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Improving Your Safety
With a Behavioral Approach
(Reprinted from Hydrocarbon Processing)

A sample observation checklist (Table 3)

Terry E. McSween

Safety Observation Checklist

 

 

Observers: _________________________________
Date: __________ Time: _________

 

 
Instructions: For each safety pinpoint, record "Yes" if all employees you observed were using each pinpointed safety procedure and "No" if all employees you observed were not following the safety procedure. Use the space at the bottom of the form to record other safety-related items.

 

Equipment And Tools

# of Safe

# of Concerns

Proper use of mix station (appropriate temp.)

    

Proper use of fork lifts

    

Use of warning light when working in warehouse

    

Proper tool used in reset procedure

   

Proper steam cut-off and bleed down before
disconnecting steam hoses

    

Appropriate use of ladder

    

Proper use of hand tools

    
     

Safety Equipment

    

Proper use of safety belts

    

Proper use of personal and area locks

    

Derails locked in proper position

    

Appropriate eye protection

    

Proper gloves

   

Proper footwear

    

Protective clothing around "Class A" & "Class B"
material

    
     

General Safety

    

Proper decontamination of equipment

    

Proper barricading of hazardous conditions

    

Electrical cords run and/or stored properly

    

% Safe

Total

      

Other observations and comments

 

(Continue on back of sheet)

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This article first appeared in Hydrocarbon Processing (August 1993) and is reproduced here with permission.