Information
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Job Safety Observation
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Work Activity Observed
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Site / Floor Level
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Conducted on
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Observed by
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Location
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Observed person / Contractor
Personal Protective Equipment
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All applicable and appropriate PPE is being worn
Housekeeping
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The work area is free of trips, slip and fall hazards
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The work area is barricaded and sign posted as required
Unsafe Behaviours Observed
Safe Behaviours Observed
Corrective Actions
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Have you contacted your Supervisor / Manager if a Unsafe Act / Serious Safety Breach has occurred?