Scribd Logo
Upload

Welcome to Scribd!

  • Planned Task Observation Worksheet

    Uploaded by

    grant
    1K views1 page
    This document appears to be a planned task observation worksheet for evaluating safety practices and potential barriers. It includes categories for personal protective equipment, body positioning, tools, job planning, work environment, safety procedures, and other issues. Observers are to note what safe practices or risks are observed, and any potential barriers to safe practices according to reference numbers that seem to indicate common reasons workers may not follow certain safe practices.

    Original Description:

    Original Title

    PLANNED TASK OBSERVATION WORKSHEET.doc

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document appears to be a planned task observation worksheet for evaluating safety practices and potential barriers. It includes categories for personal protective equipment, body positioning, tools, job planning, work environment, safety procedures, and other issues. Observers are to note what safe practices or risks are observed, and any potential barriers to safe practices according to reference numbers that seem to indicate common reasons workers may not follow certain safe practices.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    1K views1 page

    Planned Task Observation Worksheet

    Uploaded by

    grant
    This document appears to be a planned task observation worksheet for evaluating safety practices and potential barriers. It includes categories for personal protective equipment, body positioning, tools, job planning, work environment, safety procedures, and other issues. Observers are to note what safe practices or risks are observed, and any potential barriers to safe practices according to reference numbers that seem to indicate common reasons workers may not follow certain safe practices.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    AVON PPP

    PLANNED TASK OBSERVATION WORKSHEET

    Name of person performing the task ______________________ Date: _______________


    Location: __________________________________________
    Task being performed: _____________________________
    No of people observed: ______________
    Name of observer: __________________________ BARRIERS BARRIER
    REF No
    No KEY SAFE PRACTICE KSP SAFE AT BARRIER Thinks this way is safe 8.1
    REF RISK Disagrees with observer on safe practice 8.2
    No Doesn’t think a specific work practice 8.3
    1.0 PERSONAL PROTECTIVE EQUIPMENT applies to the task that he is doing
    Hand Protection 1.1 Personal choice / taking short cuts 8.4
    Eye and Face Protection 1.2 Aware of hazard / too rushed / extra work 8.5
    Head Protection 1.3 No specific safe practice defined for the 8.6
    Foot Protection 1.4 job
    Hearing Protection 1.5 Inadequate PPE / Safety Equipment 8.7
    Respiratory Protection (SCBA) 1.6 Unaware of Risks associated with work 8.8
    Personal Floatation Devices 1.7 location
    Fall Protection 1.8 Unaware of risks associated with work 8.9
    Overalls 1.9 Lost focus / not thinking about task at 8.10
    Confined Space Monitoring (Gasses, etc) 1.10 hand
    2.0 BODY USE AND POSITION Different design of facilities or equipment 8.11
    Line of fire 2.1 needed
    Pinch Points 2.2 Proper tool not available 8.12
    Mobility – eyes on walkway / path 2.3 Supervisor supports doing job this way 8.13
    Eyes on work being performed 2.4 Current work process / system 8.14
    General Ergonomics 2.5
    3.0 TOOLS
    Tool use / Selection 3.1 COMMENTS KSP No
    Condition of Tools 3.2 WHAT / RISK OBSERVED / BARRIERS
    Storage of Tools 3.3
    Use of ladders and stairs 3.4
    4.0 JOB PLANNING
    Toolbox / Crew Talk done or attended 4.1
    Correct Work Permit in Place 4.2
    Permits / SWP / Risk Assessments 4.3
    communicated
    Lockout / Tag out done correctly 4.4
    5.0 WORK ENVIRONMENT
    Walking / Working surfaces 5.1
    Housekeeping 5.2
    Spill Prevention / waste control 5.3
    Barriers / Signage / Guards 5.4
    6.0 SAFETY PROCEDURES
    Familiar with / understands Emergency 6.1
    Procedure
    SOP’s or SWP’s 6.2
    Crane Operations / Lifting Equipment 6.3
    Rigging Practices 6.4
    Material Handling 6.5
    Boatswains Chair 6.6
    Hoists 6.7
    Transporting of Material 6.8
    7.0 OTHER ISSUES
    7.1
    7.2

    You might also like