Whsmp · OPW16/0021

                                                                                                            Task Observation
                                                                                                                            HB-HSEQ-F-052
                                                                                                                                Version: 4



1. Observers – (at least 1 subcontractor representative)
Observers Name                                             Position/Role                        Signature
1.

2.

3.


2. Observation Details
Date:                                                      Time:
Number of Persons observed:                                Company being observed:

Project Name:

Location of Observation:
Activity Observed:

Has a SWMS / Risk Assessment been conducted for the task observed?                                  Yes                     No

SWMS/JSA Title:

Have the workers been inducted and signed into the SWMS/JSA?                                        Yes                     No
Does this observation relate to one or more High Risk Activity Events? (Can be multiple selected)
           Mobile Equipment                              Working at Height                       Confined Spaces
           Power Tools                                   Lifting and Cranes                      Hazardous Materials
Does the SWMS/JSA adequately describe the sequence of basic job steps?                              Yes                   No

Are the controls on the SWMS adequate to control the risks identified, & are they                   Yes                   No
being followed?
Were there and additional risks identified?                                                         Yes                   No
Comment:

3. Observation Actions
Safe Behaviours Observed                                                                    Discussions / Feedback




At risk Conditions/ Behaviours Observed                                                         Discussion / Feedback




Further Action (if Required) Corrective Actions
To                            What                                                                       By When