Worker Training Record - Southern Safety SolutioNZ

• Conducted on

  Date

• Observation done by:

• Reason for observation

  Select Routine observation Competency Assessment New employee New task New procedure Incident

  • Routine observation
  • Competency Assessment
  • New employee
  • New task
  • New procedure
  • Incident
• Location
  Address

• Task to be performed

• Person to be observed?

Evaluation

• Is there a Safe Operating Procedure?

  Yes

  No

• Has the worker been provided with a copy to read and the time to go through it with a trainer?

  Yes

  No

• Does the Worker have any learning difficulties or use English as a second language?

  Yes

  No

• Ensure Worker understands information. If possible provide worker with instructions in their preferred language, diagrams or provide assistance from a translator e.g another worker.

• Was the procedure followed?

  Yes

  No

• What part of the procedure did they not follow?

• Worker should not be deemed competent. Schedule follow up training and reassess at a later date.

• Did the worker demonstrate that he/she understood the SOP?

  Yes

  No

  N/A

• What did they not do correctly?

• Tools and equipment suitable for the task?

  Yes

  No

  N/A

• Is there sufficient number of tools for the task?

  Yes

  No

  N/A

• Will it be safer to preform the task with other equipment?

  Yes

  No

• If yes, what type of equipment?

• Correct selection and use of PPE?

  Select Boots Glasses Face Shield Hearing Protection Dust Mask Gloves Harnesses Hi Vis Hard Hat Welders Mask

  • Boots
  • Glasses
  • Face Shield
  • Hearing Protection
  • Dust Mask
  • Gloves
  • Harnesses
  • Hi Vis
  • Hard Hat
  • Welders Mask

• Health and safety of other personnel considered?

  Yes

  No

  N/A

• Work orderly and good house keeping practices followed?

  Yes

  No

  N/A

• Hazards identified and addressed

  Yes

  No

  N/A

• Is demarcation required, suitable,and effective?

  Yes

  No

  N/A

• When performing the task, can any of the following can happen?

  Select The worker be caught in or between something The worker can strain or overexert himself The worker can be burned Insufficient air Something can fall on worker The worker has to take up an unsafe position The worker can fall

  • The worker be caught in or between something
  • The worker can strain or overexert himself
  • The worker can be burned
  • Insufficient air
  • Something can fall on worker
  • The worker has to take up an unsafe position
  • The worker can fall

• What can be done to manage this?

• Has the worker been trained on the manual handling policy?

  Yes

  No

• Schedule in Manual Handling training for Worker

  Select New SOP Modify existing SOP Repair any damaged equipment Rearrange equipment Introduce new H&S rule Retrain worker Do ergonomic study

  • New SOP
  • Modify existing SOP
  • Repair any damaged equipment
  • Rearrange equipment
  • Introduce new H&S rule
  • Retrain worker
  • Do ergonomic study

• Any further comments

• Was the employee found competent in the task?

  Yes

  No

• Any further comments

• Recomendations

  Select New SOP Modify existing SOP Repair any damaged equipment Rearrange equipment Introduce new H&S rule Retrain worker Do ergonomic study

  • New SOP
  • Modify existing SOP
  • Repair any damaged equipment
  • Rearrange equipment
  • Introduce new H&S rule
  • Retrain worker
  • Do ergonomic study

• Comments

• Site supervisor

  Sign

• Observer signature

  Sign

• Person observed

  Sign

• Add media

  Media