BBS Observation Report

Behavior-Based Safety Observation

BBS Observations help identify safe behaviors to reinforce and at-risk behaviors to correct before incidents occur. Your observations make a difference!

Client/Company *

Name of Submitter *

Date *

Location *

Project / Additional Details

Type of Observation

✅

Safe

Positive behavior observed

⚠️

At-Risk

Behavior needing correction

Category of Observation *

Safety Flags

Job Stop Required? *

Yes

Near Miss? *

Yes

Potential Equipment Damage? *

Yes

⚡ SIF Potential Assessment

STKY = Stuff That Kills You

Did this observation involve a high-energy hazard that could result in serious injury or fatality?

STKY Hazard Present? *

Yes

High energy = gravity (falls), motion (vehicles), electrical, pressure, chemical, temperature extremes, LOTO situations

Observation Details

What did you see? *

What did you talk about?

What action was taken or agreement made?

Does the "Observed" Agree with your findings? *

Yes

Partially