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  • SAMPLE: Worker Safety Observation Form - Competency Evaluation Record

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    maria
    8 views1 page
    This worker safety observation form evaluates a worker's competency in safety practices such as wearing proper protective equipment, following safe work procedures, asking questions when unsure how to safely perform tasks, practicing good housekeeping, and demonstrating a safe attitude daily. The form records the worker's name, work location, supervisor, observer, date, and allows the observer to check boxes to indicate if safety practices were followed, not followed, or not observed along with a comments section.

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    sample_worker_safety_observation_form_competency_evaluation_record.docx

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    This worker safety observation form evaluates a worker's competency in safety practices such as wearing proper protective equipment, following safe work procedures, asking questions when unsure how to safely perform tasks, practicing good housekeeping, and demonstrating a safe attitude daily. The form records the worker's name, work location, supervisor, observer, date, and allows the observer to check boxes to indicate if safety practices were followed, not followed, or not observed along with a comments section.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    8 views1 page

    SAMPLE: Worker Safety Observation Form - Competency Evaluation Record

    Uploaded by

    maria
    This worker safety observation form evaluates a worker's competency in safety practices such as wearing proper protective equipment, following safe work procedures, asking questions when unsure how to safely perform tasks, practicing good housekeeping, and demonstrating a safe attitude daily. The form records the worker's name, work location, supervisor, observer, date, and allows the observer to check boxes to indicate if safety practices were followed, not followed, or not observed along with a comments section.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    SAMPLE: Worker Safety Observation Form – Competency Evaluation Record

    Worker’s name:
    Work Location:
    Supervisor:
    Observer: Date:
    Description Yes No Not observed Comments
    Wears required
    personal
    protective
    equipment
    Follows safe work
    procedures and
    policies
    Ask questions
    when does not
    know how to do a
    task safely
    Practices good
    housekeeping
    Demonstrates a
    safe attitude every
    day

    General comments and observations:


    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________

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