Title Page
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Send all reports to Nadia Earle, nadia.earle@us.abb.com
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Conducted on
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Prepared by
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Location
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Observation Team
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No. of People Observed
Good Practices
Good Practices
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This section is to identify good practices in the area you are touring. REMEMBER, THIS IS NOT AN AUDIT. Please try to involve other employees in the work area to join your tour. More employees, better results!
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Is everyone wearing the correct PPE?
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Does everyone know where the emergency exits are located and where the primary/secondary muster stations are located?
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Are the walkways clear of material and debris?
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Good Practice 1. Please identify a good practice that is allowing employees to be safer than the standard.
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Good Practice 2. Please identify a good practice that is allowing employees to be safer than the standard.
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Good Practice 3. Please identify a good practice that is allowing employees to be safer than the standard.
Bad Practices
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In this section, identify any bad practice you see in the area you are touring. For example, if you see employees not wearing safety glasses, debris flying into employees' faces, or new hazards that may hurt an employee's face, you would check "Eyes & Face"
REMEMBER! This is not an audit. Please try to involve other employees in the work area to join your tour. More employees, better results!
Personal Protective Equipment
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Eyes & Face
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Ears
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Head
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Hands & Arms
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Feet & Legs
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Respiratory System
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Trunk
Positions of People
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Striking Against
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Struck by
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Caught between
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Falling
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Temp. extremes
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Electrical Current
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Inhaling
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Absorbing
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Swallowing
Ergonomics
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Posture
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Type & Number of Motions
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Load Handled
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Work Area Design
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Tools & Grips
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Vibration
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Temperature
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Lighting
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Noise
Tools and Equipment
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Wrong for the Job
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Not Used Correctly
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Not in safe condition (forklift, crane, tools, ladders, cables, equipment)
Procedures
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Standard practice not adequate for the job.
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Standard Practice not established.
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Standard Practice not being maintained.
Housekeeping
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Workplace not tidy.
Description of Unsafe acts, practices observed and discussed.
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For each category you selected, describe (in detail) the bad practice you observed.
For example, if you selected "Eyes & Face" because employees aren't wearing safety glasses, you would write "employees not safety glasses in test cell." -
Category A - Personal Protective Equipment
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Category B - Positions of People
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Category C - Ergonomics
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Category D - Tools and Equipment
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Category E - Procedures
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Category F - Housekeeping
Immediate Actions
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Describe all of the Immediate Actions Taken.
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Describe any Suggested Future Action that needs to be taken.