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    03-F10 Planned Job Observation

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    Sn Ahsan
    This document is a hazard identification and risk assessment form used to report on planned job observations. It contains sections for documenting the job/task observed, date, names of the observer and observed worker, and the reason for the observation. An evaluation section lists yes/no questions about whether safe procedures were followed. Recommendations for improving safety can be noted along with signatures. Causes of any issues are analyzed to identify deficiencies in the occupational health and safety management system.

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    03-F10 Planned Job Observation

    Uploaded by

    Sn Ahsan
    2K views1 page
    This document is a hazard identification and risk assessment form used to report on planned job observations. It contains sections for documenting the job/task observed, date, names of the observer and observed worker, and the reason for the observation. An evaluation section lists yes/no questions about whether safe procedures were followed. Recommendations for improving safety can be noted along with signatures. Causes of any issues are analyzed to identify deficiencies in the occupational health and safety management system.

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    This document is a hazard identification and risk assessment form used to report on planned job observations. It contains sections for documenting the job/task observed, date, names of the observer and observed worker, and the reason for the observation. An evaluation section lists yes/no questions about whether safe procedures were followed. Recommendations for improving safety can be noted along with signatures. Causes of any issues are analyzed to identify deficiencies in the occupational health and safety management system.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    2K views1 page

    03-F10 Planned Job Observation

    Uploaded by

    Sn Ahsan
    This document is a hazard identification and risk assessment form used to report on planned job observations. It contains sections for documenting the job/task observed, date, names of the observer and observed worker, and the reason for the observation. An evaluation section lists yes/no questions about whether safe procedures were followed. Recommendations for improving safety can be noted along with signatures. Causes of any issues are analyzed to identify deficiencies in the occupational health and safety management system.

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    © All Rights Reserved
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    Download as doc, pdf, or txt
    of 1

    HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)

    OHS-PR-02-09-F10 PLANNED JOB OBSERVATION REPORT

    JOB/TASK: DEPARTMENT:
    DATE: TIME:
    NAME (Person Observing): NAME (Person Observed):
    REASON FOR OBSERVATION
    1 NEW WORKER 2 GOOD PERFORMER
    3 POOR PERFORMER 4 WORKER WITH KNOWN ABILITY PROBLEM
    5 RISK TAKER 6 ROUTINE OBSERVATION
    7 ACCIDENT/ INCIDENT (INJURY) 8 INCIDENT (DAMAGE)
    EVALUATION
    EVALUATION YES/NO/NA COMMENTS
    1 SAFE AND LOGICAL STEPS FOLLOWED
    2 RISK ASSESSMENT AND JOB SAFE PROCEDURE
    CONDUCTED / ATENDED
    3 WORK PERMIT AND / OR LOTO APPLIED
    4 USED CORRECT TOOLS
    5 USED CORRECT P.P.E.
    6 WORK PLACE SAFE
    7 CONSIDERED OTHE OTHER WORKERS IN THE AREA
    8 WORK ORDERLY AND CLEAN UP
    9 HAZARDS RECOGNISED AND CORRECTED
    COMMENTS AND FINDINDS

    RECOMMENDATIONS
    RECOMMENDATIONS YES/NO PERSON RESPONSIBLE SIGNATURE DATE
    1 WRITE NEW JSP
    2 MODIFY EXISTING JSP /PTW
    3 MODIFY OR UPDATE RISK ASSESSMENT
    4 REPAIR EQUIPMENT
    5 REARRANGE EQUIPMENT / WORKPLACE
    5 INTRODUCE NEW OR MODIFY OHS RULE
    6 RETRAIN WORKER
    7 DO ERGONOMIC STUDY
    8 OTHER:
    REVIEWED WITH EMPLOYEE (AGREEMENT ON ACTION OF RECOMMENDATIONS)

    SIGNATURE OBSERVER: SIGNATURE EMPLOYEE:

    BASIC (ROOT) CAUSES ANALYSIS


    INADEQUATE CAPABILITY INADEQUATE PURCHASING
    LACK OF KNOWLEDGE (COMPETANCY) INADEQUATE MAINTENANCE
    STRESS – PHYSICAL OR MENTAL INADEQUATE TOOLS AND OTHER EQUIPMENT
    IMPROBER MOTIVATION / BEHAVIOUR INADEQUATE WORK STANDARDS
    INADEQUATE SUPERVISION/LEADERSHIP ABUSE OR MISUSE
    INADEQUATE ENGINERING/EQUIPMENT/SAFETY DEVICES INADEQUATE ERGONOMIC DESIGN
    Note: These are deficiencies in your OHS Management System that needs to be corrected.

    Page 1 of 1 Rev. 01 [May - 2020] OHSMS Approved


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