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ITS Technologies & Logistics Safety Observation

  • Division

  • Location / Site

  • GPS - Location
  • Type Of Observation ?

  • Task Being Performed?

  • Conducted on

  • Person being Observed - Full Name

  • Employee Number - Observed

  • Prepared by (Person completing Observation) - Full Name

  • Employee Number - Prepared

Observation

ITS Technologies & Logistics Safety Observation

Observations Will Never Result In Discipline

  • INSTRUCTIONS: Only mark Behaviors that keep the employee safe or put them at risk while performing the task(s) being observed. DO NOT mark those Behaviors that don’t apply to the work being performed. Put detailed comments below for each At-Risk-Behavior.

1.0 PERSONAL PROTECTIVE EQUIPMENT

  • 1.1 PPE <br>

2.0 EQUIPMENT USE

  • 2.1 Inspection<br>

  • 2.2 Defense Driving<br>

  • 2.3 Hook-up/Coupling<br>

  • 2.4 Parking/Staging<br>

  • 2.5 Following Distance<br>

  • 2.6 Yields/Rail Crossings/Stop Signs<br>

  • 2.7 Load Secure/Height<br>

  • 2.8 Pedestrian/Ground Grew Safety<br>

  • 2.9 Seatbelt<br>

3.0 BODY MECHANIICS

  • 3.1 Hand Grip<br>

  • 3.2 Lifting<br>

  • 3.3 Twisting <br>

  • 3.4 Overextending<br>

  • 3.5 Push/Pull Force<br>

4.0 BODY POSITION

  • 4.1 Pinch Point<br>

  • 4.2 Eyes on Path<br>

  • 4.3 Eyes on Task<br>

  • 4.4 Three Point Contact<br>

  • 4.5 Line of Fire<br>

5.0 JOB/WORK AREA PREPARTION

  • 5.1 Track Protection<br>

  • 5.2 Walking/Work Surface<br>

  • 5.3 Communication - Verbal/Hand Signal

  • 5.4 Assistance If Needed<br>

  • 5.5 Red Zones<br>

6.0 TOOLS & EQUIPMENT

  • 6.1 Proper Use<br>

  • 6.2 Condition<br>

7.0 WORK PRACTICES/CONDITIONS

  • 7.1 Regulations/Procedures<br>

  • Was this Observation Feedback Discussed with Employee?

  • Please give a brief Description of the Feedback.

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.