Document: PTO –

Threading machine
PLANED TASK OBSERVATION Rev 2
Next Revision date:
TILING 29/7/16
Date Issued 20/7/15

Date Department
Work Area Section
Employee Being Observed
How often is Task performed Company Name
Machine/Equipment No being used Observers Name
Task being observed ID Number/ Coy No
Reason for observation Change Management Legal Compliance
New Worker Unplanned Task
New Task Ergonomic Factor
Known Risk Taker Incident Repeater
Poor Performer Good Performer
New/Unfamiliar Equipment Complicated Task

1. Task Steps being observed

Was an continues risk assessment conducted by all team members?

Was pre-use inspections on equipment done and by whom?

Does all equipment have the correct colour coding displayed?

Is there good communication between team members?

Is there enough ventilation in the room or area?

Is there adequate lighting on the room (if applicable)?

Is there a MSDS available for all grouts and chemicals and is all employees trained?

Is there tiling work at heights? If yes, is there a safe work platform available?

Is all employees working at heights trained and competent?

All employees trained on the applicable Risk assessments?

What PPE is the employee wearing whilst performing the task?

Is this the correct PPE?

Housekeeping up to standard?

5. Suggested Improvements (TO BE COMPLETED BY THE SUPERVISOR )

Revise SOP? Yes Use different PPE? Yes Engineering change Yes Re-Train Yes Placement of Yes
required? employee? employee?
No No No No No

Page 1 of 2 Printed: 22 October 2022

 Document: PTO –
Threading machine
PLANED TASK OBSERVATION Rev 2
Next Revision date:
TILING 29/7/16
Date Issued 20/7/15

Employee Task Observation

Employee Name: ______________________________________ I.D. No.: ______________

Job Title: _________

Date Assigned to Job: __

Operating Procedures Checked

Number Title Date Reviewed

SOP
RA

6. Feedback by observer to employee

1. TASK STEPS
DEVIATION CORRECTION/COACHING EMPLOYEE SIGNATURE

2. PPE
DEVIATION CORRECTION/COACHING EMPLOYEE SIGNATURE

3. EQUIPMENT CONDITION
DIVIATION CORRECTION/COACHING EMPLOYEE SIGNATURE

7. Acknowledgement and agreement on feedback received

Observation conducted by: Signature Date
Reviewed with Employee: Signature Date
Reviewed by Site Manager: Signature Date

Page 2 of 2 Printed: 22 October 2022