SDX Safety Behavior Check - September

• Safety Behavior Check

• Unit Name

• Conducted on

  Date

• Prepared by

• Functional Area Observed

• # Personnel Observed

Service Type

• Service Type Observed

  Select Food Services Patient Transport Facilities Management Environmental Services Mail Room / Lab Construction Laundry

  • Food Services
  • Patient Transport
  • Facilities Management
  • Environmental Services
  • Mail Room / Lab
  • Construction
  • Laundry

Safety Behavior Check

• Equipment LO / TO when serviced

  Safe

  At Risk

  N/A

• Using handrail on stairs

  Safe

  At Risk

  N/A

• Cut resistant gloves worn

  Safe

  At Risk

  N/A

• Chemical containers labeled

  Safe

  At Risk

  N/A

• PPE worn to prevent burns

  Safe

  At Risk

  N/A

• Practicing Good Housekeeping

  Safe

  At Risk

  N/A

• Carrying items not obstructing vision

  Safe

  At Risk

  N/A

• Safe Ladder Use

  Safe

  At Risk

  N/A

• No Running Observed

  Safe

  At Risk

  N/A

• Proper Lifting Mechanics Observed

  Safe

  At Risk

  N/A

Safety Management Recommendations

• Recommendation 1

• Recommendation 2

• Recommendation 3