Get Behavior Based Safety Observation Checklist Template

Filling out the Behavior Based Safety Observation Checklist Template is a critical part of ensuring workplace safety and effectiveness. This guide provides clear, step-by-step instructions to help users navigate the process of completing the form online efficiently.

Follow the steps to successfully complete the checklist online.

1. Click ‘Get Form’ button to obtain the checklist and open it in your preferred online editor.
2. Begin by entering the name of the employee being observed in the 'Employee Observed' field. Next, fill in the 'Date of Observation' to record when the observation took place.
3. In the 'Observer' section, input your name to indicate who is conducting the observation. Then specify the 'Location' to provide context for the assessment.
4. Describe the 'Task' being performed by the employee to clarify the scope of the observation.
5. Examine the 'PPE' section. Ensure to note if the personal protective equipment is worn correctly, is in an acceptable condition, and meets job requirements.
6. Move to the 'PROCEDURE' section. Confirm that the established procedures are understood, authorized, maintained, and adequate for the task at hand.
7. Proceed to the 'TOOLS / EQUIPMENT' segment. Assess whether safe tools and equipment are utilized, proper guards are in place, and that all are being used appropriately.
8. In the 'HOUSEKEEPING' section, check that the area is clear, used correctly, and if materials are stored and disposed of properly.
9. Evaluate the 'PEOPLE' section for risks related to exertion and extreme temperatures, noting any risks of being struck by objects.
10. Address the 'CHEMICALS' part by confirming the availability of MSDS, appropriate storage practices, and that the correct PPE is being used when handling chemicals.
11. In the 'Observers Notes' section, write observations that may not be covered in the checklist.
12. Finally, have both the observer and the employee sign the checklist and date it. The internal use section may include documentation for trend analysis.
13. Once all sections are completed, you can save changes, download, print, or share the form as needed.

Complete the Behavior Based Safety Observation Checklist Template online today to enhance workplace safety!