GC3 completion checklist

DECLARATION
1. Did I indicate my name, the date, and my signature on the declaration
form
2. Did I submit my signed declaration to Trainers in Tshirts?

YES

NO

YES

NO

B. Hazards and Controls

5. Did I clearly outline at least 20 but not more than 30
hazards/observations?
6. Did I assign a serial number to each of my observations? (To quickly
identify the total number of hazards/observations)
7. Did I cover at least 5 different categories of hazards? Ex: chemical,
fire, electrical, etc.
8. Are all my hazards/observations focused on unsafe act and/or unsafe
conditions, and away from lack of policies or procedures?
9. Did I mention specific consequence for each hazard?
10. Did I check that there is no duplication of hazards?
11. Did I include at least 1 good practice?

YES

NO

C. Control measures
12. Did I identify immediate action for each hazard?
13. Did I identify long term actions for each hazard?
14. Are my control measures effective in controlling the hazard?
15. Are my control measures specific and realistic?
16. Are my long term actions addressing the root cause of the hazard?

YES

NO

D. Time scale
17. Did I indicate a timescale for each immediate and long term action?
18. Are all my timescale specific and realistic?

YES

NO

YES

NO

YES

NO

OBSERVATION SHEET
A. Headings
3. Did I indicate the student name and the student number?
4. Did I clearly indicate the nature of the place inspected e.g. workshop,
kitchen, office, etc. and the date of inspection? (company name not
required if confidential)

MANAGEMENT REPORT
E. General / Headings
19. Did I clearly indicate the nature of the place inspected e.g. workshop,
kitchen, office, etc. and the date of inspection? (company name not
required if confidential)
20. Is the word count between 700 and 1200 words?
21. Did I use the same font through the entire document?
22. Did I follow the provided structure of the report?
23. Did I put clear headings to each section?
F. Introduction
24. Did I mention date and time of inspection?
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25.
26.
27.
28.
29.

Did I include a clear description of the work site?

Did I mention the country
Did I include a description of workers (Number, position)?
Did I include a description of work equipment?
Did I clearly elaborate the activities occurring in the area?

G. Executive Summary
30. Did I summarize the main findings?
31. Did I summarize the recommendations?
32. Did I include an attempt to convince the management to take action
based on my recommendations?

YES

NO

H. Main Findings
33. Are my main findings based on the observation sheet?
34. Did I break down my main findings into paragraphs based on my
hazard categories covered in the observation sheet?
35. For each paragraph, did I present the findings in different way and not
just duplicate the observation sheet?
36. For each paragraph, did I include arguments (moral, financial, legal,
others) to convince the management to take action?
37. For each paragraph, (under legal argument), did I include a breach of
law?
38. Did I use Local and/or International laws and regulations/standards,
not company standards? Ex: law of the country I work in or ILO or ISO
or OHSAS, etc.
39. Did I only use the law of the country I work in?
40. For each paragraph, did I clearly state the law, as well as the section
that was breached?

YES

NO

I.

Conclusion
41. Is my conclusion based on the main findings?
42. Did I clearly summarize the main findings?
43. Did I include information to persuade management to take action?

YES

NO

J.

Recommendations
44. Are my recommendations based on the findings summarized in the
conclusion?
45. Are my recommendations specific and realistic?
46. Did I identify all resources implications (Time, cost, manpower,
materials)?
47. Did I prioritize all the recommendations appropriately? (high,
medium, low)
48. Are my target dates realistic?

YES

NO

YES

NO

K. Others
49. Did I conduct the inspection at my work place and with no help or
assistance
50. Was all the work in my GC3 done only by and me and nothing is
copied from any of my colleagues or from the internet?
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