Title Page
-
Conducted on
-
Prepared by
-
Location
AREA
-
Department/Areas Reviewed:
-
* If issues cannot be imediately corrected, move item to tier board for escalation
Ergonomics
-
The highest ergonomic risk in your area has been identified, being addressed or is there a status on a Tier Board?
-
if No, list corrective actions
-
Are the status of ergonomics improvements communicated to all Team Members in the area?
-
if No, list corrective actions
-
Can Team Members identify ergonomic risks in their work area ? Are these on the ESI team's list for improvements?
-
if No, list corrective actions
-
Are Team Members familiar with the ergonomic hit list? Have they had ergonomic awareness training within the last 2 years?
-
if No, list corrective actions
Exposure Monitoring
-
Are chemical and/or dust concerns raised by Team Members being addressed?
-
if No, list corrective actions
-
Have new chemicals that have been introduced into work area had exposure monitoring completed on them at point of use?
-
if No, list corrective actions
-
Are there new pieces of machines in the area that have increased the noise levels? If yes, have sound levels and personal dosimetry been done to assess exposure levels?
-
if No, list corrective actions
Physical Hazards
-
Is lighting level adequate for the tasks team members?
-
if No, list corrective actions
-
Are machines that generate dust set up to control the spread of debris/dust?
-
if No, list corrective actions
-
Are machines with hot surfaces properly labeled and if feasible guarded and/or barricaded to prevent accidental contact?
-
if No, list corrective actions