Safety observation checklist

Template Information

Category: general

Template Questions

  • This checklist is used to document the safety observation process as set out in 4.4.5 Safety Observat
  • Time Date
  • Name of observer/s
  • Location of observation Address
  • Task observed (e.g. RBT, Search Warrant, Operation, etc)
  • Photographs of activity
  • Manager/supervisor of staff being observed
  • No of workers being observed
  • Category A – Worker Activity
  • Category B – Opportunities for injury due to site set up
  • Details of unsafe conditions not rectified on site by end of observation
  • Contact manager/supervisor of staff and advise of unsafe conditions to be rectified
  • Report prepared by
  • Document distribution:1) Original form to be kept on-site in the audit evidence folder for 5 years2)