Title Page
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Conducted on
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Prepared by
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Location
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Date: Time:
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Name of Observer
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Name of person being observed
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Description of Task
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Observe a Working Situation
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Introduce yourself
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Explain what you are doing and why
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Ask the person to describe the stages of the job they are doing
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Ask if they are aware of the risks and potential consequences
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If working unsafely, question why they feel they have to work that way
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Ask what corrective actions are required
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Agree actions (commitment to act)
