Checklist | Safety observation



[Company name or log here]Observation recordObserver: __________________________Date:____________Safe behaviorPreparedYesNoComments/action taken Worksite housekeeping______Clear of slip hazards______Clear of trip hazards______Clear of fall hazards______Equipment properly guarded______Other (specify)________________________________________________________ProcedureStandard operating procedures followed______Equipment procedures followed______General safety rules followed______Lockout-tagout followed______Other (specify)________________________________________________________ProtectionHead______Hair______Face______Eye______Hand______Foot______Respiratory______Hearing______Other (specify)__________________________________________________________ ................
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