1) Health and Safety Interaction Form Template

Aurecon Health and Safety

H&S Safety Interaction Aurecon Office Name:

Position:

Workplace: Namanve Industrial Park Project/Uganda/109906

Person Interviewed:

Date:

Observations and Discussions (Prompts for Discussion)

What are the hazards and the associated risk for this workplace?

What controls were put into place to control the risk and how effective are they?

Unsafe conditions observed?

Safe Behaviours observed

Unsafe Behaviours observed

Discuss and agree actions regarding these observations/interactions to close-out the meeting

Quality Criteria

YE S

Did you have a purposeful interaction?

X

Did you give positive recognition? e.g. For Working Safely , Safe Behaviour, Safe Conditions

X

Did you engage people in problem solving?

X

Did you assess the risks and hazards of the work the people were doing? (Did you ask the “what if” questions?)

X

Have you discussed follow-up actions with people listed as responsible and set agreed timing for closure?

X

NO