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Observation template for the 5 safety behaviour patterns

Proactiveness

Yes

No

“What if” questions is asked in the risk assessment process

   

Thorough risk assessment is carried out whenever needed

   

Thinks ahead prior to carrying out a task

   

Takes in all relevant conditions in the surroundings

   

Considers what conditions can change during carrying out the work

   

Continuous improvement approach is part of the natural way of thinking

   

Attention towards unsafe conditions are ensured

   

Constant awareness towards possible hazards and unforeseen situations are ensured

   

Supports good house keeping

   

Uses the necessary time needed to find the best possible solution

   

Respects barriers, safety guards, and signs

   

Reports important findings e.g. near misses

   

Involvement

Yes

No

Acknowledges roles and responsibilities with regard to safety

   

Participates actively in problem solving processes

   

Involves other relevant people in problem solving processes

   

Takes safety initiatives

   

Intervene when he experiences hazards or poor safety behaviour

   

Shows appreciation to good safety behaviour

   

Asks questions to reports, procedures or the like

   

Presents arguments, solutions and ideas for safety improvements

   

Discusses safety issues with colleagues

   

Assertiveness

   

Express feelings, thoughts, and considerations in a constructive manner

   

Respects and encourages others to speak up

   

Gives feedback to colleagues

   

Asks questions to clarify concerns

   

Ensures common understanding of the task prior to doing it

Points out what needs to be improved

Confidently raise safety concerns to managers

Confidently raise safety concerns to colleagues

Stops any job that is perceived dangerous

Corrects other colleagues’ inadequate safety behaviour in a constructive way

Visible

Is a good role model in safety matters

Shows support towards the company’s safety policies and goals

Communicates safety initiatives and efforts on a daily basis

Clearly shows positive attitude towards safety in general

Talks to colleagues about safety

Refers to safety procedures when relevant

Praises colleagues when observing good safety work and initiatives

Takes actively part in safety campaigns

Uses the personal protective equipment

Knowledge based acts

Knows how to do a qualified observation round

Knows all important procedures

Knows vital safety and prevention principles

Knows were to find relevant knowledge

Carries out a thorough risk assessment

Uses time to equip himself with new valuable knowledge

Uses the equipment and tools correctly

Uses the correct personal protection equipment

Overall overview of the safety behaviours observations

After the observation fill in the chart here to get an overall overview of the person’s strengths and focus areas to be developed

Proactiveness
Proactiveness
Proactiveness
Proactiveness
Proactiveness
Proactiveness
Proactiveness
Proactiveness
Proactiveness
Proactiveness
Proactiveness
Proactiveness
Proactiveness

Proactiveness

strengths and focus areas to be developed Proactiveness Involvement Assertiveness Visibility K n o w l
strengths and focus areas to be developed Proactiveness Involvement Assertiveness Visibility K n o w l
strengths and focus areas to be developed Proactiveness Involvement Assertiveness Visibility K n o w l
strengths and focus areas to be developed Proactiveness Involvement Assertiveness Visibility K n o w l
strengths and focus areas to be developed Proactiveness Involvement Assertiveness Visibility K n o w l
strengths and focus areas to be developed Proactiveness Involvement Assertiveness Visibility K n o w l
Involvement
Involvement
and focus areas to be developed Proactiveness Involvement Assertiveness Visibility K n o w l e
and focus areas to be developed Proactiveness Involvement Assertiveness Visibility K n o w l e
and focus areas to be developed Proactiveness Involvement Assertiveness Visibility K n o w l e
and focus areas to be developed Proactiveness Involvement Assertiveness Visibility K n o w l e
and focus areas to be developed Proactiveness Involvement Assertiveness Visibility K n o w l e
and focus areas to be developed Proactiveness Involvement Assertiveness Visibility K n o w l e
Assertiveness
Assertiveness
to be developed Proactiveness Involvement Assertiveness Visibility K n o w l e d g e
to be developed Proactiveness Involvement Assertiveness Visibility K n o w l e d g e
to be developed Proactiveness Involvement Assertiveness Visibility K n o w l e d g e
to be developed Proactiveness Involvement Assertiveness Visibility K n o w l e d g e
to be developed Proactiveness Involvement Assertiveness Visibility K n o w l e d g e
to be developed Proactiveness Involvement Assertiveness Visibility K n o w l e d g e
Visibility
Visibility
K n o w l e d g e based
K n o w l e d g e based
K n o w l e d g e based
K n o w l e d g e based
K n o w l e d g e based
K n o w l e d g e based
K n o w l e d g e based
K n o w l e d g e based
K n o w l e d g e based
K n o w l e d g e based
K n o w l e d g e based
K n o w l e d g e based
K n o w l e d g e

Knowledge

K n o w l e d g e based

based

Overall development plan

Strengths:

Focus areas to develop: