OBS Data Review

Week Number:
Week Ending:

Were any OBS Checklists completed this week?

Number of OBS completed:

For each section, indicate whether the behavior was safe, at risk, or not applicable.

Personal Protective Equipment

Select which action(s) was at-risk:

Personal Protective Defenses

Select which action(s) was at-risk:

Positions and Actions of People

Select which action(s) was at-risk:

Tools and Equipment

Select which action(s) was at-risk:

Housekeeping

Select which action(s) was at-risk:

Procedures

Select which action(s) was at-risk:

Near Miss Reporting Program

Select which action(s) was at-risk:

TASC Cards

Select which action(s) was at-risk:

Signature