Title Page
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Date
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Host Name(s)
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VFL carried our by:
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Location
Work Observed and Tasks Performed
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Director or senior manager to write a summary of the works being observed and of the specific tasks being performed by those employees engaged with during the VFL:
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Observation
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Try asking questions like these
• Have you heard about Zero Code?
• What do you think about the ‘Shout Out Card’
• Have you had an experience where you could have used ‘Shout Out’?
• What can we do better in safety?
• Are there any jobs that you think are difficult or dangerous?
Please remember you don’t have to provide instant solutions or answers. The objective is to give people the chance to share their views and experience with you.
Ready to Go
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• I will attend work, drive vehicles and operate equipment knowing that I am fit and well • I will always make sure risks have been assessed and that I understand them • I am clear on what my role is and the value I add to my team.
Kitted Out
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• I will only use the tools and equipment provided and approved for the task • I will only carry out tasks that I am trained and competent to do • I will always wear the appropriate personal protective equipment for the job.
Stick to the Plan
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• I will make sure I know and understand the plan • I will always check that I am following processes and safe systems of work • If things change I will re-assess and only start work again when it is safe to do so.
Stay Alert
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• I will always make sure I am in the safest working position • I will remain alert to what is happening around me and react accordingly to stay safe • I will ‘Shout Out!’ if anything is unacceptable, to keep myself and others around me safe.
Other Comments and Observation
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Write your Comments and Observations
Actions
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Any actions needed for employees?
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Any actions needed for Host?
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Any actions needed for Director/Senior Manager(s)?
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Any additional Multimedia (e.g. photos)?
Completion
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Completed by: (Name and Signature)
