TWC Services Safety Observation Report

• Conducted on

  Date

• Prepared by

Observation Notes:

Vehicle

• Condition?

  Safe

  At Risk

  N/A

• Vehicles parked to pull out?

  Yes

  No

  N/A

• Securement of roof items/materials, Securement of stock and tools?

  Safe

  At Risk

  N/A

Work Access and Surroundings

• Best location of ladder for task?

  Safe

  At Risk

  N/A

• Ladder set up / secured?

  Safe

  At Risk

  N/A

• Ladder condition?

  Safe

  At Risk

  N/A

• Hazards to others / self controlled?

  Safe

  At Risk

  N/A

Work Process

• Fall Protection?

  Safe

  At Risk

  N/A

• Safe electrical work practices / LOTO

  Safe

  At Risk

  N/A

• Best material handling?

  Safe

  At Risk

  N/A

• Proper use / condition of tools?

  Safe

  At Risk

  N/A

• PPE being worn? (Gloves, glasses,hard hats,etc.)

  Safe

  At Risk

  N/A

• Chemical exposure controlled?

  Yes

  No

  N/A

Non-Routine tasks

• Think Watch Control?

  Safe

  At Risk

  N/A

Other

• Items not noted on report?

  Yes

  No

  N/A

• Safety best practices?

  Yes

  No

  N/A

• Safety Observer

  Sign