Observations-Office

Observer Name (not required)
Invalid Input

District
Invalid Input

Date

Invalid Input

Observed Dept. or Org
Invalid Input

Task/Job Observed
Invalid Input

Location of Observation
Invalid Input

Please skip the item or section if it is not applicable to the task/job that is included in the observation. A skipped question is considered NA.
 
Housekeeping
Slip/Trip/Fall Hazards
Invalid Input

Storage/Clutter
Invalid Input

Comments
Invalid Input

 
Body Position
Lifting/Bending
Invalid Input

Reaching/Twisting
Invalid Input

Paying Attention
Invalid Input

Comments
Invalid Input

 
Layout/Work Environment
Monitor Position/Glare
Invalid Input

Mouse & Pad/Keyboard
Invalid Input

Adequate Lighting
Invalid Input

Layout (frequently used tools nearby)
Invalid Input

Comments
Invalid Input

 
Noted Safe Behaviors/Actions
Invalid Input

Reasons Behind At-Risk Behaviors
Invalid Input

Solutions Proposed/Implemented
Invalid Input

Attach a photo or video. (not required)
Invalid Input

Go to top
JSN Boot template designed by JoomlaShine.com