Task & Area Observation Report FormAustchilli Group Task & Area Observation Report FormFILL IN ALL FIELDS WITH AN ASTERISK (*). If you are not confident in completing this form, please contact your supervisor or the Safety OfficerIdentify the work site addressProject / CompanyThis form is to be used by all senior management as part of their 'Duty of Care" IMPORTANT: * Do not place yourself in danger while conducting the observation.* Do not enter areas without approval or clearanceDate and Time of ReportObserverFirst NameLast NameEmployee Being ObservedFirst NameLast NameTASK OBSERVEDType of operation being performed Tractor Operation Forklift Operation Manual Handling Task Tool Operation Harvester - Farm implement etc OtherOther - Type of operation being performedArea / LocationIdentify observed area/location Factory Field Workshop Orchard OtherOther - Identify observed area/locationTEAM / INDIVIDUAL BEHAVIOURDoes the location appear to be safe? Yes NoAre activities being conducted in a safe manner? Strongly Disagree Disagree Neutral Agree Strongly agreeAre controls in place for the task being carried out? Yes NoIs there good communication between personnel when conducting the tasks? Yes NoIs the appropriate PPE being worn by all personnel involved with the task? Yes NoIs there a Safe Work Procedure for the task? Yes NoNon-conformance observed Yes NoComments / ActionUpload any photographs, videos or audio files relevant to the hazard being reportedBrowse Files Signature Sign Here Tick box to confirm I certify that the above information is true and correct.Action Taken SWP required Engineering Additional PPE Retraining OtherComments by Safety OfficerDateSubmit
