Behavior-Based Safety (BBS) Office Observation Checklist

• Observer:

• Date:

  Date

• Zone Audited:

  Select
• Location:
  Address

General Guidelines

• *Spend approximately 15 minutes touring area to view items listed below.

• *Total Observation process should take 20 minutes from time of pickup to turn.

• *Mark appropriate items by choosing either Yes or No. Mark N/A if item is not applicable.

• *Give/ask feedback/results to available people using positive reinforcement.

Housekeeping

• 1. Aisles established and clear.

  Yes

  No

  N/A

• 2. No tripping hazards present.

  Yes

  No

  N/A

• 3. Garbage cans not overflowing & in designated location.

  Yes

  No

  N/A

• 4. Carpets and rugs secure.

  Yes

  No

  N/A

• 5. Floors kept dry - not slippery.

  Yes

  No

  N/A

• 6. Entrance mats available (wet weather).

  Yes

  No

  N/A

• 7. Good housekeeping practiced - excess paper, computer cartons and trash removed.

  Yes

  No

  N/A

Tools & Equipment

• 8. Wall shelves designed for intended load.

  Yes

  No

  N/A

• 9. Heavy storage cabinets, bookcases and file cabinets secured/bolted from tipping.

  Yes

  No

  N/A

• 10. File drawers closed when not in use (only one open at a time to prevent tipping).

  Yes

  No

  N/A

• 11. Chairs in good condition and adjustable (when appropriate).

  Yes

  No

  N/A

• 12. Paper cutter equipped with guard - blade spring functioning.

  Yes

  No

  N/A

• 13. Step stools available for use, where needed.

  Yes

  No

  N/A

Body Use (Ergonomics)

• 14. Seated - body in good position (neutral neck, legs & elbows @ 90 degrees, feet flat on floor/foot rest).

  Yes

  No

  N/A

• 15. Standing - body in good position (neutral neck, elbows @ 90 degrees, feet flat on floor or 1 on foot rest).

  Yes

  No

  N/A

• 16. Chair - at comfortable height & positioning.

  Yes

  No

  N/A

• 17. Keyboard - elbows close to body, wrists in neutral position.

  Yes

  No

  N/A

• 18. Mouse - wrists in straight & neutral position.

  Yes

  No

  N/A

Maintenance (incl electrical & fire)

• 19. All extension cords are 3-wire type, no longer than 10' in length, and in good condition-no splices or broken insulation.

  Yes

  No

  N/A

• 20. Only one extension cord in use (not daisy chained).

  Yes

  No

  N/A

• 21. Equipment power cords in good condition.

  Yes

  No

  N/A

• 22. Wall outlet in good condition and junction box covers in place.

  Yes

  No

  N/A

• 23. Electric circuit panels clear (at least 30 inches open area).

  Yes

  No

  N/A

• 24. Power strips equipped with overload protection.

  Yes

  No

  N/A

• 25. No wires or extension cords under carpets or rugs, through doorways, or placed in other traffic areas.

  Yes

  No

  N/A

• 26. Fire extinguishers have current inspection tags.

  Yes

  No

  N/A

• 27. Exits not obstructed, properly marked and kept unlocked during normal business hours.

  Yes

  No

  N/A

• 28. Office has current emergency action plan posted.

  Yes

  No

  N/A

• 29. Medicine cabinets have been stocked and initialed by vendor.

  Yes

  No

  N/A

Stairways, Corridors, Storage Areas

• 30. Adequate lighting in place (including emergency lighting).

  Yes

  No

  N/A

• 31. Stair carpet/treads in good condition.

  Yes

  No

  N/A

• 32. Stairways clear - not used for storage.

  Yes

  No

  N/A

• 33. Corridors kept clear of equipment.

  Yes

  No

  N/A

• 34. No storage within 18 inches of sprinkler heads (24 inches of ceiling where no sprinkler system exists).

  Yes

  No

  N/A
Observation Comments

• Line Item #:

• Comments:

Any new hazards identified?

• Specify & Describe:

• Observer's Name & Signature:

  Sign

• After observation, give a copy to the Supervisor to Correct Issues and a copy to HR for reporting.