GBS Safety Observation

• Conducted on

  Date

• Area

• Shift

• Observer

• For each At-Rick behavior Including what task was observed, ideas for improving the task, and follow-up items.
  

Initial Actions

• Eyes on Task

  Safe

  At Risk

  N/A

• Speed of Work<br>

  Safe

  At Risk

  N/A

• Balance, Traction, Grip<br>

  Safe

  At Risk

  N/A

Line of Fire - Body Position

• Falling<br>

  Safe

  At Risk

  N/A

• Struck by<br>

  Safe

  At Risk

  N/A

• Pinch Points<br><br>

  Safe

  At Risk

  N/A

• Striking Against<br>

  Safe

  At Risk

  N/A

• PPE<br>

  Safe

  At Risk

  N/A

• Guards, Screens, Rails<br>

  Safe

  At Risk

  N/A

• Energy Isolation (LOTO)<br>

  Yes

  No

  N/A

Body Mechanics

• Lifting, Bending, Twisting<br>

  Safe

  At Risk

  N/A

• Repetitive Motions<br>

  Safe

  At Risk

  N/A

• Reaching, Pulling, Pushing<br>

  Safe

  At Risk

  N/A

• Standing, Sitting, Kneeling<br>

  Safe

  At Risk

  N/A

• Comfortable (vs. awkward)<br>

  Safe

  At Risk

  N/A

Procedures & Standards

• Up to date, Understood<br>

  Safe

  At Risk

  N/A

• Followed<br>

  Safe

  At Risk

  N/A

• Orderliness (Housekeeping)<br>

  Safe

  At Risk

  N/A

Tools & Equipment

• Safe Condition<br>

  Safe

  At Risk

  N/A

• Correct for Task<br>

  Safe

  At Risk

  N/A

• Safe Use<br>

  Yes

  No

  N/A