WGPSN Workplace Inspection/Observation

• Workplace Inspection /Observation

• Work order No:

• Permit No:

• Asset No:

• Site Location

• Conducted on

  Date
• Location
  Address

• Personnel conducting

• Persons Consulted

SAFE/UNSAFE BEHAVIOUR

• PPE use - Gloves, face shields, safety glasses, long/long, aprons

  Yes

  No

  N/A

• Eyes on Job - Pinch points, trip hazards

  Yes

  No

  N/A

• Path of Travel - Exclusion zone, close to operational plant

  Yes

  No

  N/A

• Work posture and handling - Manual handling considered, slips, trips, falls

  Yes

  No

  N/A

• Pre-Start meetings - Communication clear, daily activities discussed

  Yes

  No

  N/A

• Line of Fire - Possible contact with moving objects, tools energy (hot/cold/electrical)

  Safe

  At Risk

  N/A

CULTURE

• Two-Way communication - People speaking up and being involved

  Yes

  No

  N/A

• Training / knowledge - Ask ‘What is your understanding of procedure/process/SMI?’

  Yes

  No

  N/A

• Understanding Evident - People following documents and policies and know why

  Yes

  No

  N/A

• Care for others - People intervening on safety outside their own work with others

  Yes

  No

  N/A

• Safety of Operations -Operations are clearly safety focused, time vs. safety

  Yes

  No

  N/A

• Resources - Adequate personnel to support safe operations

  Yes

  No

  N/A

WORK PRACTICES

• Planning - SWMS/JSA/TRA being used, understood, planned, reviewed

  Yes

  No

  N/A

• Housekeeping - Clean areas, workspaces, exits clear

  Yes

  No

  N/A

• SWMS/JSA/TRA - Being used, understood, planned, reviewed, & signed

  Yes

  No

  N/A

• Barricading - Adequate for task, achieving its objective

  Yes

  No

  N/A

• Competency - Training has been conducted, skills are documented, site inducted

  Yes

  No

  N/A

• Signage & Visibility - Available and understood, visible to all personnel

  Yes

  No

  N/A

• Environmental - Spills are contained, chemicals are monitored

  Yes

  No

  N/A

• Fire Alarms - Isolated

  Yes

  No

  N/A

HIGH RISK ACTIVITIES

• Excavations - Benched, safe egress, barricaded

  Yes

  No

  N/A

• High & Low Voltage - Electrical test & tagged, rescue equipment available, & in-date

  Yes

  No

  N/A

• Working at Heights - Harnesses are attached, fall protection used

  Yes

  No

  N/A

• Confined Spaces - Monitoring in place, rescue resources available, good communication with spotter

  Yes

  No

  N/A

• Plant & Equipment - Clearly identified, clean, load limits visible and known, test equipment within calibration date

  Yes

  No

  N/A

• Hazardous Substances - Secure storage, spill containment understood. Are MSDS’ available & up-to-date?

  Yes

  No

  N/A

• Occupational Diving

  Safe

  At Risk

  N/A

OTHER

• What job are you undertaking ? (Record safe behaviours and other positive observations)

• What planning and actions did you take before starting the job to ensure you & your co-workers were as safe as possible ?

• What are the hazards identified in the permit and are they being adhered to ? (Is the team aware of the hazards and are they using sufficient controls ?)

• What will you do to ensure the work area is left safe when you are finished ?

• Add a drawing to assist identification of opportunity for improvement

  Drawing

• Add signature

  Sign

NOTE* This is an IPad/IPhone version of HSEQ-FRM-044.1