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  • 28 (MPH) Planned Task Observations

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    Lwandziso Dlamini
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    This document is a planned task observation form used to evaluate a worker performing a job or task. It includes sections to record the job/task location, date, names of observer and observed worker, and reasons for observation. It consists of questions to evaluate if the worker followed safe steps, used proper tools and PPE, maintained a safe workplace, and recognized dangers. Recommendations and review with the employee are documented, with signatures from the observer and observed worker.

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    28 (MPH) PLANNED TASK OBSERVATIONS

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    This document is a planned task observation form used to evaluate a worker performing a job or task. It includes sections to record the job/task location, date, names of observer and observed worker, and reasons for observation. It consists of questions to evaluate if the worker followed safe steps, used proper tools and PPE, maintained a safe workplace, and recognized dangers. Recommendations and review with the employee are documented, with signatures from the observer and observed worker.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    44 views3 pages

    28 (MPH) Planned Task Observations

    Uploaded by

    Lwandziso Dlamini
    This document is a planned task observation form used to evaluate a worker performing a job or task. It includes sections to record the job/task location, date, names of observer and observed worker, and reasons for observation. It consists of questions to evaluate if the worker followed safe steps, used proper tools and PPE, maintained a safe workplace, and recognized dangers. Recommendations and review with the employee are documented, with signatures from the observer and observed worker.

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    © All Rights Reserved
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    of 3

    Doc No: MPH/SHERQ/028/2021

    Rev No: 01
    Date: April 2021
    Page: 01 of 01
    Status: Approved
    PLANNED TASK OBSERVATION

    JOB/TASK LOCATION

    DATE; TIME:

    NAME (person observing) NAME (person observed)

    REASONS FOR OBSERVATION


    1. NEW WORKER 2. GOOD PERFOMER

    3. POOR PERFOMANCE 4. WORKER WITH KNOWN ABILITY PROBLEM

    5. RISK TAKER 6. ROUTINE OBSERVATION

    7. INCIDENT (injury) 8. INCIDENT(damage)

    EVALUATION YES/NO COMMENT


    1. SAFE AND LOGICAL STEPS FOLLOWED

    2. USED CORRECT TOOLS

    3. USED CORRECT PPE

    4. WORKPLACE SAFE

    5. HEALH AND SAFETY OF OTHER WORKERS OBBSERVED

    6. WORK ORDERLY AND CLEAR UP

    7. DANGERS RECOGNISED

    COMMENTS

    RECOMMENDATIONS
    RECOMMENDATIONS YES/ PERSON RESPONSIBLE SIGNATURE DATE
    NO
    1. WRITE NEW S.W.P.

    2. MODIFY EXSISTING S.W.P.

    3. REPAIR EQUIPMENTS

    4. RE-ARRANGE EQUIPMENTS

    5. INTRODUCE NEW SAFETY RULE

    6. RETRAIN WORKERS

    7. DO ERGONOMIC STUDY

    REVIEW WITH EMPLOYEE


    SIGNATURER OBSERVER SIGNATURE EMPLOYEE

    REMARKS: USE THE WRITTEN SAFE WORK PROCEDURES TO GUIDE YOU DURING THE OBSERVATION

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