Neil Nieburg

Focus Five - Observation

Job Site - Management Interaction

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Use this Template

Title Page

Job Site/Job Number
Location
Prepared by
Conducted on

Area/Task being observed?
- HJF Field
- EBC Field
- HJF Shop(s)/Yard
Housekeeping
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Working Platform
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PPE
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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

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