PLANNED TASK OBSERVATION
PTO No: PTO: /2020
Project/Contract Name:
Job/Task Description:
Date of Observation: / /
Reference documentation
Safe Operating Procedures related to job/task:
SOP No: DESCRIPTION
1
2
3
Observation sheet
Name of person being observed: Employee Number:
Occupation: Period in position:
Name of person doing observation: Position:
Reason for observation
New worker Due to incident (injury)
Good performer Worker with knowledge problem
Poor performer Routine observation
Risk taker Due to incident (damage)
Evaluation
Evaluation Yes No Comments
Risks/Hazards identified prior to start of task?
Risks/Hazards communicated to others?
Correct tools being used for task at hand?
Are correct PPE being used?
Workplace made safe prior to start of task?
Health and Safety of others considered.
Workplace orderly and clean?
Safe and logical steps followed?
Recommendations
Recommendations Yes No Responsible Person Signature
Write new Safe Operating Procedure.
Revise existing Safe Operating procedure.
Repair equipment.
Write special instruction.
Retrain worker.
Transfer worker to another job/task.
PTO REVIEWED WITH EMPLOYEE
Signature of person observed Signature of person who conducted the PTO
Ensure that all MMOLAWA INVESTMENTS employees understand the contents of the above mentioned Safe
Operating Procedures and the construction related safety standards that have a direct impact on this Planned Task
Observation.