Transcription of PLANNED TASK OBSERVATIONS OBSERVATION SHEET
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Doc. No. IMS 191 Revision: 04 Date : 10/2015 PLANNED TASK OBSERVATION (PTO) SHEET Page 1 of 1 I:SHEQ/IMSDocs/PlannedTaskObservationShe et IMS 191 Rev04 Effective:10/2015 PLANNED TASK OBSERVATIONS OBSERVATION SHEET JOB/TASK: DEPARTMENT/SECTION: REFERENCE NUMBER: TIME: DATE: NAME: (Person Observed) NAME: (Person Observing) INDUSTRY NUMBER: SOP/COP/SWP REF NO: REASON FOR OBSERVATION 1. NEW WORKER 2. GOOD PERFORMER 3. POOR PERFORMER 4. WORKER WITH KNOWN ABILITY PROBLEM 5. RISK TAKER 6. ROUTINE OBSERVATION 7. INCIDENT (INJURY) 8. INCIDENT (DAMAGE) EVALUATION EVALUATION YES/NO COMMENTS 1. SAFE AND LOGICAL STEPS FOLLOWED 2.
Doc. No. IMS 191 Revision: 04 Date : 10/2015 PLANNED TASK OBSERVATION (PTO) SHEET Page 1 of 1 I:SHEQ/IMSDocs/PlannedTaskObservationSheet IMS 191 Rev04
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