SPOT JOB OBSERVATION

Date Person Observed

Reason for Observation

Job Segments Observed

What was observed that deserved commendation or Constructive Correction

Action: Taken Need For Follow Up

____ Additional observation
_____ Positive behavior reinforcement ____ Training
_____ Constructive coaching ____ Other (specify)
__________________________

Supervisor/observer ________________________________
 TASK SELECTION
Tasks under my supervision which ought to be Reasons why this task should be observed
observed
 PLANNED TASK OBSERVATION REPORT
1. Name 2. Emp. # 3. Dept. 4. Stand Task Procedure#

5. Occupation 6. Time on Present Job 7. Date 8.Type of Observation Initial [ ]

or Follow up [ ]
9. Co. Service Date 10. Task Observed 11. Told in Advance 12. Is this Task designated
Critical
YES [ ] NO [ ]
YES [ ] NO [ ]
13. Reason for Observation: New Employee [ ] Training Follow up [ ] Repetitive Task [ ]
Process Change [ ]
Transferred Employee [ ] Accident Follow up [ ] Infrequent Task [ ] Other [ ]
TASK OBSERVATION
14. Could any of the practices, or conditions you
YES [ ] NO 15. Were the methods observed the most
observed result in property damage or YES [ ] NO [ ]
[] efficient?
personal injury?
16. Did the performance of the work comply with YES [ ] NO 17.Could anything observed have a negative
YES [ ] NO [ ]
the Standard Task Procedure? [] effect upon the quality of the work?

18. Describe, clearly, any observations that deserve compliment or correction. (Use the reverse side, if necessary.)

19. Have this observation, applicable task procedures, and related recommendations and changes been reviewed by the employee?
YES [ ] NO [ ]
20. Have you properly complimented or corrected YES [ ] NO 21.Should a follow up observation be done on the:
the worker based on your observations? [] WORKER: YES [ ] NO [ ] TASK: YES [ ] NO [ ]
22. Describe any task procedures, method, or equipment observed that Management should consider changing in the interest of
Quality or Safety:

23. Supervisor/Observer – NAME: EMP#: TITLE:

24. Comments/Follow up:

2ND Line Supervisor Safety Dept. Head

 COMPLETE OBSERVATION SCHEDULE GUIDE
_____________________ CRITICAL JOB/TASKS
__ A. B. C. D. E. F. G. H. I. J. K.
department

_________________________
supervisor
INDIVIDUALS
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