Behavioral Based Observation Card
General Information
Date
*
/
Month
/
Day
Year
Date
Project
*
Please Select
2800048-PAVH
2800052-Virtual Health Hub
2820099-St. Pauls Power Plant
2820107-MN Learning-PA
2820113-SRC SXU TdDy Concrete and Steel
2820114-BourgaultMachineHQ
2820116-Cameco McArther River
2820118-St Johns Cathedral Repointing
2820119-Saskatoon City Hospital Acute Care Project
2820121-AAFC Roof Replacement
2820122-Innovation Sask Tenant Decanting
2820123-AAFC Seed Storage Building Expansion
2840037-Theodore Spillway Upgrades
Name
*
First Name
Last Name
Observer Company
*
Company Observed
*
Area Observed
*
Craft Observed
*
Number of Workers
*
PCL's Life Saving Absolutes
PCL Life Saving Absolute Observed if Applicable:
Fall Protection/Falling Object Prevention
Rigging and Hoisting
Lock Out/Tag Out
Trenching and Excavation
Road/Site Vehicles
Human/Equipment Interface
Controlled Access
N/A
Describe the Observation:
*
0/750
Critical Behaviours
Pinch Points - Worker(s) positioned so that body parts are clear of being caught or crushed?
*
Safe
At Risk
N/A
Line of Fire - Worker(s) positioned to avoid being contacted, struck, or sprayed?
*
Safe
At Risk
N/A
Focused on Task - Worker(s) has their eyes on task and is not distracted?
*
Safe
At Risk
N/A
Ergonomics - Worker(s) uses proper lifting techniques and body positioning to prevent strains/springs?
*
Safe
At Risk
N/A
Work Pace - Worker(s) is not rushing/taking shortcuts?
*
Safe
At Risk
N/A
Use of Tools - Worker(s) ensures tools are inspected and used properly?
*
Safe
At Risk
N/A
Use of Equipment - Worker(s) ensures equipment is inspected, used properly, and a spotter is in place if necessary?
*
Safe
At Risk
N/A
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?
*
Safe
At Risk
N/A
PPE - Worker(s) ensures PPE is inspected, in good condition, and worn appropriately for the task?
*
Safe
At Risk
N/A
Balance, Traction or Grip - Worker(s) has firm footing, access/egress and work area were suitable, designated walkways used?
*
Safe
At Risk
N/A
Follow up Action Feedback Provided Follow Up Action Required
*
0/1000
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