B.O.S.

S
Observation Categories
Behavioral Observation Safety System
Title (please enter brief description of observation) Further information (i.e under driving - seat belts, speed

Communications

Date Occurred Confined space entry

Driving Standards

Safe act / condition observed Emergency Procedures

Energy Isolation

Environmental

External Site Safety Talks

Actions taken to encourage continued safe performance Ground Disturbance

Health

Home HSE

Housekeeping

Unsafe act / Condition observed Lifting

Management of Change

Manual Handling

Office

Permit to Work

PPE

Immediate corrective action Positions of People

Procedures

Process Safety

Road Crossing

Security

Action to prevent recurrence and agreement reached Stair code

Tools & Equipment

Travel HSE

Trip, Slip, Fall Hazards

Location Visitors

Working at heights

Other

Completed by
CLOSED IMMEDIATELY?
YES NO NO
 Observation Categories

Further information (i.e under driving - seat belts, speeding, etc) √