Neil Nieburg

Focus Five - Observation

Job Site - Management Interaction

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Use this Template

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Title Page

Job Site/Job Number
Location
Prepared by
Conducted on

Area/Task being observed?
- HJF Field
- EBC Field
- HJF Shop(s)/Yard
Housekeeping
Add media
Working Platform
Add media
PPE
Add media
Rigging (tags, strap condition,...)
Add media
Caught In-Between/Struck By
Add media
Mgmt. Observer
Notes: Plus/Delta (what went well/ what can be changed to improve)
Housekeeping
Add media
Excavation(s)
Add media
PPE
Add media
Rigging (tags, strap condition,...)
Add media
Caught In-Between/Struck By
Add media
Mgmt. Observer
Notes: Plus/Delta (what went well/ what can be changed to improve)
Houskeeping
Add media
Fall Protection
Add media
PPE
Add media
Rigging (tags, strap condition,...)
Add media
Caught In-Between/Struck By
Add media
Mgmt. Observer
Notes: Plus/Delta (what went well/ what can be changed to improve)

Neil Nieburg

Focus Five - Observation

Job Site - Management Interaction

Use this Template

Print as PDF

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.