Abbott Safety Inspection - Safe Behavior Checklist

• Document No.

• Audit Title

• Conducted on

  Date

• Observed by:

• Task Observed?

• Location
  Address

• Personnel

Personal Protective Equipment

• Gloves?

  Safe

  At Risk

  N/A

• Eye / Face?

  Safe

  At Risk

  N/A

• Hearing / Head?

  Safe

  At Risk

  N/A

• Foot?

  Safe

  At Risk

  N/A

• Clothing?

  Safe

  At Risk

  N/A

• Fall Protection?

  Safe

  At Risk

  N/A

• Respirator / Dust Mask?

  Safe

  At Risk

  N/A

Confined Space Entry

• Permit?

  Safe

  At Risk

  N/A

• Attendant?

  Safe

  At Risk

  N/A

• Air Monitoring?

  Safe

  At Risk

  N/A

• PPE / Emergency Equipment?

  Safe

  At Risk

  N/A

Body Position

• Body position?

  Safe

  At Risk

  N/A

• Line of fire?

  Safe

  At Risk

  N/A

• Hands in danger zone?

  Safe

  At Risk

  N/A

• Eyes on path?

  Safe

  At Risk

  N/A

• Lifting / Twisting?

  Safe

  At Risk

  N/A

• Ascending / Descending?

  Safe

  At Risk

  N/A

Lockout / Tagout / Linebreak

• Locks / Tags?

  Safe

  At Risk

  N/A

• De-energized?

  Safe

  At Risk

  N/A

• Procedure knowledge?

  Safe

  At Risk

  N/A

• PPE (Goggles, Face Shield, Gloves)?

  Safe

  At Risk

  N/A

Tools

• Ladders / Scaffolds / Aerial Lifts?

  Safe

  At Risk

  N/A

• Selection / Use?

  Safe

  At Risk

  N/A

• Condition / Guarding?

  Safe

  At Risk

  N/A

• GFCI?

  Safe

  At Risk

  N/A

• Non-sparking Tools?

  Safe

  At Risk

  N/A

Hot Work

• Permit?

  Safe

  At Risk

  N/A

• Fire watch with extinguisher?

  Safe

  At Risk

  N/A

• PPE (Welding hood, Screen)?

  Safe

  At Risk

  N/A

General Safety

• Egress unobstructed?

  Safe

  At Risk

  N/A

• Surface conditions?

  Safe

  At Risk

  N/A

• Equipment conditions?

  Safe

  At Risk

  N/A

• Emergency information?

  Safe

  At Risk

  N/A

Lifting Equipment

• Overhead cranes / hoists?

  Safe

  At Risk

  N/A

• Forklifts?

  Safe

  At Risk

  N/A

• Slings / Rigging?

  Safe

  At Risk

  N/A

• Mobile cranes?

  Safe

  At Risk

  N/A

Office Safety

• Housekeeping?

  Safe

  At Risk

  N/A

• Cords (Electrical Hazards)?

  Safe

  At Risk

  N/A

• Trip hazards?

  Safe

  At Risk

  N/A

• Workstation set up (Ergo)?

  Safe

  At Risk

  N/A

Other

• Chemical awareness?

  Safe

  At Risk

  N/A

• Bio safety / fume hoods?

  Safe

  At Risk

  N/A

• Radiation?

  Safe

  At Risk

  N/A

• Roadside work?

  Safe

  At Risk

  N/A

Construction Area

• JHA (if needed)?

  Safe

  At Risk

  N/A

• Working from heights?

  Safe

  At Risk

  N/A

• Barricades / Signs?

  Safe

  At Risk

  N/A

• Permits (if needed)?

  Safe

  At Risk

  N/A

• Excavation?

  Safe

  At Risk

  N/A

Vehicle Safety

• Wheel chocking?

  Safe

  At Risk

  N/A

• Entering / Leaving Vehicle?

  Safe

  At Risk

  N/A

• Pre trip inspection?

  Safe

  At Risk

  N/A

• Loading / Unloading?

  Safe

  At Risk

  N/A

• Load securement?

  Safe

  At Risk

  N/A

• Positive comments / safety topic communicated (provide detail):

• Opportunities:

• Signature

  Sign