Sales Safety Behavioural Observation

• Document No.

• Safety Observation

• Site/ Sites

• Conducted on

  Date

• Conducted by

• Person Reviewed

Category 1 Personal Protective Equipment

• Person is wearing correct PPE for the task?

  Yes

  No

  N/A

• Person is wearing mandatory PPE for area?<br>

  Yes

  No

  N/A

Category 2 Manual Handling

• Person avoids twisting

  Yes

  No

  N/A

• Person uses correct manual handling techniques<br>

  Yes

  No

  N/A

• Person is not over reaching to perform the task

  Yes

  No

  N/A

• Person identifies safe weight limits

  Yes

  No

  N/A

Category 3 Act Safe

• Person is not rushing

  Yes

  No

  N/A

• Person doesn't show signs of fatigue

  Yes

  No

  N/A

• Person reviewed risks associated with tasks

  Yes

  No

  N/A

Category 4 Equipment

• Person utilised tools available for task

  Yes

  No

  N/A

• Person has been trained to use equipment

  Yes

  No

  N/A

• Person uses ladders and safety steps safely

  Yes

  No

  N/A

• Person can identify risks associated with equipment

  Yes

  No

  N/A

Category 5 Warm Up

• Person warmed up prior to completing the task

  Yes

  No

  N/A

• Person warmed up all muscle groups associated with the task

  Yes

  No

  N/A

• Warm up completed before each manual handling task throughout the day

  Yes

  No

  N/A

• Warm down was completed

  Yes

  No

  N/A

Other Safety Observations

• Other Safety Observations

  Yes

  No

  N/A

Feedback

• Positive after Behaviours Outlined<br>Comment

  Yes

  No

  N/A

• Areas of Opportunity with Safety Behaviours

  Yes

  No

  N/A

Reviewer

• Reviewer Signature

  Sign

Person Reviewed

• Person Reviewed Signature

  Sign