Are the workers being observed working in a safe work place?Consider proximity to mobile equipment, exertion and loads lifted, slip and trip hazards, exposures to heat and fumes or proximity to energy sources and task repetition
STANDARD WORKING PROCEDURES
Are working procedures adhered too?Consider if procedures are not clear, not known , not followed , is a permit to work required, is isolation correct. Is an SOP available and being followed.
SAFE WORK PRACTICE
Are safe work practices being adhered too?Consider body posture , twisting , turning , straining , pushing or pulling loads. Should loads be lifted by two workers , Locks and danger tags used. Isolations correct . Worker is observant and careful when walking .
Rate the housekeeping in the areaConsider waste , tidiness, Is the workplace orderly . Are tools and equipment stored correctly, Are there hoses around whioch could be a trip hazard
If the rating is less than 7, enter details
TOOLS & EQUIPMENT
Are tools and equipment being used, Safe?Consider their condition , right tool for the job and are they used correctly
PARTICULAR SITE HAZARDS OR CURRENT TOOLBOX TOPICS TO LOOK OUT FOR - LIST BELOW
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Are there any risks present for the listed hazards ?
List the risks ?
Safe acts observed
Unsafe acts observed
IS A SAFETY CONVERSATION REQUIRED?Ask if the worker has carried out a Stop and Think check today?
1. Check that it is safe to have a conversation2. Start with a Positive Comment.3. DiscussConsequences of the unsafe act (if observed)Safer ways to do the task / process4. Gain agreement on improvements5. Discuss any other safety issues6. Thank the employee.
How do you feel it went?
DISCUSS BETWEEN THE OBSERVERS HOW THE SAFETY CONVERSATION/ DISCUSSION COULD BE IMPROVED?
List corrective action required
List any hazards or near miss incidents to be entered in Vault
Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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