Template Information
Visy hse 030-hse form 805
Category: manufacturing
Template Questions
- What task / activity is being observed?
- PHOTO IF REQUIRED
- PERSONAL SAFETY
- STANDARD WORKING PROCEDURES
- SAFE WORK PRACTICE
- HOUSEKEEPING
- TOOLS & EQUIPMENT
- PPE
- PARTICULAR SITE HAZARDS OR CURRENT TOOLBOX TOPICS TO LOOK OUT FOR - LIST BELOW
- Safe acts observed
- Unsafe acts observed
- SAFETY CONVERSATIONS
- 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
- Record Actions
- Observer 1
- Observer 2