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VFL Formats

This document is a report from a visible felt leadership inspection at a mine. It documents interactions with workers, observations of safety issues, and proposed corrective actions. Key details include: 1) The inspector discussed ongoing operations and workers' understanding of safety with mine employees. 2) Several unsafe conditions and acts were observed and categorized by type, potential impact, and severity. 3) Corrective actions are proposed to address the observations, along with responsibilities and timelines. The report provides a summary of a mine safety inspection, including discussions with workers, hazards identified, and plans to remedy issues.

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104 views3 pages

VFL Formats

This document is a report from a visible felt leadership inspection at a mine. It documents interactions with workers, observations of safety issues, and proposed corrective actions. Key details include: 1) The inspector discussed ongoing operations and workers' understanding of safety with mine employees. 2) Several unsafe conditions and acts were observed and categorized by type, potential impact, and severity. 3) Corrective actions are proposed to address the observations, along with responsibilities and timelines. The report provides a summary of a mine safety inspection, including discussions with workers, hazards identified, and plans to remedy issues.

Uploaded by

PK
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Visible Felt Leadership Report

Date:
Time:

Name of Mine:
VFL No (No/YYYY) .......................................................... (To be filled by Safety Officer)
VFL Executed by: -
Workmen Interacted with: -.
Location: -

A. Interaction with the Workmen (To be filled by the concerned person)’


I) Brief about on-going Operations

………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………..
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II) Understanding of the Workmen on Safety

………………………………………………………………………………………………………………………………………………………………..

………………………………………………………………………………………………………………………………………………………………….

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………………………………………………………………………………………………………………………………………………………………….

III) Safety Briefing Provided to Workmen

………………………………………………………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………………………

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Visible Felt Leadership Report

B. Details of the Observations (To be filled by the concerned person)’


Category Potential Severity
# Observations Type*
* * *

(*Please refer Annexure in Page 3)

C. Photographs (Optional)

D. Proposed Corrective/Preventive Action(s)


(To be filled by the Concerned Person)
Action to be
# Observation Severity Responsibility Timeline Action closed on
taken

Name & Signature of Person(s)


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Visible Felt Leadership Report

E. Annexure
a. Type of Observation
 Safe Act (SA)
 Unsafe Act (UA)
 Safe Condition (SC)
 Unsafe Condition (UC)

b. Potential
 First Aid Injury (FAI)
 Medical Treatment Injury (MTI)
 Lost Time Injury (LTI)
 Fatality (F)

c. Category
REACTION OF PEOPLE TOOLS AND PROCEDURE AND ORDERLINESS
(RP) EQUIPMENT (TE) (PO)
– Uneasiness – Right for the job – Is standard practice established?
– Stopping Work – Used correctly – Is standard practice adequate for job?
– Changing work method – In safe condition – Is standard practice maintained?
POSITION OF PEOPLE CLOTHING AND PPE ERGONOMICS (ER)
(PP) (PPE)
– Striking against – Clothing right for the – Posture
– Struck by job – Load handled
– Caught between – Eyes and face – Type and no. of motions
– Temperature extremes – Ears – Work area design
– Electrical current – Head – Tools and grips
– Inhaling – Hands and arms – Vibration
– Absorbing – Feet and legs – Temperature
– Swallowing – Respiratory system – Lighting
– Posture – Trunk – Noise

d. Severity
The Unsafe Acts and Conditions shall be categorized and prioritized as per the severity
as follows-
Severity 1- Untidy, doesn’t meet standards
Severity 2- Untidy, blocks access. bad example
Severity 3- Rules and Procedure violation
Severity 4- Serious hazard, can cause serious injury if not corrected
Severity 5- Imminent Danger, stop work and correct immediately, will cause serious
injury or fatality

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