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  • Observation Card

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    m.auzanfebrianoshaza
    8 views2 pages
    The document is an observation card summarizing a worker installing drywall. It notes the date, time, location and task being observed. It indicates the worker was using proper lifting techniques and had assistance, but was not wearing required safety glasses when dust was present. As a positive, the worker was using proper lifting techniques and screws were being installed correctly. No near misses were reported. The checklist rates use of PPE, body positioning, tools/equipment, WHMIS, and housekeeping. It notes the worker was responsive when asked to wear eye protection as required.

    Original Description:

    Original Title

    OBSERVATION CARD

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    The document is an observation card summarizing a worker installing drywall. It notes the date, time, location and task being observed. It indicates the worker was using proper lifting techniques and had assistance, but was not wearing required safety glasses when dust was present. As a positive, the worker was using proper lifting techniques and screws were being installed correctly. No near misses were reported. The checklist rates use of PPE, body positioning, tools/equipment, WHMIS, and housekeeping. It notes the worker was responsive when asked to wear eye protection as required.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    8 views2 pages

    Observation Card

    Uploaded by

    m.auzanfebrianoshaza
    The document is an observation card summarizing a worker installing drywall. It notes the date, time, location and task being observed. It indicates the worker was using proper lifting techniques and had assistance, but was not wearing required safety glasses when dust was present. As a positive, the worker was using proper lifting techniques and screws were being installed correctly. No near misses were reported. The checklist rates use of PPE, body positioning, tools/equipment, WHMIS, and housekeeping. It notes the worker was responsive when asked to wear eye protection as required.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Observation Card Behavioral Based Observation

    Type of Observation Checklist


    Unsafe Conditional Rules / Procedures
    Unsafe Act Positive Behaviour
    Near Miss Compliance
    Instruction : Inform worker of observation to take place. Complete checklist
    and card. Post observation- Review a postive behaviour observed with
    worker, then review any unsafe or risky behaviour observed with worker.

    DATE : Today’s Date TIME : 09:00 AM AM/PM

    LOCATION
    Site 54 – 111 32 a st NE

    WORK OBSERVED :
    Installing Drywall

    DESCRIPTION :
    Worker is lifting and installing 4 lange of drywall with partner for assistance
    Worker is using drywall screw qun

    INTERVENTION ?
    Worker NOT wearing safety glasses as reguired when dust hazard present.

    POSITIVE BEHAVIOUR :
    Worker was using proper lifting techniques and using a partner to assist
    with install screws being installed.

    Near miss :
    None

    Reported to Supervisor before end of shift ✘ YES NO


    Supervisor Name /
    Signature : Mr. Joe
    Worker Name /
    Signature : Mrs. Joe
    1 PERSONAL PROTECTIVE EQUIPMENT N/A SAFE UNSAFE
    Head Protection √
    Eye protection √
    Hand protection
    Food protection √
    High vis vest √
    Other : √
    2 BODY POSITIONING/PROTECTION N/A SAFE UNSAFE
    Proper lifting/bending techniques √
    Proper pulling/pushing √
    Using assistance for lifts over 50 pds √
    3 TOOLS & EQUIPMENT N/A SAFE UNSAFE
    Walks around complete √
    Conditional/guards in place √
    Selection/correct use √
    Following correct
    procedures/practices √
    Inspections completed pre-use √
    Ladders 4 to 1 ratio √
    3-point contact maintained for acces √
    4 WHMIS N/A SAFE UNSAFE
    Workplace labels afixed √
    SDS location known/nearby √
    Stored property √
    5 HOUSEKEEPING N/A SAFE UNSAFE
    Traffic areas clear of obstacles/debris √
    Materials stored 1.5 m from drop
    edge √
    Compressed gas stored upright
    secure √
    Less than 25% area cluttered with
    debris √
    Notes :
    worker did a graet job and was responsive when asked to don eye
    glasses as per company policy.

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