TOES (Tour - Operations - Environment - Safety)

• People Conducting Audit

• Area of inspection

• Conducted on

  Date
• Location
  Address

SECTION 1: Hazard Identification Assessment & Control

Hazard 1

• Issue/s Identified

• Add photo

  Media

• Action required

• Person Responsible

  Notified at time

  Not yet notified

Hazard 2

• Issue/s Identified

• Add photo

  Media

• Action required

• Person Responsible

  Notified at time

  Not yet notified

Hazard 3

• Issue/s Identified

• Add photo

  Media

• Action required

• Person Responsible

  Notified at time

  Not yet notified

Hazard 5

• Issue/s Identified

• Add photo

  Media

• Action required

• Person Responsible

  Notified at time

  Not yet notified

Hazard 6

• Issue/s Identified

• Add photo

  Media

• Action required

• Person Responsible

  Notified at time

  Not yet notified

SECTION 2a: Discussion of key safety messages (Worker)

SafeROAD

• Do you know what a SafeROAD is?

  Yes

  No

Incident Investigation

• Can you recall any recent safety incidents that have occurred in your area?

HSE Communication

• What was the last Safety Talk about?

• Tell me one key safety issue or improvement opportunity you have in your area?

Fit for Work

• Do you and your team undertake the stretching/warm up routine each day?

• How would you rate the compliance and the correctness of each of you doing the exercises? 0 being Poor 10 being Excellent

SECTION 2b: Discussion of key safety messages (Manager/Supervisor)

SafeROAD

• What actions have been/are being taken to resolve/follow up any unsafe acts?

• Do you recall a recent safety observation and what actions were taken?

  Yes

  No

  N/A

Incident Investigation

• Describe a recent Significant Incident Investigation you had to complete and what was the root cause?

• What controls did you put in place to stop it happening again? Are you comfortable that this will not occur again, if not what more can you do?

HSE Communication

• How did you deliver your last safety talk? What was the response from workers?

• Do you feel your method of delivery was effective?

  Yes

  No

  N/A

• What other ways do you communicate with your team on HSE issues?

Buddy SafeROAD

Auditor 1

• Workers Name and Title

• Observed behaviour

  Safe

  At Risk

  N/A

• Observation Category

  Select Vehicles in Depot Manual Tasks Forklift & Scooter Machinery & Equipment PPE Housekeeping

  • Vehicles in Depot
  • Manual Tasks
  • Forklift & Scooter
  • Machinery & Equipment
  • PPE
  • Housekeeping

• Description of act.

• Details of Worker agreement

• Control actions (if required)

Auditor 2

• Workers Name and Title

• Observed behaviour

  Safe

  At Risk

  N/A

• Observation Category

  Select Vehicles in Depot Manual Tasks Forklift & Scooter Machinery & Equipment PPE Housekeeping

  • Vehicles in Depot
  • Manual Tasks
  • Forklift & Scooter
  • Machinery & Equipment
  • PPE
  • Housekeeping

• Description of act.

• Details of Worker agreement

• Control actions (if required)

Auditor 3

• Workers Name and Title

• Observed behaviour

  Safe

  At Risk

  N/A

• Observation Category

  Select Vehicles in Depot Manual Tasks Forklift & Scooter Machinery & Equipment PPE Housekeeping

  • Vehicles in Depot
  • Manual Tasks
  • Forklift & Scooter
  • Machinery & Equipment
  • PPE
  • Housekeeping

• Description of act.

• Details of Worker agreement

• Control actions (if required)

SECTION 4: Summary and Sign Off

• Additional comments

• Potential severity of Observation 1

• Potential severity of Observation 2

• Auditor 1

  Sign

• Auditor 2

  Sign

• Auditor 3

  Sign