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Behavior-Based Safety Observation Checklist

Use this behavior-based safety observation checklist as an example for what to look for in your own workplace. This checklist assesses employees’ ergonomics, PPE, tools and equipment, work areas, and procedures.

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Behavior-Based Safety Observation Checklist

Behavior-based Safety Observation Checklist

Ergonomics

Safe
At Risk

Personal Protective Equipment

Safe
At Risk

Tools & Equipment

Safe
At Risk

Environment & Work Areas

Safe
At Risk

Procedures

Safe
Specify
At Risk
Specify

Sign Off

Additional Observations
Safety Manager's Name & Signature
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