B.B.S. Observation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

B.B.S. Observation

• Select date

  Date

• Observer

• Observed

• Division

  Select GEO ENG CM MI CE LB

  • GEO
  • ENG
  • CM
  • MI
  • CE
  • LB

• Task(s) / Activity(s):

• Location

• Location

  Media

1.0 Pinch Points / Line of Fire

• Head / Face / Eyes

  Safe

  At Risk

  N/A

• Torso

  Safe

  At Risk

  N/A

• Arms

  Safe

  At Risk

  N/A

• Hands

  Safe

  At Risk

  N/A

• Fingers

  Safe

  At Risk

  N/A

• Legs

  Safe

  At Risk

  N/A

• Feet / Toes

  Safe

  At Risk

  N/A

2.0 Body Mechanics

• Twisting

  Safe

  At Risk

  N/A

• Pushing / Pulling

  Safe

  At Risk

  N/A

• Over excretion

  Safe

  At Risk

  N/A

• Lifting & Lowering

  Safe

  At Risk

  N/A

• Reaching

  Safe

  At Risk

  N/A

• Eyes on Task

  Safe

  At Risk

  N/A

3.0 Walk / Work Surfaces

• Eyes on Path

  Safe

  At Risk

  N/A

• Surface Conditions

  Safe

  At Risk

  N/A

• Ladder / Stairs

  Safe

  At Risk

  N/A

• Ascending / Descending

  Safe

  At Risk

  N/A

• Housekeeping

  Safe

  At Risk

  N/A

4.0 Personal Protective Equipment

• Hand Protection

  Safe

  At Risk

  N/A

• Eye & Face Protection

  Safe

  At Risk

  N/A

• Hard Hat

  Safe

  At Risk

  N/A

• Foot Protection

  Safe

  At Risk

  N/A

• Hearing Protection

  Safe

  At Risk

  N/A

• Respiratory Protection

  Safe

  At Risk

  N/A

• Fall Protection

  Safe

  At Risk

  N/A

• Monitors (H2s / Multi-Gas)

  Safe

  At Risk

  N/A

5.0 Tools & Equipment

• Tool(s) Used Correctly

  Safe

  At Risk

  N/A

• Correct Tool for the Job

  Safe

  At Risk

  N/A

• Tool / Equipment Secured

  Safe

  At Risk

  N/A

• Tool / Equipment Condition

  Safe

  At Risk

  N/A

• Tool / Equipment Storage

  Safe

  At Risk

  N/A

Comments

• Action Items:

• Person(s) Observed:

  Sign

• Safety Department:

  Sign