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Behavior Based Safety Checklist
Section 1: Chemicals
1. 1. Are chemicals returned to storage locations when not in use?
Yes
No
N/A
2. 2. Are chemicals properly disposed of when no longer needed?
Yes
No
N/A
3. 3. Are chemicals, including cleaning supplies, only used for designated tasks?
Yes
No
N/A
4. 4. Are chemical labels replaced when worn or damaged?
Yes
No
N/A
Section 2: Equipment
1. 1. Are fall harnesses, coats, overalls, and other wearable PPE items neatly hung up when not in use?
Yes
No
N/A
2. 2. Are PPE inspections completed before work activities begin?
Yes
No
N/A
3. 3. Is the lockout/tagout process strictly followed?
Yes
No
N/A
4. 4. Are step stools and ladders stored out of the way when not in use?
Yes
No
N/A
5. 5. Is PIT equipment kept clean and parked in the designated parking area?
Yes
No
N/A
Section 3: Ergonomics
1. 1. Are team lifts deployed for heavy items?
Yes
No
N/A
2. 2. Are proper push and pull body mechanics used?
Yes
No
N/A
3. 3. Do employees keep their eyes on the path at all times?
Yes
No
N/A
4. 4. Are hands and body appropriately positioned for the task?
Yes
No
N/A
5. 5. Are tools used to assist with unsafe lifts, pushes, and pulls?
Yes
No
N/A
6. 6. Is an appropriate amount of force used for the task?
Yes
No
N/A
Section 4: Work Environment (5S & Organization)
1. 1. Are trash and recycling receptacles not overflowing?
Yes
No
N/A
2. 2. Are workstations neatly organized and clean at all times?
Yes
No
N/A
3. 3. Are walkways, stairs, emergency exits, etc., clear of floor debris and clutter?
Yes
No
N/A
4. 4. Are electronic devices, cords, and other equipment kept in a designated charging area when not in use?
Yes
No
N/A
Section 5: Workplace Policies
1. 1. Are site grooming standards followed?
Yes
No
N/A
2. 2. Is the site's dress code followed?
Yes
No
N/A
3. 3. Are equipment and tools safely turned off during break periods?
Yes
No
N/A
4. 4. Are workers wearing the required PPE for the tasks they’re performing?
Yes
No
N/A