Document: PTO –

Threading machine
PLANED TASK OBSERVATION Rev 2
Next Revision date:
THREADING MACHINE 29/7/16
Date Issued 20/7/15

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 an 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 work with the machine?

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

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

If the length of the pipe exceeds 3 meters are trestles being used for support?

Is the machine placed in a sufficient work space?

Prior to inserting the pipe, does the operator engage the E Stop and depress foot switch to ensure that the machine is not
operational?

Is the chuck opened completely when the pipe is inserted into or removed from the machine?

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

How does the operator treat/prevent any spillage from the cutting fluid?

Page 1 of 3 Printed: 22 October 2022

 Document: PTO –
Threading machine
PLANED TASK OBSERVATION Rev 2
Next Revision date:
THREADING MACHINE 29/7/16
Date Issued 20/7/15

Can the operator hurt someone else while performing the task?

Can any member of the team slip, trip or fall over anything whilst performing the task?

Is the operator’s position correct to eliminate reaching over the machine to reach controls?

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 handling the pipe or machine parts?

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

After completion of the task, are all steel shavings and cut offs 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 –
Threading machine
PLANED TASK OBSERVATION Rev 2
Next Revision date:
THREADING MACHINE 29/7/16
Date Issued 20/7/15

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