Title Page

  • Conducted on

  • Prepared by

  • Behavioral Based Observation

  • BBOs will be completed once daily by each member of leadership

  • BBO can be completed by TLs, GLs, Supervisors, and Trainers, and above

  • BBO completion to be rotated through all TMs

  • Review completed BBO with observed TM (Positive & Negative findings)

  • Operator:

  • Observer:

PPE

  • Wearing steel toed shoes/boots

  • What happened?

  • Wearing hiviz shirt of vest

  • What happened?

  • Wearing safey glasses

  • What happened?

  • CTS - Wearing appropriate gloves when required (repack, breakdown, recycling, assembly, export)

  • What happened?

  • CTS - PPE is in good condition

  • What happened?

General Safety

  • CTS - TM is utilizing proper lifting/placing, reaching, pulling, pushing, and bending/twisting techniques

  • What happened?

  • CTS - TM is adhering to man / machine separation controls

  • What happened?

  • TMs work area is clear of clutter

  • What happened?

  • Utilizing the pedestrian walkway

  • What happened?

  • Stop Look Point when going through intersections

  • What happened?

  • TM is observing the 10' rule

  • What happened?

Process Based

  • TM is properly utilizing provided tools & equipment

  • What happened?

  • TM is following written work instruction process

  • What happened?

Covid-19

  • CTS - TM is wearing appropriate covid PPE for their area / distance

  • What happened?

  • CTS - TM is properly sanitizing areas/tools after use

  • What happened?

  • CTS - TM is maintaining six foot social distancing

  • What happened?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.