Safety Behavior Observations

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• What is the date and time of observation?

  Date

Safe Use of PPE

• Is required PPE being worn?

  Safe

  At Risk

  N/A

• Is PPE adequate for the job?

  Safe

  At Risk

  N/A

• Is PPE worn properly?

  Safe

  At Risk

  N/A

Safe Position/Action of Baker

• Is there a chance of an employee striking against and object or being struck by an object?

  Safe

  At Risk

  N/A

• Is there a risk of an employee getting caught in, on, or between objects or conveyor belts?

  Safe

  At Risk

  N/A

• Is there a chance of an employee falling?

  Safe

  At Risk

  N/A

• Is chance that an employee could come in contact with hot or cold temperatures, electrical, or chemical?

  Safe

  At Risk

  N/A

• Do the job tasks require repetitive motion?

  Safe

  At Risk

  N/A

• Are employees overexerting themselves to accomplish any tasks?

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Have the operators kept all trash and scrap picked up?

  Yes

  No

  N/A

• Are the walkways and aisles kept clear and free of obstacles?

  Yes

  No

  N/A

• Are the materials organized to prevent injuries?

  Yes

  No

  N/A

• Are spills in the area cleaned up in a timely manner?

  Yes

  No

  N/A

Tools and Equipment

• Are the correct tools and equipment used to complete all tasks?

  Yes

  No

  N/A

• Are all tools and equipment used properly?

  Yes

  No

  N/A

• Are tools and equipment in good condition (free from cracks, handle not falling off, no sharp edges, etc.)?

  Yes

  No

  N/A

• Your name, Name of safety team leader, and line audited

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