Document: PTO –

Operate a Pencil
PLANED TASK OBSERVATION Grinder
Rev 2
OPERATE A PENCIL GRINDER Next Revision date:
18/8/16
Date Issued 18/8/15

Date Department
Work Area Section
Employee Being Observed
How often is Task performed Company Name
Machine/Equipment No being used Observers Name
Task being observed ID Number/ Coy No
Reason for observation Change Management Legal Compliance
New Worker Unplanned Task
New Task Ergonomic Factor
Known Risk Taker Incident Repeater
Poor Performer Good Performer
New/Unfamiliar Equipment Complicated Task

1. Task Steps being observed

Was a continues risk assessment/DSTI conducted by all team members and signed by them?

Is the mini risk assessment/DSTI relevant to the current activities performed?

Pre use check carried out by whom? Name and signed off by relevant Supervisor?

Is the operator competent to operate a grinder?

Does the operator have an assistant to assist whilst performing task?

Is there good communication between the operator and his team members?

By means of what is the material that must be grind secured?

Is there a signed off and valid hot work permit available for the activities in the section?

What pre-causing measures are in place to prevent a fire and in case of a fire?

Is the dead man switch removed from the Pencil Grinder?

Is the electrical extension completely un routed and out of the walk ways?

Is the correct grinding bit used for the task performed and safe?

Page 1 of 3 Printed: 22 October 2022

 Document: PTO –
Operate a Pencil
PLANED TASK OBSERVATION Grinder
Rev 2
OPERATE A PENCIL GRINDER Next Revision date:
18/8/16
Date Issued 18/8/15

Is the grinding bit properly fastened and secured inside the chuck of the Pencil Grinder?

Can the operator slip, trip or fall over anything whilst performing the task?

How is the operator standing position?

What PPE is the operator wearing whilst performing the task and is it to standard?

Does the operator ensure that his assistants (s) are complying with the PPE Requirements?

Does the operator allow the machine to come to a complete stop before putting it down?

When leaving the machine un attendant what does the operator do?

After completion of the task, are all steel shavings removed from the area?

5. Suggested Improvements (TO BE COMPLETED BY THE SUPERVISOR )

Revise SOP? Yes Use different PPE? Yes Engineering change Yes Re-Train Yes Placement of Yes
required? employee? employee?
No No No No No

Employee Task Observation

Employee Name: ______________________________________ I.D. No.: ______________

Job Title: _________

Date Assigned to Job: __

Operating Procedures Checked

Number Title Date Reviewed

SOP

RA

Page 2 of 3 Printed: 22 October 2022

 Document: PTO –
Operate a Pencil
PLANED TASK OBSERVATION Grinder
Rev 2
OPERATE A PENCIL GRINDER Next Revision date:
18/8/16
Date Issued 18/8/15

6. Feedback by observer to employee

1. TASK STEPS
DEVIATION CORRECTION/COACHING EMPLOYEE SIGNATURE

2. PPE
DEVIATION CORRECTION/COACHING EMPLOYEE SIGNATURE

3. EQUIPMENT CONDITION
DIVIATION CORRECTION/COACHING EMPLOYEE SIGNATURE

7. Acknowledgement and agreement on feedback received

Observation conducted by: Signature Date
Reviewed with Employee: Signature Date
Reviewed by Site Manager: Signature Date

Page 3 of 3 Printed: 22 October 2022