Title Page

  • Site conducted

  • Conducted on

  • Leader

  • Area
  • Area Manager

  • Employee(s) Accompanying Walk-About

Employee Behavior

  • Are employee work stations and equipment adjusted to work in a comfortable posture and position?

  • Workers must be comfortable at the work area (e.g., working at or near elbow height, not bending or over reaching.)

  • Ask an employee to give an example of how they would submit a safety suggestion or report a hazard?

  • Speak with their Supervisor, AV EHS QR Code, via link on AV EHS webpage, submit an LPI, talk with an EHS representative.

  • Ask an employee if they participate in the daily stretch exercises and job rotation program?

  • Operations should be stretching 2x/day (as a group) and
    2x/day (individually); Admin areas should be stretching 2x/day (as a group); Job rotation is defined as changing stations halfway during a shift or working multiple stations with a built-in rotation.

  • Are employees complying with the Personal Protective Equipment (PPE) requirements for the area?

  • Safety glasses required in the CER, shops, labs and other areas with hazards. Other types of PPE required may include safety shoes, chemical aprons, gloves, etc.

  • Ask an employee what he/she would do if injured or feel pain on the job.

  • All work-related injuries and pain should be reported to the Lead/Supervisor and Occupational Health as soon as possible.

  • Are the cutting tools being used appropriately and are they being stored in a safe manner when not in use?

  • Safe cutting tools include utility knife with a self-retracting blade, safety blade in holder, and scissors. Sharps should not be left unattended in the work area.

Emergency Preparedness

  • Ask an employee the emergency number and when it should be used?

  • Emergency number is 555. It should be used to call for all emergencies.

  • Is access to emergency response items unobstructed? (e.g., safety shower, eyewash station, fire extinguisher, emergency exit, electrical panel and circuit breaker).

  • There should be easy access to all emergency response items.

  • Ask an employee to point to the emergency exit.

  • Employee must be able to readily point to the emergency exit.

EHS Practices

  • Identify a chemical in the area and ask an employee how they would obtain a copy of the Safety Data Sheet (SDS

  • Hard Copy - Right to Know Station; Ask their supervisor; Online - at AV homepage – Resources-Safety Data Sheets-Temecula

  • Is the area clear of slip, trip and fall hazards?

  • Housekeeping in the area must eliminate slip, trip and fall hazards.

  • Ask an employee to point to an emergency stop (e-stop) at their station, how it works and when it is used.

  • An e-stop must be used when a hazard is noticed or in an emergency.

  • Are chemical and waste containers labeled and closed?

  • Chemical/waste containers must have labels on content and hazard (combustible, corrosive, etc) and closed when not in use.

  • Are appropriate COVID and health information signage visible?

  • COVID signage should be up-to-date and health information signs should be current and in good condition.

  • Any other EHS concern you observe in the area?

  • Other facilities, equipment and housekeeping issues identified in area.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.