Safety Observation Form Template
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Safety Observation Form
Use this form to document safety observations, including hazards or unsafe behaviors. Provide detailed descriptions, immediate actions, and recommendations. Ensure all relevant sections are completed and reviewed by a supervisor.
Date
Location
Observer's Name
Observer's Job Title
I. Description of the Issue
Type of Observation
Hazard
Unsafe Behavior
Compliance Issue
Detailed Description
Provide a thorough description of what was observed, including any relevant conditions or context.
II. Persons Involved
Complete this section by listing all individuals involved, their positions, and contact information for follow-up and clarity.
Name | Job Title | Contact Information |
|---|---|---|
III. Immediate Actions Taken
Action Taken
Describe any immediate corrective actions taken.
Person Responsible
Date & Time of Action
IV. Recommendations
Short-Term Recommendations
Long-Term Recommendations
V. Follow-Up Actions
Action Required
Responsible Person
Deadline for Action
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