HBS Job Observation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Individuals participating in observation

• Task being observed

• Employee being observed

  Sign

• Employee conducting observation

  Sign

Body Mechanics

• Is your footing or position safe? List unsafe acts observed and/or corrective actions taken.

  Safe

  At Risk

  N/A

• Is the employee using proper lifting techniques? List unsafe acts observed and/or corrective actions taken.

  Safe

  At Risk

  N/A

• Are any pinch points present? List pinch points observed and/or corrective actions taken.

  Safe

  At Risk

  N/A

• Is the employee overextending? List unsafe acts observed and/or corrective actions taken.

  Safe

  At Risk

  N/A

• Is the employee pulling or twisting while working? List unsafe acts observed and/or corrective actions taken.

  Safe

  At Risk

  N/A

Tools & Equipment

• Are the proper tools and equipment being used? List unsafe acts observed and/or corrective actions taken.

  Safe

  At Risk

  N/A

• Are the tools and/or equipment being used in good condition? List unsafe acts observed and/or corrective actions taken.

  Safe

  At Risk

  N/A

PPE

• Eye Protection

  Safe

  At Risk

  N/A

• Hand protection

  Safe

  At Risk

  N/A

• Hearing protection

  Safe

  At Risk

  N/A

• Respirator

  Safe

  At Risk

  N/A

• Clothing/FR Clothing

  Safe

  At Risk

  N/A

• Fall Protection

  Safe

  At Risk

  N/A

Operating Procedures

• Following NRTR or Standard Work?

  Yes

  No

  N/A

• Can the Employee explain the task?

  Safe

  At Risk

  N/A

• Housekeeping conditions?

  Safe

  At Risk

  N/A

• LO/TO required?

  Safe

  At Risk

  N/A

• Confined space entry required?

  Safe

  At Risk

  N/A

• Are there any changes that needs to be made to the procedure or standard work to make it current?

  Yes

  No

• Are there any hazards present that are not included in the task steps?

  Yes

  No

• Does the employee have any opinions about possible risks or changes?

  Yes

  No