Strata Corporation - Behavior Safety Audit

• Strata Corporation Division

  Strata - Energy Services

  Strata - Construction Division

  Strata - Aggregate Division

  Strata - Concrete Division

  Strata - Electrical Division

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

Observer Guidlines

• 1) Observe one employee per card
  2) Observe one work activity per card
  3) Observation period 5 - 10 minutes
  4) If unsafe activity is observed, discussion with employee is required
  5) Provide positive (4:1) and immediate feedback to employees
  6) Comments section should include ideas for improvement

Line of Fire

• Required Personal Protection is being utilized correctly (hand, body, eyes/face, head, foot, respiratory, fall protection, hearing protection, or FR clothing/gear)

  Safe

  At Risk

  N/A

• Seat belt compliance

  Safe

  At Risk

  N/A

• Eyes on task ( no distractions, etc cell phone usage....)

  Safe

  At Risk

  N/A

• Required safety training completed (company and customer)

  Safe

  At Risk

  N/A

• Proper housekeeping (site order, equipment cleanliness)

  Safe

  At Risk

  N/A

Initial Actions

• Check if JSA/Safety Orientation is complete

  Yes

  No

  N/A

• Is employee paying attention to the work activity

  Yes

  No

  N/A

• Proper body language (balance, trip hazard, slip hazard)

  Yes

  No

  N/A

Body Mechanics (Ergonomics)

• Working Position: poor posture, over stretched, above shoulder, below knees, twisting, caught in between, struck by, working at heights greater than 4', floor or wall opening, unprotected work edge, or false ceiling or floor

• Proper lift, bend, twist (awkward, 3 point position, bending at knees, etc...)

  Safe

  At Risk

  N/A

• Repetitive motion activity

  Safe

  At Risk

  N/A

• Reaching, pulling, pushing, exceeding normal body limits

  Yes

  No

  N/A

• Standing, sitting, kneeling for long durations

  Yes

  No

  N/A

Tools and Equipment

• Appropriate tools or equipment being used

  Safe

  At Risk

  N/A

• Safe use and operation

  Yes

  No

  N/A

Work Activity

• Position of employee (exposure to Stuck by, Caught by, Caught in Between, Temperature, Inhalation, Fall Hazards, etc...)

  Yes

  No

  N/A

• Confined Space compliance

  Yes

  No

  N/A

• Isolation Lockout, Tag-out compliance (electrical, mechanical, equipment)<br>

  Yes

  No

  N/A

Comments

• Comments;

• Signature of Observer

  Sign