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COLLECT ALL YOUR DATA FROM ANY MOBILE DEVICE
Behavior based safety observation form checklist
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1
General
> Behavior based safety observation form checklist
Use Template
Anonymous User
Audit
Body, Arms, and Hands: protected from resins, adhesives, sealants, chemicals and composite dust
Safe
At Risk
N/A
Eyes: protected from flying debris, chemicals and radiant light. Safety glasses worn in mandatory areas?
Safe
At Risk
N/A
Hands: protected when handling sharp objects/tools, severely hot or cold items
Safe
At Risk
N/A
Head: protected from impact from above and at same height objects?
Safe
At Risk
N/A
Hearing: protection used in mandatory areas and during short exposures to high decibel noise?
Safe
At Risk
N/A
Respiratory: protected for vapors, dust, misc. debris. Clean shaven, mask stored in sealed container
Safe
At Risk
N/A
Body Posture: wrist, neck back in neutral position, elbows 90, close to body?
Safe
At Risk
N/A
Grip/force: not excessive when combined with high frequency?
Safe
At Risk
N/A
Lifting/Lowering: weights not above 50# at/above shoulder height. Lift is not awkward or repetitive?
Safe
At Risk
N/A
Pushing: versus pulling?
Safe
At Risk
N/A
Reach: not overextended for long periods of time or during lifting?
Safe
At Risk
N/A
Repetition: is not excessive not excessive when combined with high force and frequency?
Safe
At Risk
N/A
Vibration: long exposures reduced by PPE, tape or tool design?
Safe
At Risk
N/A
6S: clean as you go is evident
Safe
At Risk
N/A
Fixtures/Carts/Racks: breaks, wheels and gen. frame operational. Pinch point iD'd
Safe
At Risk
N/A
Razor Blades: stored when not used, cut resistant gloves worn
Safe
At Risk
N/A
Tools/hoist: safety triggers operational, periodic checks done, no signs or wear or failure
Safe
At Risk
N/A
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