Laserfiche WebLink
u <br />Ci <br />u <br />u <br />11 <br />h <br />11 <br />0 <br />CH2MHILL <br />Safe Behavior Observation Form <br />Project: S G 1 Observer: EPGov , C Date: r�U ®i <br />Background <br />Position/Title of Information/ <br />worker observed: comments: <br />Task/Observation <br />Observed: <br />❖ Identify and reinforce safe work practices/behaviors <br />❖ Identify and improve on at -risk practices/acts <br />❖ Identify and improve on practices, conditions, controls, and compliance that eliminate or reduce hazards <br />ti• Proactive PM support facilitates eliminating/reducing hazards (do you have what you need?) <br />Positive, corrective, cooperative, collaborative feedback/recommendations <br />At - <br />Actions & Behaviors <br />Safe is Observations/Comments <br />Current & accurate Pre -Task <br />Positive Observations/Safe Work Practices: <br />Planning/Briefing (Project safety <br />plan, STAC, AHA, PTSP, tailgate <br />briefing, etc., as needed) <br />Properly <br />trained/qualified/experienced <br />Tools/equipment available and <br />adequate <br />Proper use of tools <br />Questionable Activity/Unsafe Condition Observed: <br />Ll�'d <br />Barricades/work zone control <br />Housekeeping <br />Communication <br />Work Approach/Habits <br />Attitude <br />Focus/attentiveness <br />Observer's Corrective Actions/Comments: <br />Pace <br />Uncomfortable/unsafe position <br />Inconvenient/unsafe location <br />Position/Line of fire <br />Apparel (hair, loose clothing, <br />jewelry) <br />Repetitive motion <br />Observed Worker's Corrective Actions/Comments: <br />Other... <br />IZ00 VO M301Hfu DO INO MC £88 60Z XV3 OT:90 6009/0£/TO <br />