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Safe Act Observation
Safe Act Observation
Type of Situation
Housekeeping
Dress code (hair, jewelry, etc.)
PPE (earplugs, gloves, face shield, etc.)
Chemical Use / Storage / Labels
Debris / Waste (floor, hand, etc.)
Knife Safety (lap-ups, glove, knife)
Machine Guarding & Safety Interlocks
LOTO (following procedures, using lock & tag, etc.)
Manual Material Handling (lifting, pushing, pulling)
Slips / Trips / Falls Conditions (spills, boxes, etc.)
Ergonomic Position (reaching, weight, height, etc.)
Not In Assigned Area / Security
Emergency Access / Egress
Other Behavior
If you selected "Other Behavior" describe:
What was the observed behavior?
What were the potential Impacts of the behavior?
What actions did you take to reinforce the act?
