WALK and TALK

Location : Date :
Auditors :
Task :
Keys to Success : Observe, React, Discuss, Follow-up, Reinforce Positive Behaviour
Observation Checklist : Reactions of People, PPE, Positions of People, Tools/Equipment,
Procedures, Housekeeping

List Observations Evidence Class Action Priority Follow Person

(Note 1) Req’d? H/M/L up
/ PI (Note 3) Action
(Note 2) (Potential
Severity)

Note 1: Classify as: Unsafe Act (UA), Unsafe Condition (UC), Safety Rule Violation (SRV) or Safe Work
Practice (SWP), Reinforce Positive Behaviour (RPB)
Note 2 : If also a Potential Incident add (PI) following the Class eg UA/PI
Note 3 : PI’s are to be rated in accordance with guidelines for Incident Reporting and Review in SOP