BBSO

• Site conducted

  Select

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Instructions:
  -------------------------------------
  1. Start the Behavioral Based Safety Observation by selection category of BBSO.
  2. Answer BBSO as "Safe", "At risk", "N/A".
  3. Add photos and notes by clicking on the paperclip icon or "add note".
  4. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
  5. Complete audit by providing digital signature.
  6. Share your report.
  7. Review or print report by exporting as PDF, Word, Excel or Web Link.
  
  Note: Take photos of any noted BBSO if you can

BBSO

• Personal Protective Equipment (PPE)

  Yes

  No

• Adequate

  Safe

  At Risk

  N/A

• Worn Properly

  Safe

  At Risk

  N/A

• Correct for Task

  Safe

  At Risk

  N/A

• Hand Protection

  Safe

  At Risk

  N/A

• Eye Protection

  Safe

  At Risk

  N/A

• Foot Protection

  Safe

  At Risk

  N/A

• Clothing

  Safe

  At Risk

  N/A

• Hearing Protection

  Safe

  At Risk

  N/A

• Hand Protection

  Safe

  At Risk

  N/A

• Body Use

  Yes

  No

• Body Mechanics

  Safe

  At Risk

  N/A

• Eyes on task

  Safe

  At Risk

  N/A

• Mind On task

  Safe

  At Risk

  N/A

• Line of Fire

  Safe

  At Risk

  N/A

• Lifting Technique

  Safe

  At Risk

  N/A

• Ascend / Descend

  Safe

  At Risk

  N/A

• Balance / Traction

  Safe

  At Risk

  N/A

• 3 Point Contact

  Safe

  At Risk

  N/A

• Working Environment

  Yes

  No

• Walking surface

  Safe

  At Risk

  N/A

• Barricades/signs

  Safe

  At Risk

  N/A

• Housekeeping

  Safe

  At Risk

  N/A

• Pre Job Inspection

  Safe

  At Risk

  N/A

• Permits and Procedures

  Yes

  No

• Tailgate meeting

  Safe

  At Risk

  N/A

• JSA / I-Plan Review

  Safe

  At Risk

  N/A

• STA Review

  Safe

  At Risk

  N/A

• Permits

  Safe

  At Risk

  N/A

• MSDS

  Safe

  At Risk

  N/A

• Work procedures

  Safe

  At Risk

  N/A

• LO/TO

  Safe

  At Risk

  N/A

• Tools and Equipment

  Yes

  No

• Tool Condition

  Safe

  At Risk

  N/A

• Inspection

  Safe

  At Risk

  N/A

• Repair/replace

  Safe

  At Risk

  N/A

• Correct for the task

  Safe

  At Risk

  N/A

• Correctly used

  Safe

  At Risk

  N/A

• Guards in place

  Safe

  At Risk

  N/A

• Containers labeled

  Safe

  At Risk

  N/A

• Hoses

  Safe

  At Risk

  N/A

• Extension cord

  Safe

  At Risk

  N/A

• Other

  Yes

  No

• Other

  Safe

  At Risk

  N/A

• Intervention

  Yes

  No

• Corrective Action:

  Yes

  No

  N/A

• Add signature

  Sign

• Comments: