Title Page

  • Prepared by

  • Conducted on

  • Department & Location of Observation

  • Location
  • Number of Employees involved in observation

  • Reaction of staff?<br>Were they approachable/defensive?

  • Position of staff? <br>Are they in the correct/safe position for the task at hand?<br>Do they understand the process?

  • Are they wearing the correct PPE for the task at hand?<br>Is it in good condition?

  • Are the tools and equipment being used in the correct manner?<br>Are they in the good condition?<br>Are they being used safely?

  • Are there procedures being followed for the task at hand?<br>Are the procedures known by all staff?

  • Is housekeeping being adequately maintained?<br>Is the worksite tidy?<br>Are there tools laying around the worksite?

  • Good practices observed:

  • Improvements/Follow-up

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.