Behavior Based Safety Observation Checklist

• Behavioral-Based Safety Factory Observation Checklist

Guidelines

• Spend Approximately 15 minutes touring area to view items listed below. Total Observation process should take about 20 minutes from time of pick-up to turn. Mark appropriate column s and add number of boxes in total section of each category. mark N/A column if you don't observe the behavior condition. Ask for feedback/ comments from available people in the area. Sing, Date and Turn in checklist

• Yes

  No

  N/A

• Document No.

• Tranter Houston Factory

• Conducted on

  Date

• Prepared by

• Area Audited

• Personnel

undefined

• Yes

  No

  N/A

Was daily safety check completed?

Personal Protective Equipment (P.P.E.)

• Safety Glasses worn by all in area properly

  Yes

  No

  N/A

• Hearing protection worn in necessary areas.

  Yes

  No

  N/A

• Steel toed shoes are worn in necessary areas

  Yes

  No

  N/A

• Gloves and sleeves are worn when handling plates and sheet metal

  Yes

  No

  N/A

• Gloves are worn when handling scrap materials

  Yes

  No

  N/A

• No loose jewelry is worn by any employee working in the area

  Yes

  No

  N/A

• Long hair is pulled back when around the machinery

  Yes

  No

  N/A

• Face shield is being used if grinding and chemical use

  Yes

  No

  N/A

• Housekeeping: spills, cords or other trips, trash/clutter, lighting, or Flammables

Personal Protective Equipment

• All appropriate equipment or gear worn correctly?

  Safe

  At Risk

  N/A

• PPE kept in good condition?

  Safe

  At Risk

  N/A

• Personal protective equipment: hand, body, eyes/face, head, foot, respiratory, fall protection, hearing protection, or FR clothing/gear

Working Position

• Body position

  Safe

  At Risk

  N/A

• Location in working environment

  Safe

  At Risk

  N/A

• Working Position: poor posture, over stretched, above shoulder, below knees, twisting, caught in between, struck by, working at heights greater than 4', floor or wall opening, unprotected work edge, or false ceiling or floor.

Tools and Equipment

• Appropriate tools or equipment being used?

  Safe

  At Risk

  N/A

• Tools or equipment being used correctly?

  Safe

  At Risk

  N/A

• Tools or equipment in good condition?

  Safe

  At Risk

  N/A

• Tools and equipment: ladders, power or hand tools

Safe behaviors observed-actions taken to encourage safe behavior

• undefined

Unsafe behaviors observed-action taken to correct and prevent recurrence

• undefined

Line of fire. Is the worker in the line of fire?

• Grinding or drilling operations creating flying objects or particles - goggles/face-shield. Heavy equipment movement in the area - operator aware of pedestrian? Around rigging operations - hand in pinch point not under equipment? Working in front of live electrical panel - NFPA70E PPE

Safety procedures

• Lock-out/Tag-out, Arc Flash, Hot Work Permit, Confined Space

  Safe

  At Risk

  N/A

• Add media

  Media

• Auditor signature

  Sign