Behavior-based Safety Checklist

  • Safety Observation Steps:
    1. Introduce yourself, put the worker at ease, and explain the process. Ask permission to do an observation.
    2. Ask the person to explain the job that is being performed and define the hazards and precautions associated with the task/s they are performing.
    3. Ask open-ended questions to learn more about at-risk barriers. (Ex: What’s the worst accident that can happen? How could you
    be hurt doing this task?)

  • [This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with observations]

    bbs9.PNG
  • 4. Observe the job and add comments by tapping NOTE/photos by tapping IMAGE. Provide positive feedback by praising safe behaviors first. Draw out the corrective action that may be required (create this action by tapping ACTION).
    5. Obtain a commitment that the individual will carry out this action and thank the person for participating.

CRITICAL SAFE BEHAVIOR

PPE

  • Head Protection - (hard hat worn appropriately where the hazard exists)

  • At-Risk Barrier

  • Eye & Face Protection (proper eye and face protection for the task - glasses, face shield, goggles)

  • At-Risk Barrier

  • Hearing Protection (proper hearing protection where the hazard exists - ear plugs, ear muffs)

  • At-Risk Barrier

  • Hand Protection (proper gloves)

  • At-Risk Barrier

  • Body Protection (proper protective clothing, long pants, shirt with at least 4" collar)

  • At-Risk Barrier

  • Visibility - Class II (minimum) hi-visibility safety vest

  • At-Risk Barrier

  • Foot Protection (proper foot protection - steel-toed shoes or boots)

  • At-Risk Barrier

BODY USAGE & POSITION

  • The worker is positioning his body to avoid injury by any moving hazards (caught between, falling objects)

  • At-Risk Barrier

  • Lifting (proper lifting techniques - using legs, back straight, weight close to the body, feet flat on the ground, knees bent)

  • At-Risk Barrier

  • Pinch Point (aware of and avoid pinch points - pinch points blocked, maintaining body parts out of pinch points)

  • At-Risk Barrier

  • Awkward Position (proper body mechanics - over-extended, using leg not back when pulling)

  • At-Risk Barrier

TOOLS & EQUIPMENT

  • Tool Use/Selection (using the right tool for the job and using it properly - correct style wrench, pry bar)

  • At-Risk Barrier

  • Condition - tools, even if correct for the job, must be in good condition (air hoses, hose connections, pipe wrench, etc)

  • At-Risk Barrier

  • Position Parked (the vehicle is left in the position which creates the least possibility of an incident and safety of the public)

  • At-Risk Barrier

EYES ON PATH/HANDS

  • Eyes On Path (watching where you're going and go where you're watching - looking for/being aware of hazards).

  • At-Risk Barrier

  • Eyes On Hands (aware of hand placement - watching where hands are placed during work or near hazard, not being distracted)

  • At-Risk Barrier

  • Ascending/Descending (proper climbing techniques on trucks and trailers - facing the ladder, not skipping rungs or steps, hold onto handles)

  • At-Risk Barrier

  • Travel Path (non-hazardous route of travel, a path of the least potential incident - walking/driving around spills, barricades, rough terrain)

  • At-Risk Barrier

  • Travel Speed (rate of speed to minimize potential incidents based on environment, surroundings or changing conditions)

  • At-Risk Barrier

COMPLETION

  • Additional Observations

  • Observer Name & Signature

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.