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Time On This Job Notification Reason For Observation: 1. Suggested Remedies

This document contains a risk assessment form for planned task observations (PTOs). The form collects information about the job, worker, potential risks, compliance with health and safety procedures, and suggested remedies. It notes that PTOs should be conducted for high risk activities, accidents, repetitive work, and critical tasks, with a minimum of 4 PTOs per week. Observations are reviewed with the employee and signatures are required from the foreman, superintendent, and manager to document the assessment. Suggested remedies may include revising procedures, using different equipment, engineering changes, retraining, improved protections, or worker reassignment.

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60% found this document useful (5 votes)
2K views1 page

Time On This Job Notification Reason For Observation: 1. Suggested Remedies

This document contains a risk assessment form for planned task observations (PTOs). The form collects information about the job, worker, potential risks, compliance with health and safety procedures, and suggested remedies. It notes that PTOs should be conducted for high risk activities, accidents, repetitive work, and critical tasks, with a minimum of 4 PTOs per week. Observations are reviewed with the employee and signatures are required from the foreman, superintendent, and manager to document the assessment. Suggested remedies may include revising procedures, using different equipment, engineering changes, retraining, improved protections, or worker reassignment.

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  • Risk Assessments - Planned Task Observation: This section provides a structured form for recording risk assessments for high-risk tasks, including details of the job observation, suggested remedies, and necessary approvals.

HEALTH, SAFETY & ENVIRONMENT

RISK ASSESSMENTS
PLANNED TASK OBSERVATION

DATE : NAME :
DEPARTMENT : OCCUPATION :
JOB OBSERVED :

Time on this job Notification Reason for observation


Yes No Six Monthly observation
Told in advance New worker
_____________ years
Not told To determine if worker has learned to do job safely
and effectively

Is there a written standard procedure for this job ? Yes No


Did you get understanding & acceptance from the worker on doing this work ? Yes No

Could acts / conditions observed lead to Loss potential


Reduced productivity Major
Damage Minor
Injury

1. Are company Health & Safety rules complied with Yes No


2. Is standard procedure for the job followed Yes No
3. Is correct personal protective clothing used Yes No
4. Is person physically fit for the job Yes No
5. Environmental conditions (is there gas, smoke, heat, etc) Yes No
1. Suggested remedies
Remarks 1. Start procedure on this job
2. Revise present procedure
3. Different equipment – tools
4. Engineering revision
5. Retraining
6. Additional – better personal protection
7. Placement of worker
Signature : - Foreman :
- Superintendent :
- Manager / Engineer :

Observation conducted by : Date :


Reviewed with employee : Date :
Employees signature : Co. No. :
Reviewed by : Supt / Eng / Manager : Date :

Note: PTO’S MUST BE DONE FOR HIGH RISK ACTIVITIES, ACCIDENTS,


MONOTONEOUS WORK AND CRITICAL ACTIVITIES. A MINIMUM OF 4 PTO’S
PER WEEK MUST BE CONDUCTED

HEALTH, SAFETY & ENVIRONMENT
RISK ASSESSMENTS
PLANNED TASK OBSERVATION
DATE
:
NAME
:
DEPARTMENT
:
OCCUPATION
:
JOB OBSERVED
:

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