised out of this inspection?

  • If so, Comments?

  • Close out Date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.