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Behavior Observation Pink Card Form

by Kent Evatt, from the Community

Downloads: 20+

Use this behavior based safety observation card to document safe and at risk actions during field work. The template includes sections for site, date, location, PPE checks for eyes, head, hands, hearing, breathing, feet, and body, as well as body positioning, line of fire, pinch points, lifting technique, ergonomics, attention and situational awareness. Capture work practices, communication, permits, tool and equipment use, housekeeping, and temperature considerations. Record observer notes, safe behaviors, at risk behaviors, and comments from the worker, then log corrective actions to drive continuous improvement.

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About author

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Behavior Observation Pink Card Checklist for Mining | Free Template