What Critical Risks Are Associated With The Works? (Please Tick )

Enquire about recent incidents and Critical Risks present on Site

Observe a task involving Critical Risks and confirm Critical Controls are identified and implemented

Review SWMS/JHA for work task. Confirm all Critical Risks and Critical Controls are identified and the workgroup have reviewed and understand the SWMS/JHA

Observations (describe what you saw/discussed with a focus on Critical Risk and Critical Controls)

Actions (describe what you did to promote positive HSSE behaviors and address ‘at risk’ behaviors)

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UTrac Record Number

Leaders Signature