Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

ISSUE

  • For any issues identified during this review, provide comments below the question, including any actions taken already, PER written (document PER#)

  • If a JSA WAS USED IN THE PRE-job briefing, did it adequately cover all of the hazards and control measures?

  • If a JSA was not used in the Pre-job briefing, did the Pre-job briefing checklist cover all of the hazards and control measures?

  • If a JSA was not used in the Pre-job Briefing, should a JSA be developed for this job?

  • Are there recommended changes to the work that could have improved the safe or efficiency of the work, I.e. PPE, work environment, tools, materials, equipment, etc.?

  • Were there any unexpected occurrences or a near miss during performance on the job?

  • Was the task accomplished with expected results?

  • Is any enhancement to work documentation warranted, I.e. we're procedures/step text complete and accurate, any print or schematic discrepancies, etc.?

  • Was planning and scheduling optimized to reduce the potential for human error?

  • Was material on hand and staged prior to beginning job.

  • We're lessons learned that change the way the job should be performed, recorded, passed on to others, and entered into MAXIMO as appropriate?

  • Did supervision provide the needed support and appropriate guidance when necessary?

  • Did you notice any human factor issues, improper or missing labels, or any significant physical hindrances to the performance of the work?

  • Did all workers have proper training needed or required to successfully and efficiently complete the the job?

  • Was the work area clean and housekeeping adequate?

  • Did all involved with the work understand their individual responsibilities?

  • Is additional follow up required from this POST-JOB Review.<br>( if YES, then the Foreman/Supervisor/Lead Performer is responsible to provide this feedback to the responsible group for action. )

  • NOTE: This form must be retained for 30 days or until work order/package is closed.

  • INTERVENTIONS:

  • NEAR MISSES:

  • LESSONS LEARNED:

  • ATTENDEES:

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.