Environmental Engineering Reference
In-Depth Information
tABle 14.1
Planned job safety observation Form
joB sAFety oBservAtIon
observation completed by: ________________ title: _________________ date:
.. ___________
. 1.. Job.being.observed:..________________________________________________________________
. 2.. Worker.observed.(Name):..___________________________________________________________
. 3.. Experience.of.worker.at.job.or.task._______.yrs.._______.mos.
. 4.. Is.worker.dressed.appropriately.for.the.job?._______.yes._______..no
Comments:..__________________________________________________________________________
. 5.. Is.worker.wearing.all.required.personal.protective.equipment?._______.yes._______.no
Comments:..__________________________________________________________________________
Steps in performing the job or task should be marked (S) Satisfactory, (R) Reobserve, or
(U) Unsatisfactory.
Worker
Performance
steps (describe)
hazard Involved
. 1..
. 2..
. 3..
. 4..
. 5..
. 6.. Did.the.worker.perform.the.job.according.to.the.safety.operating.procedure?
______yes______no
. . Comments:.._______________________________________________________________________
. 7.. Did.the.worker.follow.the.safety.and.health.rules?._______.yes._______.no
. . Comments:.._______________________________________________________________________
. 8.. Did.the.worker.perform.the.job.or.task.safely?._______.yes._______.no
. . Comments:.._______________________________________________________________________
. 9.. Did.the.worker.have.a.good.safety.attitude?._______.yes._______.no
. . Comments:.._______________________________________________________________________
.10.. Does.the.worker.need.training?
.11.. Should.disciplinary.action.be.taken?
.12.. Should.the.worker.be.removed.from.the.job.or.task?
.13.. Was.the.worker.told.about.any.deiciency?
.14.. Your.inal.recommendations,.if.any.
Source:
. Reese,.C..D..and.J..V..Eidson..
Handbook of OSHA construction safety & health.
.Boca.Raton,.
FL:.CRC/Lewis.Publishers,.1999.
s
ElECtion
b
AsED
on
j
obs
Select.jobs.or.tasks.where.accidents.have.occurred..Jobs.may.be.selected.where.there.
have.been.repeated.accidents.or.lost.time.due.to.accidents,.or.jobs.where.accidents.
have. required. medical. treatment.. Other. selections. may. be. jobs. that. are. not. done.
where. the. hazards. may. not. be. fully. known.. Some. operations. may. have. a. system.
within.their.own.safety.program.whereby.violations.are.issued.when.a.job.is.done.
