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  • Behavioral Based Observation Card

  • General Information

  • Date*
     / /

  • PCL's Life Saving Absolutes

  • PCL Life Saving Absolute Observed if Applicable:
  • 0/750

  • Critical Behaviours

  • Pinch Points - Worker(s) positioned so that body parts are clear of being caught or crushed?*
  • Line of Fire - Worker(s) positioned to avoid being contacted, struck, or sprayed?*
  • Focused on Task - Worker(s) has their eyes on task and is not distracted?*
  • Ergonomics - Worker(s) uses proper lifting techniques and body positioning to prevent strains/springs?*
  • Work Pace - Worker(s) is not rushing/taking shortcuts?*
  • Use of Tools - Worker(s) ensures tools are inspected and used properly?*
  • Use of Equipment - Worker(s) ensures equipment is inspected, used properly, and a spotter is in place if necessary?*
  • Work/Task Environment - Worker(s) ensures area is clean, other workers are notified/protected of their work, and controls are in place for identified hazards?*
  • PPE - Worker(s) ensures PPE is inspected, in good condition, and worn appropriately for the task?*
  • Balance, Traction or Grip - Worker(s) has firm footing, access/egress and work area were suitable, designated walkways used?*
  • 0/1000
  •  
  • Should be Empty: