Bacardi - B-Safe Observation

• Department

• Observer's Name

• Date & Time

  Date
• Area / Location
  Address

• Instructions
  
  1. Determine the condition of each item below if they are either "Safe", "At-Risk" or "N/A"
  2. Add photos and notes by clicking on the paperclip icon
  3. To add corrective actions, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date
  4. Complete audit by providing digital signature
  5. Share your report by exporting as PDF, Word, Excel or Web Link

1. PPE

• IMPORTANT:
  
  • Inform the employee that you are conducting an observation
  • Record your observations, focus on Safe Behaviors
  • Provide feedback

• 1.1. Head (hard hat, bump cap)

  Safe

  At Risk

  N/A

• 1.2. Eyes and Face (glasses with side shield, goggles)

  Safe

  At Risk

  N/A

• 1.3. Hearing (ear plugs)

  Safe

  At Risk

  N/A

• 1.4. Hands (gloves)

  Safe

  At Risk

  N/A

• 1.5. Fall protection (harness with lanyard)

  Safe

  At Risk

  N/A

• 1.6. Shoes (steel or composite toe)

  Safe

  At Risk

  N/A

• 1.7. PPE in good condition

  Safe

  At Risk

  N/A

• 1.8 Are there other items that were not included on this category?

  Yes

  No

• Others
  
  Click "Add Item" to enlist additional item on the category list

Item

• Description

• • Condition

  Safe

  At Risk

  N/A

2. Body Position

• 2.1. Position proper for the task

  Safe

  At Risk

  N/A

• 2.2. Heavy lifting (proper position, 2-person lift)

  Safe

  At Risk

  N/A

• 2.3. Risk of slips/falls

  Safe

  At Risk

  N/A

• 2.4 Are there other items that were not included on this category?

  Yes

  No

• Others
  
  Click "Add Item" to enlist additional item on the category list

Item

• Description

• • Condition

  Safe

  At Risk

  N/A

3. Work Environment

• 3.1. 5S/Housekeeping

  Safe

  At Risk

  N/A

• 3.2. Walking/working surfaces

  Safe

  At Risk

  N/A

• 3.3. Using handrails (if applicable)

  Safe

  At Risk

  N/A

• 3.4 Are there other items that were not included on this category?

  Yes

  No

• Others
  
  Click "Add Item" to enlist additional item on the category list

Item

• Description

• • Condition

  Safe

  At Risk

  N/A

4. Procedures

• 4.1. Familiar with emergency procedures

  Safe

  At Risk

  N/A

• 4.2. LOTO being used

  Safe

  At Risk

  N/A

• 4.3. Driving at safe speed

  Safe

  At Risk

  N/A

• 4.4. Permit to work

  Safe

  At Risk

  N/A

• 4.5. Able to locate SDS

  Safe

  At Risk

  N/A

• 4.6 Are there other items that were not included on this category?

  Yes

  No

• Others
  
  Click "Add Item" to enlist additional item on the category list

Item

• Description

• • Condition

  Safe

  At Risk

  N/A

5. Tools and Equipment

• 5.1. Safety equipment in good condition

  Safe

  At Risk

  N/A

• 5.2. Tools and equipment are stored correctly

  Safe

  At Risk

  N/A

6. Sustainability

• 6.1. Using the correct recycling containers

  Safe

  At Risk

  N/A

• 6.2. Equipment off when not in use (conveyors, air)

  Safe

  At Risk

  N/A

• 6.3. Environmental harm

  Safe

  At Risk

  N/A

• 6.4 Are there other items that were not included on this category?

  Yes

  No

• Others
  
  Click "Add Item" to enlist additional item on the category list

Item

• Description

• • Condition

  Safe

  At Risk

  N/A

Additional Comments & Feedback

• Provide additional comments & feedback relevant to the observation

The Golden Rules

Completion

• Observer's Name and Signature

  Sign