Behaviour Observation Checklist

Unique Identifier: 240-89281409

Doc. Type: Form

Duvha Unit 3 Recovery Project

Name of Observer:

KUMAR MANOJ MURLIDHARAN

Revision: 6

Date of Observation: 27 May 2016

Area in which activities was observed

Duration of Observation (min) : 15 mins

People Observed

Turbine 0 - 5m level

Cable tunnel & Basement

Number of people observed

MV & LV Switchgear

Number of people working safely

Unit DC & Battery Room

Cable Room

Equipment Room

Turbine floor

Control Room

Boiler - 0m level

Generation Employees

Group Observed
Employee

10

Boiler 15m level - 67m level

Principle Contractor

11

Control Room 7 in 1

Sub-Contractor

12

Ash Conveyor Substation

Visitor

13

CW Substation

14

Station Boards

15

CED Building

Co-Observer:

16

Gen Yard

Co-Observer:

17

Unit LV Substation

Co-Observer:

18

Unit MV Substation

Co-Observer:

19

HV Yard

20

Precips

21

Ash Dams

22

Other

Co- Observers

SAFE ACTION OBSERVED

Activity

Commendable Safety Performance

Lapa Celebrations

Activity is:

There are no safety hazards, good house keeping around lapa and Braai Center

All Safe

(If block is selected - no need to fill in any other information)

Some Unsafe

(If block is selected - Please identify the unsafe actions in the categories below)

UNSAFE ACTIONS CATEGORIES

PPE

Positions of People

Reactions of People

Ears

Awkward position

Adjust PPE

Eyes and face

Caught in OR between

Change position

Feet and Legs

Contact Extreme Temperatures

Rearrange job

Hands and Arms

Falling (height)

Stop activity

Head

Inhaling OR swallowing

Respiratory System

Repetitive motion

o Below Standard

Trunk

Slipping or tripping

o Standard not known

Striking against

o No standard in place

Struck by

o
Orderliness/Housekeeping

Tools and Equipment

Procedures

In bad condition

o Not adequate OR practical

o Not followed

Not used correctly

o Not existing OR available

o Not understood

Wrong for job

REASONS FOR UNSAFE BEHAVIOUR

o Not available

o Knowledge (training)

o Unaware of risk

o Not practical

o Uncomfortable

o Time pressure

o Cost

o Unclear responsibility

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Unsafe Condition:

Comments/Follow-up Actions

OBSERVER

Manoj MK

DATE

5/27/2016

PROJECT MANAGER

Johan Van Der Berg

DATE

5/27/2016

SAFETY OFFICER

DATE

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