Behavioral Based Safety Observation

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

  Select Johnathan Cormier Enrique Reyes Logan Kelsey Alex Gallagher Brian Rivera Jesus Lopez

  • Johnathan Cormier
  • Enrique Reyes
  • Logan Kelsey
  • Alex Gallagher
  • Brian Rivera
  • Jesus Lopez
• GPS coordinates location
  Address

• Lease Location:

• Site Location (well number, sub lease, etc.):

• What job task is being performed?

• How many individuals are being observed?

Behavior Based Safety

• Pre-Job Inspection

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Safety Documents

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Lock Out/Tag Out and Try

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Standard PPE

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Gloves

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Hearing Protection

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• H2S Monitor/Respiratory

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Fall Protection

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Other PPE

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Walking/Working Surfaces

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Housekeeping

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Tool used for their purpose

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Power Tools

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Crane Operation/Taglines

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Vehicles

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Lifting/Pulling/Pushing/Carrying

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Line of Fire

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Avoid being pinched or pinned

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Climbing

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.

• Pinch Points

  Safe

  At Risk

  N/A

• Root Cause

  Select Rushing, in a hurry Aware of hazard but rushed to complete extra work No specific safe practice for the job Improperly equipped for task Proper tools or safety equipment not available Mind not on task Medications Fatigue Stress Unaware of the hazards of the task Not aware of the consequences Employee new to position Has not had appropriate training Unaware of safe practice for job Unaware of risks associated with the work locations Disagrees with the required or recommended safe practices Believes the recommended way poses a greater risk Different design of facilities or equipment is potentially needed Leadership supports doing job this way Leadership disagrees with safe practice Peers all do job this way Conflicted direction given by persons of authority

  • Rushing, in a hurry
  • Aware of hazard but rushed to complete extra work
  • No specific safe practice for the job
  • Improperly equipped for task
  • Proper tools or safety equipment not available
  • Mind not on task
  • Medications
  • Fatigue
  • Stress
  • Unaware of the hazards of the task
  • Not aware of the consequences
  • Employee new to position
  • Has not had appropriate training
  • Unaware of safe practice for job
  • Unaware of risks associated with the work locations
  • Disagrees with the required or recommended safe practices
  • Believes the recommended way poses a greater risk
  • Different design of facilities or equipment is potentially needed
  • Leadership supports doing job this way
  • Leadership disagrees with safe practice
  • Peers all do job this way
  • Conflicted direction given by persons of authority

• Corrective Action

• Positive feedback, coaching statements, corrective actions?

  Yes

  No

  N/A

• Please explain.