Safe Behavior Observation- Quality Review

• Site Conducted

  Select

• Hauler Assessed

  Select

• Conducted on

  Date

• Observer

• Describe Event observed

• Location
  Address

• Conditions

  Select

• Attach Hauler SBO report conducted on this observation

  Media

Observation Review

• Did Observer introduce themselves to the Observee on the purpose of the observation.

  Yes

  No

• Was the observer well knowledgeable enough on their procedure.

  Yes

  No

• Did Observer able to the stipulate the positives out from the field observation.

  Yes

  No

• Was the observer able to pick up the Questionable items from the observation?

  Yes

  No

• Did the observer conduct the Driver feedback well with the driver being observed.

  Yes

  No

Endorsement of Quality Review

• Observer

  Sign