Task Observation Form

• Audit Title

• Observer/s:

• Conducted on

  Date

• Activity Observed:

• Person's/Contractors Observed:

• Project:

• Location
  Address

• SHEWMS Ref:

Telecommunications Safety Essentials

• Choose those relevant to work activity

• 1. Electrical Work

  Yes

  No

• 2. Working at Height

  Yes

  No

• 3. Driver Alertness

  Yes

  No

• 4. Working in the Vicinity of Utility Services

  Yes

  No

• 5. Excavation Works

  Yes

  No

• 6. Working in the Vicinity of Vehicular Traffic

  Yes

  No

• 7. Working in and around Mobile Plant

  Yes

  No

• 8. Working in Remote or Isolated Locations

  Yes

  No

• 9. Heavy Lifting

  Yes

  No

• 10. Exposure to Asbestos

  Yes

  No

Observations

• Housekeeping (HK)

  MRO

  ARB

  ARS

• Details:

• Personal Protective Equipment (PPE)

  MRO

  ARB

  ARS

• Details:

• Body Position (BP)

  MRO

  ARB

  ARS

• Details:

• Job Focus (JF)

  MRO

  ARB

  ARS

• Details:

• Work Methods / SHEWMS (WM)

  MRO

  ARB

  ARS

• Details:

Corrective Actions

• Are there any corrective actions as a result of observations?

  Yes

  No

• Enter Corrective Action

Corrective Action

• Corrective Action:

• By Who:

• By When:

  Date

Sign-off

• Observers signature:

  Sign

Findings

• (MRO) MINIMAL RISK OBSERVED: Critical risks understood and safe practices observed.
  (ARB) AT RISK BEHAVIOUR: An act, obviously unsafe and not controlled
  (ARS) AT RISK SITUATION: A condition, obviously unsafe and not controlled
  
  

Category

• (WM)
  • SHEWMS / Risk Assessment: Available and specific to activity, highlights applicable hazards (particularly Safety Essentials), signed and understood by workers, effective at reducing risk, complies with Safety Essentials requirements
  • Adherence to SHEWMS / Risk Assessment
  • Isolations, tags, permits,
  • Tools appropriate for job, maintained and used correctly
  

• (PPE)
  • Eyes and Face
  • Ears
  • Feet and Legs
  • Respiratory
  • Hands and Arms

• (HK)
  • Work area clear of slip and trip hazards
  • Storage of equipment and materials adequate
  • Registers up to date
  • Field Workforce Information Pack available and up to date

• (JF)
  • Eyes on task
  • Distractions
  • Rushing
  • Short cuts
  • Improvisation
  • Verbal interaction
  • Awareness of others

• (BP)
  • Posture
  • Repetitive movements
  • Lifting of objects
  • Footing
  • Inhaling
  • Falling
  

Notes

• • The purpose of the Task Observation is to observe and interact with workers to so that hazards and risks associated are highlighted and discussed to prevent injury / illness.
  • Observations should focus on the work methods of the activity and always include a review of the applicable SHEWMS / Risk Assessment.
  • The SHEWMS / Risk Assessment should be specific to the task / activity being performed and effectively control risk associated with the hazards presented with the work.
  • Observations should be focused and of a short duration (approx. 20 - 30 minutes).
  • Observers should focus on good practices as well as detecting poor practices and provide comments to reflect this.
  • Stop the job and conduct a discussion with the crew/individual if at risk behaviour or situations are observed. Use mutual discussion to identify appropriate action and gain commitment to change.
  • It is the responsibility of the observer to ensure that prompt follow-up actions occur.
  • Enter observation into Cintellate as soon as possible with applicable actions from observation