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u <br />C <br />11 <br />0 <br />0 <br />11 <br />n <br />u <br />0 <br />03/03/2009 05:28 FAX 209 883 3468 OMI INC TURLOCK CA Q002 <br />CH2MHILL <br />Safe Behavior Observation Form <br />Observe �avcvs <br />I <br />Background <br />of Information/ <br />workerPosition/Title <br />observed: c <br />• ♦ ;,• <br />Task/Oi <br />• f <br />Identify and reinforce safe work practicestbehaviors0 <br />Ao Identify and improve on at -risk practiceslacts <br />0 Identify and irnprove on practices, conditions, controls, and compliance that eliminate or reduce hazards <br />Proactive PM support facilitates eliminating/reducing hazards (do you have what you, need?)i I <br />4, Positive, corrective, cooperative, collaborative feedback/recommendations <br />M:,:• • - �� `i •� it d <br />Current & accurate Pre -Task Positive Observations/Safe Work Practices: <br />Planninf • 1 ' H. salietyI� <br />plan, i. PTSP, tailgate <br />ii <br />• needed) !i <br />briefing, <br />' c <br />adequate <br />1 it <br />Proper use of tools Questionable <br />!I <br />I <br />I� <br />Work ApproachMabits <br />rs 1 • /, <br />Uncomfortable/unsafe position <br />i <br />lnconvenienttunsafe location�- <br />Position/Line <br />I� <br />•• , _Apparel <br />(heir, loose clothing, <br />i' <br />Observed Workees Corrective Actions/Comments: <br />Kalil ' <br />I <br />