Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

Behavioral Based Safety Observation Checklist

Ergonomics Safe Risk NA


Body mechanics
Body posture & position
Adequate force used
Pushing, pulling, reaching
Lifting & lowering techniques
Eyes on path & work
Body and/or hands in right position
Personal Protective Equipment (PPE) Safe Risk NA
Hand protection
Fall protection
Eye & face
Respirator, dust mask
Hearing protection
Correct & complete PPE
Proper use of PPE
PPE in good condition
Tools & Equipment Safe Risk NA
Tools used properly & in good condition
Tools, equipment, supplies in designated area
Tools & equipment – correct selection, use
Mobile equipment
Guards, barriers & warnings
Motorized equipment
Environment & Work Areas Safe Risk NA
Housekeeping
Walking surfaces
Working surfaces
Area clean & free of obstacles or slip, trip, fall hazards
Walkways, fire equipment, emergency access routes clear of
obstructions
Contact with temperature
Contact with rotating equipment
Contact with sharp edges
Caught between, pinch point
Tool slippage
Walking under suspended loads
Confined space
Driver safety
Electrical safety

Certainty Software © 2017


Harmful substances & environments
Hazardous materials labelled, used & stored properly
Procedures Safe Risk NA
Procedures available & up-to-date
Workers aware of procedure
Procedure followed properly
Lock Out Tag Out Safe Risk NA
Energy sources identified
Correct use of lock
Correct use of tag
LOTO procedures understood & available
Fall Protection Safe Risk NA
Correct fall arrest equipment
Correct use of fall arrest equipment
Fall arrest equipment condition
Fall arrest line correct anchor point
Use of correct ladder, lift or scaffolding
Correct use of ladder, lift or scaffolding
Correct fall protection barriers
Chemical Use Safe Risk NA
Correct use
Correct storage & labeling
Mixing safely
Correct disposal
Adequate & working ventilation

Disclaimer
This checklist provides general information about behaviour based safety and is not to be considered advice, nor treated as
such. The information provide herein is provided without any representations or warranties – express or implied and Certainty
Software Inc. make no representations or warranties in relation to this checklist.

Certainty Software © 2017

You might also like