• Employee Name

  • TASK OBSERVED:

  • Type of Observation:

  • Covert or Overt observation

  • Reason for Observation:

  • Task Description:

  • Could any of these practices/conditions observed result in property damage, personal injury or illness? If "Yes", describe.

  • Were the methods and practices the most effective in ensuring security was maintained

  • Did the practice observed comply with all of the applicable procedures or standards that exist for this task? If "no", describe.

  • Clearly describe any practices that deserve Compliment or Correction:

  • Should a follow-up observation of the worker/task be made in the near future? If "Yes" describe why.

  • Describe any standard procedure, method or equipment that you observed and feel that management should consider changing in the interest of security

  • Follow-up action(s):

  • Number of observed items viewed

  • Was the observation completed compliant?

  • Observer:

  • Completed on

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