Information

  • EWI Behavior Based Safety Observations

  • Conducted on

  • Prepared by

  • Select date

  • Behavioral Observations

  • Observations
  • Area

  • Reactive Behavior

  • Adjusting PPE
    Changing Position/Turning Away
    Stopping Work/Attaching Guards
    Rearranging Job

  • Personal Protective Equipment

  • Head Gear
    Eye Protection and Face Shielding
    Respiratory Protection
    Arm and Hand Covering
    Foot and Leg Protection

  • Specific Job Risks

  • Strike Against or Caught
    Line of Fire
    Fall or Slip Hazard
    Contact - Hot/Chemical/Electric
    Inhale or Swallow Hazardous Substance

  • Tools and Equipment

  • Wrong for the Job
    Used Incorrectly
    In Need of Repair or Maintenance
    Clutter and Poor Housekeeping

  • Safe Work Practices

  • Not Defined
    Not Known or Understood
    Ignored or Done Poorly
    Not Compatible with Task

  • Ergonomics

  • Forceful exertions
    Awkward Postures
    High Repetition
    Long Duration Without Rest

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.