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PBS Observation Checklist


Observer: Vessel Area:
Date Time Task Observed
Number of people observed? 1 2 3 Contractor:
Categories/BehavioursSafeAt RiskN/AObservation-include exactly what you sawEmployee Response / Action Taken
1.0 Body Mechanics
1.1 Keeping eyes on Job/Path
1.2 Lift/Pulling/Pushing/Heaving
1.3 Line of fire/Danger
1.4 Use of handrails
1.5 Three Points of contact - Ladders
1.6 Body position/Stretching/Straining
2.0 PPE
2.1 Basic PPE (Long Pant, Long Sleeves)
2.2 UV Protection
2.3 Wearing Eye Face Protection
2.4 Using Foot Protection
2.5 Wearing Hand Protection
2.6 Using Hearing Protection
2.7 Using Task Specific Body Protection
2.8 Wearing Head Protection
2.9 Using Respiratory Protection
2.10 Wearing PFD's
3.0 Job Factors
3.1 Effictive Communication (Radio's Horns Bells)
3.2 Shortcuts Haste
3.3 Adherence to procedures
3.4 PreStart/Restart meetings conducted as required
3.5 Seamanship Practices
3.6 Situational Awareness
3.7 Access and Egress
4.0 Tools and Equipment
4.1 Effictive Communication (Radio's Horns Bells)
4.2 Shortcuts Haste
4.3 Adherence to procedures
5.0 Housekeeping
5.1 Material Storage
5.2 Storage of Hazardous Materials
5.3 Waste Management
5.4 Vessel Cleanliness
6.0 Health Awareness
6.1 Insect Vectors
6.2 Hydration Provisions
6.3 Sun Protection
6.4 Fitness for Work
6.5 Personnel Hygiene
7.0 Environment
7.1 Effuent Removal
7.2 Rubbish Disposal
7.3 Oil Chemical Spills
7.4 Marine Species in Vessel Vacinity
Behaviour NumberAdditional Information
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Comments
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