Copy of Blank Activity Audit Log

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BEHAVIOUR BASED SAFETY - ACTIVITY AUDIT REPORTS Activity Title Replacement of roof sheets of feeder liquor tank # 1 Area / Department / Section Plant -A (Tank Form Area) 10/3/2011 Observation Round by MSA 17,30 hrs. Pre - Audit Requirements Study written work instructions (if available),Longer time activiti es may be sub-divided into smaller activities 1 Job should be started after getting valid permit. 1 Do not leave combustible material in the area. 2 All PPEs mentioned on the permit to be used. 2 Do not use un inspected welding equipment. 3 Area housekeeping after job to be ensured. 3 Personal Protective Equipment Requirement Helmit Safety Shoes Activity / Task specific Welder ShieSafety Harness Observations Sr. # Description Category 1 There were gaps between tank and scaffolding. Unsafe Condition 2 3 4 Discussion with staff Feedback to the staff Input provided by the staff  1 1 Staff was already using safety harness while working. 2 Staff was asked about physical isolation. 2 Staff working was aware of job scope and isolations. Improvement Action Agreed Sr # Improvement Action Target Date 1 SMz 15-03-11 2 3 4 5 Date of Observation Round  Time of Observation Round 3 most important Do(s) of the activity 3 most important Don’ts of the activity Ensure welding / cutting sparks are contained properly. Staff was informed about the gaps between scaffolding and tank. Responsible Person Scaffolding erection technique should be reviewed specially in this area to minimize gaps between tank and scaffolding.

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BEHAVIOUR BASED SAFETY - ACTIVITY AUDIT REPORTS

Activity Title Replacement of roof sheets of feeder liquor tank # 1

Area / Department / Section Plant -A (Tank Form Area) 10/3/2011

Observation Round by MSA 17,30 hrs.

Pre - Audit Requirements

Study written work instructions (if available),Longer time activities may be sub-divided into smaller activities

1 Job should be started after getting valid permit. 1 Do not leave combustible material in the area.

2 All PPEs mentioned on the permit to be used. 2 Do not use un inspected welding equipment.

3 Area housekeeping after job to be ensured. 3

Personal Protective Equipment Requirement

HelmitSafety Shoes Activity / Task specific Welder ShieSafety Harness

Observations

Sr. #Description Category

1 There were gaps between tank and scaffolding. Unsafe Condition

2

3

4

Discussion with staff 

Feedback to the staff Input provided by the staff  

1 1 Staff was already using safety harness while working.

2 Staff was asked about physical isolation. 2 Staff working was aware of job scope and isolations.

Improvement Action Agreed

Sr # Improvement Action Target Date

1 SMz 15-03-11

2

Date of ObservationRound

 Time of ObservationRound

3 most important Do(s) of the activity3 most important Don’ts of the activity

Ensure welding / cutting sparks are containedproperly.

Staff was informed about the gaps betweenscaffolding and tank.

ResponsiblePerson

Scaffolding erection technique should be reviewed specially in this area to minimize gaps between tank and

scaffolding.

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BEHAVIOUR BASED SAFETY - ACTIVITY AUDIT REPORTS

Activity Title

Area / Department / Section Power Services (Reverse Osmosis) Date of Observation Round 06.05.2011

Observation Round by MSA Time of Observation Round 1500 hrs

Pre - Audit Requirements

Study written work instructions (if available),Longer time activities may be sub-divided into smaller activities

1 Work safely and care about personal safety. 1 Do not touch hot surfaces or any live equipment.

2 Use required PPEs. 2 Avoid slippery floor

3 3

Personal Protective Equipment Requirement

Activity / Task specific

Safety Shoes Dust Mask Hearing protection Same as area specific

Observations

Sr. #

Description Category

1 Staff was using required PPES like dust mask and hearing protection.

2

3

4

5

Discussion with staff 

Feedback to the staff Input provided by the staff  

1 1

2 2

Improvement Action Agreed

Sr # Improvement Action Target Date

1

2

3

3 most important Do(s) of the activity

3 most important Don’ts of the activity

ResponsiblePerson