Title Page

  • Observation Date

  • Prepared by

  • Contractor

  • Rig Number

Observation

  • Is this a Condition Based or Behavior Based Observation ?

  • Description of Condition

  • What was done to correct the Condition ?

  • Description of Behavior

  • Was employee engagement conducted ?

  • Was employee in agreement with hazard?

  • Did Employee agree to correct the behavior?

  • Type Name and Sign

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.