Doc Type:

Doc Name: CHK-HSF-AMS Checklistf9fe6041-d87c-4533-b1af-ad6a2c74

Doc Title: Manager Daily Workplace Checklist Doc ID: AMS-0000-00-00

Status: Draft Effective Date: [Effective Date] Page: 1 of 2

Manager Daily Workplace Checklist

Note:This form is editable to allow site specific changes to be made.

Date Site:
Comments:

Manager:

Name: Signature:
Items Checked: Tick
Pre Shift:
Department / Section Attended:
Safety Share conducted:
Information relevant and understood by audience:
Safety Issues raised by audience suitably addressed:
Hazard Reports:
Significant hazard reports reviewed:
Actions appropriate to hazard / risk:
Actions completed and / or raised in MYOSH:
JHA’s
High risk task JHA’s reviewed and signed off:
Hazards listed : Controls implemented ALARP: (As low as
reasonably Practical)
Take 5’s
Random selection: (5-10 would be adequate)
Checked for quality and that trigger for JHA is being used:
Hazards listed : Controls implemented are suitable (ALARP):
Training
Competent personnel operating Equipment and Emergency response
Adequate numbers of First Aid trained Personnel: Yes No
Adequate numbers of Fire Fighting trained Personnel: Yes No
Training Application Raised (If No above): Yes

Uncontrolled in Hard Copy

 Doc Type:
Doc Name: CHK-HSF-AMS Checklistf9fe6041-d87c-4533-b1af-ad6a2c74

Doc Title: Manager Daily Workplace Checklist Doc ID: AMS-0000-00-00

Status: Draft Effective Date: [Effective Date] Page: 2 of 2

Pre-starts
Equipment not operated with a reported Safety fault (Category A, brakes etc)
Workplace Inspection/s:
Completed:
Handed in:
Hazard Identified:
Actions completed and / or raised in MYOSH:
Supervisor / Superintendent Workplace Inspections reviewed and verified:

PTO or SAO Conducted:

Comments on PTO or SAO

HSE Issues Raised in Meetings / Observation / Discussion / Inspection:

HSE Issues Rectified or Entered into MYOSH:

Notes:

Uncontrolled in Hard Copy