Chris Brown

Paired Behavior Based Observation

Its not an observation without a conversation

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Use this Template

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Title Page

Conducted on
Employees Involved
Zone/Machine Area

Machine/Zone Audit

Are employees using good Ergonomics?
Are employees following the Knife Policy?
Are floors clear of clutter, debris, and trip hazards?
Are all solvent covered and grounded?

Behaviors Observed

What safe behaviors did you observe?
How did you acknowledge the safe behaviors?
What unsafe behaviors did you observe?
What did you do to correct the unsafe behaviors?
Signature of Auditor

Chris Brown

Paired Behavior Based Observation

Its not an observation without a conversation

Use this Template

Print as PDF

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.