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Interactive Tool

On-site Quality & Safety Audit — Observation Form

Use this short form during a walk-through or observation. Be specific, objective, and brief. Capture at least one observation, its potential impact, and any immediate action taken.

YYYY-MM-DD
E.g., 'Main packing line', 'Clinic med room', 'Customer intake'
Who recorded this observation?
Describe exactly what you saw or a near-miss that occurred (objective language).
Select yes if there was a close call with no harm but potential to cause harm
How bad could the outcome be?
Estimate how often you see this behavior/condition
List conditions or reasons that make this more likely (tools, environment, information, workload).
E.g., stopped line, placed temporary tape, notified supervisor
One sentence suggestion (temporary or long-term).
Person or role who should take this forward
Any note about uncertainty or need for more info
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