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Planned Task Observation

The document outlines a Planned Task Observation form used to assess individuals during specific tasks. It includes sections for observer details, reasons for observation, and a detailed observation checklist to note good and bad practices. The form aims to identify personal and task-related factors that may affect performance and safety.

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Sphe Spepe
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2K views3 pages

Planned Task Observation

The document outlines a Planned Task Observation form used to assess individuals during specific tasks. It includes sections for observer details, reasons for observation, and a detailed observation checklist to note good and bad practices. The form aims to identify personal and task-related factors that may affect performance and safety.

Uploaded by

Sphe Spepe
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

PLANNED TASK OBSERVATION Page: 1 of 3

PLANNED TASK OBSERVATION


DETAILS OF OBSERVATION

Name of Observer: Designation of Observer:

Date of Observation: Duration of Observation:

Was person being observed notified? YES NO Signature of Observer:

Designation of person being


Name of person being observed:
observed:

Signature of person being observed:

REASONS FOR OBSERVATION


No Personal Factors Task Factors
1. Incident Repeater YES NO New Job YES NO
2. Known Ability Problem YES NO New Worker YES NO
3. Known Risk Taker YES NO Ergonomic Factor YES NO
4. Poor Performer YES NO Critical Job YES NO
5. Good Performer YES NO Hazardous Job YES NO
6 Other
THE OBSERVATION DETAIL
PLANNED TASK OBSERVATION Page: 2 of 3

What on-the-spot
Step By
Task description (Step-by-step) Good Practice Bad Practice Frequency corrective actions were
No. whom?
observed?
PLANNED TASK OBSERVATION Page: 3 of 3

What on-the-spot
Step By
Task description (Step-by-step) Good Practice Bad Practice Frequency corrective actions were
No. whom?
observed?

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