Tomago - Safety Observations

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Contractor Observations Overview

• Created by:

• Observed by:

• Signature of Observer 1:

  Sign

• Select date

  Date

• Additional Observers?

• Additional observed by 2:

• Additional observed by 3:

• Was a contractor observed?

  True

  False

• What contractor was observed?

  Select Adept AES Boom Bureau Veritas Casmat Combustion Instrementation Convatech Demag Downer ECL Filter Cair Instant Access Lawn Care Macs Plumbing MCM Newcastle Weighing Services Rabcon Regain RIG T&C Veolia Veolia AM Veolia APS Veolia Energy Veolia Fabrication Veolia FM Veolia Refreactory OTHER

  • Adept
  • AES
  • Boom
  • Bureau Veritas
  • Casmat
  • Combustion Instrementation
  • Convatech
  • Demag
  • Downer
  • ECL
  • Filter Cair
  • Instant Access
  • Lawn Care
  • Macs Plumbing
  • MCM
  • Newcastle Weighing Services
  • Rabcon
  • Regain
  • RIG
  • T&C
  • Veolia
  • Veolia AM
  • Veolia APS
  • Veolia Energy
  • Veolia Fabrication
  • Veolia FM
  • Veolia Refreactory
  • OTHER

• If 'OTHER', please provide name of contractor:

• Department where observation occurred:

  Select Carbon Carbon - Bake Ovens Carbon - Paste Plant Carbon - Rod Shop Cast Products Cast Products - Dross Cast Products - Ingot & Metal Flow Cast Product - Shipping Cast Product - Value Added Products Health, Safety & Environment Liquid Metal Liquid Metal - Emissions Liquid Metal - Potlines Liquid Metal - PTA/Twin Hopper Workshop Liquid Metal - Reline / Deline Maintenance TAC

  • Carbon
  • Carbon - Bake Ovens
  • Carbon - Paste Plant
  • Carbon - Rod Shop
  • Cast Products
  • Cast Products - Dross
  • Cast Products - Ingot & Metal Flow
  • Cast Product - Shipping
  • Cast Product - Value Added Products
  • Health, Safety & Environment
  • Liquid Metal
  • Liquid Metal - Emissions
  • Liquid Metal - Potlines
  • Liquid Metal - PTA/Twin Hopper Workshop
  • Liquid Metal - Reline / Deline
  • Maintenance
  • TAC

• Task being observed:

• Duration

Observation details

• PPE?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Describe observation:

• Position of people?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Describe observation:

• Ergonomics?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Describe observation:

• Tools and equipment?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Describe observation:

• Housekeeping?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Describe observation:

• Procedures?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Describe observation:

• Mobile Equipment?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Describe observation:

Event

• Non-conformance so should be entered into the EHS online event reporting system.

• If you have raised an event, what is the event number?

• Are you planning to raise an event?

  Yes

  No

  N/A

• If yes, what is the event number?

• Are you planning to raise a notification?

  Yes

  No

  N/A

• If yes, what is the notification number - 2?

• If yes, what is the notification number - 3?

Debrief and Actions

• Is there a debrief?

  debrief conducted

  debrief not conducted

• Action details

• Action Owner

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Due date

  Date

• Further Action required?

• Action details

• Action Owner

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Due date

  Date

• Further Action required?

• Action details

• Action Owner

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Due date

  Date

• Action details

• Action Owner

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Due date

  Date

LTWP / Work Permit

• Are you reviewing LTWP or Work Permit?

  LTWP

  Work Permit

• What is the LTWP number?

• Where were the tasks performed within the scope of the Permit?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Further comments?

• Comments:

• Had the process owner been contacted (sign on in department log book) prior to starting work?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Further comments?

• Comments:

• Contractor team contacted process owner/job controller on completion of the task?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Further comments?

• Comments:

• Are tasks performed in accordance with JSEA/SOP documentation supplied in the permit?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Further comments?

• Comments:

• Are isolation plans held on the job and have been completed by an accredited isolating person?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Further comments?

• Comments:

• Are contractors inducted for area and have appropriate competencies for the tasks included in the JSEA?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Further comments?

• Comments:

• Are all personnel working under the Permit authorised to do so?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Further comments?

• Comments:

• Are the department specific hazards that relate to the tasks in question identified in the JSEA?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Further comments?

• Comments:

• LTWP is still current (No longer than 12 months since issue or last review date)?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Further comments?

• Comments:

• Are all personnel working under the Permit authorised to do so?

  Select Not applicable Not checked Opportunity for improvement Safe Act Safe Condition Unsafe Act Unsafe Condition

  • Not applicable
  • Not checked
  • Opportunity for improvement
  • Safe Act
  • Safe Condition
  • Unsafe Act
  • Unsafe Condition

• Further comments?

• Comments:

Summary

• Addition Comments including engagement questions/answer:

• What is your biggest hazard today? And what are the potential consequences?

• Path:

  Select departments/HSEC/Lists/Safety Observation Other

  • departments/HSEC/Lists/Safety Observation
  • Other

• Other path:

• Additional Contractor Observers to be recorded?

• Contractor Observer 1:

• Contractor Observer 2 (if applicable):