Task & Area Observation Report FormTOTALSAFE Task & Area Observation Report FormSome description about this sectionIdentify the work site addressProject / CompanyThis form is to be used by all senior management as part of their 'Duty of Care" IMPORTANT: * Do not place yourself in danger while conducting the observation.* Do not enter areas without approval or clearanceDate and Time of ReportObserverFirst NameLast NameEmployee Being ObservedFirst NameLast NameTASK OBSERVEDType of operation being performed Tractor Operation Forklift Operation Manual Handling Task Tool Operation Attachment / implement / etc EWP Operation OtherOther - Type of operation being performedArea / LocationTEAM / INDIVIDUAL BEHAVIOURDoes the activity appear to be conducted in a safe manner Strongly agree Agree Disagree Strongly DisagreeDoes the location appear to be safe? Yes NoAre controls in place for the task being carried out? Yes NoIs there good communication between personnel when conducting the tasks? Yes NoIs the appropriate PPE being worn by all personnel involved with the task? Yes NoIs there a Safe Work Procedure for the task? Yes NoNon-conformance observed Yes NoComments / ActionUpload any photographs, videos or audio files relevant to the hazard being reportedBrowse Files Action Taken SWP required Engineering Additional PPE Retraining OtherTick box to confirm I certify that the above information is true and correct.Signature Sign Here DateComments by Safety OfficerSubmit
