JOB OBSERVATION CHECKLIST
SAFE
Environment / Working Conditions
 Housekeeping
 Toxic Atmosphere
 Work Plans/Procedures Available
 Condition of Tools & Equipment
 Hazard Warnings
 Safety Devices in Place
Behaviours
 Using PPE
 Procedures Followed
 Communicating
 Proximity to Other Workers
 Work Pace
 Horseplay
 Focus on Work / Distraction
 Balance, Traction, Grip
 Pre-Task Planning / Permits
 Recognizing Change
Body Mechanics
 Reaching / Extending
 Lifting / Bending
 Repetitive Motion
 Standing / Sitting
 Comfortable
Line of Fire
 Body Position
 Energy Sources
 Lock Out
 Guards & Barriers
 Engineering Controls
 Workplace Design / Condition
 Congested Work Area
Tools & Equipment
 Pre-Job Inspection
 Correct For Task
 Safe Use
Employee Competency Check
 Knowledge / Trained / Certificate
 Skill / Experience
Management / Supervisory
 Training / Coaching
 Worker / Supervisor Competency
 Procedures Available, Adequate,
Understood
JOB OBSERVATION CHECKLIST
UNSAFE
SAFE
Environment / Working Conditions
 Housekeeping
 Toxic Atmosphere
 Work Plans/Procedures Available
 Condition of Tools & Equipment
 Hazard Warnings
 Safety Devices in Place
Behaviours
 Using PPE
 Procedures Followed
 Communicating
 Proximity to Other Workers
 Work Pace
 Horseplay
 Focus on Work / Distraction
 Balance, Traction, Grip
 Pre-Task Planning / Permits
 Recognizing Change
Body Mechanics
 Reaching / Extending
 Lifting / Bending
 Repetitive Motion
 Standing / Sitting
 Comfortable
Line of Fire
 Body Position
 Energy Sources
 Lock Out
 Guards & Barriers
 Engineering Controls
 Workplace Design / Condition
 Congested Work Area
Tools & Equipment
 Pre-Job Inspection
 Correct For Task
 Safe Use
Employee Competency Check
 Knowledge / Trained / Certificate
 Skill / Experience
Management / Supervisory
 Training / Coaching
 Worker / Supervisor Competency
 Procedures Available, Adequate,
Understood
UNSAFE
JOB OBSERVATION CHECKLIST
JOB OBSERVATION CHECKLIST
Location
What Was Observed?
Work Observed:
What Was Said?
(R/C) Reinforcement / Correction
Yes
Yes
(R/C) Reinforcement / Correction
What Was Said?
Work Observed:
Any change in behaviour during observation
Observer Name (print)
Location
What Was Observed?
Any change in behaviour during observation
Observer Name (print)
Follow-up Action
What Is To Be Done?
No
Date
Follow-up Action
What Is To Be Done?
No
Date