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Behavior Based Safety (BBS) Checklists

These checklists can be used to observe safe and unsafe acts and conditions in the workplace. Checklist
topics include Ergonomics, Housekeeping, Tools & Equipment, Policies & Procedures, Safe Driving,
Personal Protective Equipment (PPE), and more.

Personal Protective Equipment

Topic Safe Act Unsafe Act Safe Condition Unsafe Follow up
Condition needed?
Condition of
PPE
Head
protection
Eye Protection
Hand
Protection
Torso
Protection
Hearing
Protection
Respiratory
Protection
Fall Protection
Hot Work/
Welding
Safety Shoes
Vests –
Employees
Vests – Non-
Employees
Proper Use of
PPE
Total:
Comments:

IndustrySafe BBS Checklists Page 1 of 5

Ergonomics
Topic Safe Act Unsafe Act Safe Condition Unsafe Follow up
Condition needed?
Back
Neck
Wrist
Chair/seat
position
Driving
position
Proper lifting
techniques
Proper pulling
techniques
Proper
carrying
techniques
Total:
Comments:

Eyes on path/work
Topic Safe Act Unsafe Act Safe Condition Unsafe Follow up
Condition needed?
Keeping eyes
on direction of
travel
Focus
maintained on
task
3-ppoint
contact used
on ladders
Total:
Comments:

IndustrySafe BBS Checklists Page 2 of 5

Tools & Equipment
Topic Safe Act Unsafe Act Safe Unsafe Follow up
Condition Condition needed?
Condition of
tools
Condition of
equipment
First aid kits
Lighting
Misuse of tools
Misuse of
equipment
Location/storage
of tools/
equipment
Selection of
tools/equipment
Proper
grounding
Guards in place
Total:
Comments:

Policies and Procedures

Topic Safe Act Unsafe Act Safe Unsafe Follow up
Condition Condition needed?
Not followed
Not understood
Other (please
specify)
Total:
Comments:

IndustrySafe BBS Checklists Page 3 of 5

Housekeeping
Topic Safe Act Unsafe Act Safe Condition Unsafe Follow up
Condition needed?
Cleanliness
Area free of
clutter
Combustible
debris/dust
Electrical
cords stored
properly
Electrical
panels clear
Exits,
walkways, and
aisles clear
Area free of
falling object
hazards
Hoses stored
properly
Area free of
spills and leaks
Area free of
tripping
hazards
Necessary
signs/posters
Proper lighting
Total:
Comments:

IndustrySafe BBS Checklists Page 4 of 5

 Safe Driving
Topic Safe Act Unsafe Act Safe Condition Unsafe Follow up
Condition needed?
Maintain a
safe following
distance
Height
restrictions
and clearances
met
Speed and
weight limits
maintained
Mobile
devices
properly
stowed
Total:
Comments:

About Us
IndustrySafe, Inc. (formerly TRA, Inc.), a Philadelphia-based company founded in 1990, provides
IndustrySafe, cost-effective, web-based (SaaS) safety management software, so that organizations can
track, manage, and comply with environmental, health, and safety regulations.

IndustrySafe’s Observations module enables organization to record, track, and analyze behavior based
safety data. Numerous organizations throughout North America rely on IndustrySafe to record
observations, create BBS checklists, and generate accurate reports.

IndustrySafe BBS Checklists Page 5 of 5