Behavior based safety observation checklist
Record bbso for records
What does this form include?
This form contains 15 sections:
Observers name
Employee observed
Date and time of observation Date
Select Department where observation occurred
Describe each at risk behavior
Describe behavior observed
Add media
Describe preventative action discussed with employee
Describe positive behaviors observed
Observer name and signature
Observer 2 name and signature
Employee name and signature
Comments - Recommendations
Review Date
General Manager signature
Use this template