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    Task Observation Form

    Uploaded by

    Prakash Sharma
    This document is a task observation form used to record inspections of tasks and activities. It collects details of the date, time, location, people involved, equipment used, risks identified, safety procedures followed, and any issues or actions needed. The form is used to ensure tasks are performed safely according to procedures and identifies areas for improvement.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Task Observation Form

    Uploaded by

    Prakash Sharma
    82 views3 pages
    This document is a task observation form used to record inspections of tasks and activities. It collects details of the date, time, location, people involved, equipment used, risks identified, safety procedures followed, and any issues or actions needed. The form is used to ensure tasks are performed safely according to procedures and identifies areas for improvement.

    Original Description:

    Task observation form

    Original Title

    Task observation Form

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    © © All Rights Reserved

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    This document is a task observation form used to record inspections of tasks and activities. It collects details of the date, time, location, people involved, equipment used, risks identified, safety procedures followed, and any issues or actions needed. The form is used to ensure tasks are performed safely according to procedures and identifies areas for improvement.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    82 views3 pages

    Task Observation Form

    Uploaded by

    Prakash Sharma
    This document is a task observation form used to record inspections of tasks and activities. It collects details of the date, time, location, people involved, equipment used, risks identified, safety procedures followed, and any issues or actions needed. The form is used to ensure tasks are performed safely according to procedures and identifies areas for improvement.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Task Observation form

    Main Form Details

    Date: Time:

    Task or activity:

    Location:

    Inspection team leader:


    (Person conducting the PTO) Signature:

    Inspection team member:


    (Person being observed) Signature:

    Contract company (if applicable):

    Equipment involved (include plant number if applicable):

    Risk management method used prior to starting this task:

    o None o RA/FLRA o Work Permit o Safe Work Procedure


    Hazard Targeted:

    o None o Scaffolding
    o Energy Isolation o Lifting and Rigging
    o Working at Height o Excavation
    o Confined Space Entry o Hot Work
    o Mobile Equipment o Other:
    o Electrical Safety
    Planned Task Observation

    Name of SOP, plan or procedure reviewed:

    Critical controls checked (e.g. Correct tools used, correct work posture used, LOTOTO done, risk assessment done, Correct use of
    PPE…what was done to make work safe?)

    Is the latest RA/FLRA, procedure available for task?  YES  NO

    Observation classification (tick box below):

     Safe behaviour  At risk behaviour  Safe condition  Unsafe condition


    Task Observation form

    Observation summary & immediate actions taken (if applicable)::

    Issue

    Issue relates to:

    o Competency o Health and hygiene o Position of person(s) o Procedures


    o Environment o Housekeeping o Tools and equipment o Other:
    o Fitness for work o Work procedure o Work condition
    Issue details:

    Is this issue related to a Fatal Hazard? If YES, please choose below!

    o None o Scaffolding
    o Energy Isolation o Lifting and Rigging
    o Working at Height o Excavation
    o Confined Space Entry o Hot Work
    o Mobile Equipment o Other:
    o Electrical Safety
    Planned Task Observation

    Action assignment

    Action required Assigned to Signature Due date Action approved Approver ( Min level HOD)

    No pending actions o YES o NO


    o YES o NO
    o YES o NO
    o YES o NO
    o YES o NO
    o YES o NO
    o YES o NO
    o YES o NO
    o YES o NO
    o YES o NO
    o YES o NO
    o YES o NO
    o YES o NO
    o YES o NO
    o YES o NO

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