Title Page

  • Behavior Observation

  • Site

  • Conducted on

  • Prepared by

  • Location


  • Eye Protection

  • Head Protection

  • Hand Protection

  • Hearing Protection

  • Breathing Protection

  • Foot Protection

  • Body Protection

Body Positioning

  • Line of Fire

  • Pinch Points

  • Lifting Technique

  • Extending

  • Ergonomics

Visual Focusing / Attention to Surroundings

  • Focusing on Task

  • Awareness of Surroundings

  • Guarding for Potential Hazards

Pacing of Work

  • Speed of Working

  • Temperature Considerations

Work Practices

  • Communication

  • Use of Tools and Equipment

  • Appropriate Permits

  • Housekeeping

Comments from Observer

  • Safe Behaviors

  • At Risk Behaviors

  • Comments from Observee

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. You should independently determine whether the template is suitable for your circumstances.