Behavior-based Safety Checklist

This behavioral safety checklist is used by a professional services company that specializes in providing safety psychology services, including behavioral safety program implementation. Use this checklist to assess laboratory, blending operations, loading/unloading process, and warehouse operations practices and determine if they’re safe, unsafe, or unseen.

This behavior-based safety observation form can be used for general building and office environments. Included in this checklist are key areas critical to health and safety such as work environment, electrical hazards, fire safety and equipment, etc. Use this template to document your safety observations across the relevant sections of Safety Mentions, Opportunity for Improvement or Critical Items and create corrective measures with an assignee, priority level, and due date.

A behavior-based safety observation checklist is used by safety managers to identify safe and at-risk behavior of frontline workers. Use this checklist to assess employees’ ergonomics, PPE, tools and equipment, work areas, and procedures. The moment you complete this checklist, all data is automatically saved, organized, and collected in real time. Easily spot trends of unsafe acts and monitor performance using SafetyCulture analytics.

This behavioral safety audit checklist can be used in offices to observe safe behavior for handling tools and equipment, PPE, safety systems and procedures, ergonomics, and waste management. Indicate observation points as “OK”, “NOK” (not okay), “N/A” (not applicable), or “Feedback”, take/attach necessary photos or files, and automatically generate the audit report.

A critical behavior checklist (CBC) is used to help ensure the practice of critical safe behavior such as office ergonomics, PPE, body use and position, lifting, work environment, tools and equipment, forklift or manlift, and light vehicles or trucks. Use this checklist to detect reasons for at-risk behaviors such as disagreement with safe practice, personal choice or shortcuts, job knowledge, job focus, facilities or equipment, and management system. Accomplish this critical behavior checklist with the date and time of completion and the observer’s digital signature.

A field level hazard assessment template aims to help frontline workers identify and immediately control hazards in designated work areas. It promotes behavior-based safety by enabling workers to apply the “stop and think” process in minimizing health and safety risks at the onset. Use this template to briefly discuss the tasks to be done during the shift, specify and take photos of the hazards in your work area, indicate how hazards are controlled, and update the tasks, hazards, and controls in real-time.

An incident report template is a tool used to record incidents such as injuries, near misses, accidents, property damage, and more. Use this template to document specific details of the incident and help organizations improve behavior-based safety. Make the most of this checklist by identifying the type of the incident, person of injury, and job description, taking or attaching photo evidence of incident, environment, and person(s) involved, and gathering witness statements with their digital signatures.