1. Safety Observation

50% of survey complete.

Take a few minutes to observe one of your co-workers at work. Note if he/she is safe or possibly at risk.

When done with this 12 point check list, tell him/her what he/she is doing right. Coach him/her on how to avoid risks in the way he/she approaches his/her work.

* 1. Employee Information:

* 2. Date of Observation:

Please enter date of observation:

* 3. Observed: