HBI Management Safety Observation - Northeast Region

• Project Name

• Project Number

• Conducted on

  Date

• Name of Conductor

• Location
  Address

• Personnel

Employee(s) Reactions/Attitudes During Work

• How would you best describe the overall employee attitude on the job?

  Good & Productive

  Fair & Productive

  Very Little Emotion

  Not in a Good Mood

  Destructive / Dangerous

Employee(s) Positions During Job

• How would you describe employee physical positions while completing work?

  Safe

  Unsafe / At-Risk

PPE: Personal Protective Equipment

• Is the PPE being utilized in good condition and suitable for the scope of work?

  Yes

  No

Tools and Equipment

• Are the tools being operated in good condition and adequate for the scope of work?

  Yes

  No

• Add any pictures of broken or improper tools.

  Media

Procedures and Conditions

• Are the procedures being utilized adequate for the conditions of the site?

  Yes

  No

Housekeeping

• How would you describe the general housekeeping of the site?

  Good

  Fair

  Needs Improvement

• Pictures may show proper or improper housekeeping

  Media

Comments and Corrective Actions

• Please describe all safe and / or unsafe acts & conditions; including the actions taken.

Observer's Name and Signature

• Add signature

  Sign