Title Page
Observer Information
-
• Name of Observer:
-
• Date & Time of Observation:
-
• Location/Area:
Context of Observation
-
• Work Activity/Task:
-
• Number of Workers Observed:
-
• Weather Conditions (if applicable):
-
• Work Environment (e.g., lighting, noise levels, space constraints):
Observed Behaviours
-
For each behaviour, mark as Safe (S) or Unsafe (U). Provide additional comments where necessary.
1. Personal Protective Equipment (PPE)
-
Wearing hard hats
-
Wearing safety glasses/goggles
-
Wearing hearing protection
-
Wearing high-visibility clothing
-
Wearing gloves
-
Wearing safety footwear
2. Work Procedures
-
Following standard operating procedures
-
Using tools and equipment correctly
-
Correct manual handling techniques
-
Safe use of ladders and scaffolding
3. Housekeeping
-
Keeping work area clean and tidy
-
Proper disposal of waste materials
-
Correct storage of tools and equipment
4. Interaction with Co-workers
-
Communicating effectively with co-workers
-
Following instructions from supervisors
-
Assisting co-workers when necessary
5. Emergency Preparedness
-
Knowledge of emergency procedures
-
Accessibility of emergency exits
-
Availability and knowledge of fire extinguishers
6. Hazard Identification
-
Identifying potential hazards
-
Reporting hazards to supervisors
-
Taking immediate action to mitigate hazards
Additional Comments
-
• Overall Behaviour Summary:
-
• Areas of Improvement:
-
• Positive Observations:
-
• Further Actions Required:
Signatures
-
• Observer:
-
• Supervisor (if applicable):
