Professional Documents
Culture Documents
1st Priority - Awas Form (Eng) v17
1st Priority - Awas Form (Eng) v17
Alert #
Audit of Worker Attitude to HSE
Head, Eyes, Face & Ears
TASK DESCRIPTION Hands & Arms
Feet & Legs
WORKGROUP OBSERVED NO OF PEOPLE Respiratory System
INVOLVED IN TASK Body
LOCATION OF OBSERVATION Workplace risks identified?
Slips, Trips or Falls
POSITIVE ACTS OBSERVED Tick if all SAFE Struck by objects
Caught between moving objects
Contacting hot/cold surfaces
Absorbing, Swallowing dust/chemicals
Observation of task
Fire & Electrical
Environment – Drainage, Bunds, Erosion
Housekeeping & Environmental (incl Spills)
Materials Handling (incl Hazardous Materials)
Ergonomics?
Posture/Repetitive Motions
ACTIONS TAKEN TO ENCOURAGE CONTINUED SAFE PERFORMANCE Manual lifting methods
Work area design
Vibration
Lighting, Noise, Temperature
Tools and Equipment?
Right for the job
Correctly used
In safe condition
Environmental
Litter, Waste, Hazardous Substances (EIP05)
NEGATIVE ACTS OBSERVED Tick if any UNSAFE Preserve Natural Environment (EIP05)
Hydrocarbon Controls (EIP10)
Non Process Waste Disposal (EIP03)
Standards followed?
General HSE systems
Confined Space & Working at Heights
Electrical Safety
Isolation
Vehicles & Driving
Environmental Standards
OBSERVER: Assign to: Most likely consequences of unsafe act - Tick item(s)
Name: Signature: Environment damage Fatality
Minor injury Equipment Damage
Time taken for observation (minutes): Date and time of observation: Serious injury Occupational Health Risk
# Tick if there is HSE non compliance or risk
Version 16