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Rotek Engineering: Safety Observation Checklist
Rotek Engineering: Safety Observation Checklist
Engineering
2:00 min
Name of Observer(s):
Date:
26/11/2008
Page:
1 of 2
Canteen yard
Thabiso Mbele
Summary
Group Observed:
Employee
Number of People
Observed:
03
Contractor
Visitor
01
0
Activity is:
All Safe
Some Unsafe
Unsafe Categories
1: Personal Protective Equipment
Head
Eyes and Face
Ears
Respiratory System
Hands and Arms
Trunk
Feet and Legs
2: Position of People
Risk of Striking against
Risk of struck by
Caught in or between objects
Falling
Contacting extreme temperatures
Awkward positions
Repetitive motion
Inhaling or Swallowing
Slipping or Tripping
5: Procedures
Procedure not existing / available
Procedure not understood
Procedure not followed
Procedure not adequate / practical
Reasons for Unsafe Behaviour (Mark unsafe reason with the linked category)
Categories
Categories
1 2 3 4 5 6
1 2 3 4 5
Not available
Cost
Unaware of risk
Forgetting
Uncomfortable
Knowledge (training)
Details Of Action Required
3: Reactions of People
Adjusting PPE
Changing position
Rearranging Job
Stopping Job
6: Housekeeping
Standards not known
Below Standard
No standard in place
Categories
1 2 3 4 5 6
Not practical
Time pressure
Unclear responsibility
Action By
Action By
Date
Who
05-05-2016
Thabiso
Mbele
Action
Closeout
05-05-2016
Electronic Document Validity: Printed Thursday, 23 June 2016. Documents printed via Electronic Media are valid as an authorised edition for 24 hours from time of print, otherwise this
document will be deemed as information only. The document holder is responsible to identify and establish the current revision status from the Technical Information Centre to preclude the
use of invalid and/or obsolete documents. Copyright: This document vest in Rotek Engineering, A member of the Eskom Group and no part thereof may be reproduced without the consent
of the copyright holder.
Rotek
Engineering
Date:
26/11/2008
Page:
2 of 2
Lighting
HVAC
Are air-conditioners switched off at the end of the day, where applicable?
Water-Heating
4
Mark if all safe
Is the temperature set to the most efficient level e.g. 60C for geysers?
Electrical Appliances
Waste
7
X
Action By Date
Action By Who
Action Close-Out
Electronic Document Validity: Printed Thursday, 23 June 2016. Documents printed via Electronic Media are valid as an authorised edition for 24 hours from time of print, otherwise this
document will be deemed as information only. The document holder is responsible to identify and establish the current revision status from the Technical Information Centre to preclude the
use of invalid and/or obsolete documents. Copyright: This document vest in Rotek Engineering, A member of the Eskom Group and no part thereof may be reproduced without the consent
of the copyright holder.