Was daily safety check completed?

  • Was the forklift inspections completed?


  • Aisles/Walkways kept clear?

  • Work area kept organized?

  • Housekeeping: spills, cords or other trips, trash/clutter, lighting, or Flammables

Personal Protective Equipment

  • All appropriate equipment or gear worn correctly?

  • PPE kept in good condition?

  • Personal protective equipment: hand, body, eyes/face, head, foot, respiratory, fall protection, hearing protection, or FR clothing/gear

Working Position

  • Body position

  • Location in working environment

  • Working Position: poor posture, over stretched, above shoulder, below knees, twisting, caught in between, struck by, working at heights greater than 4', floor or wall opening, unprotected work edge, or false ceiling or floor.

Tools and Equipment

  • Appropriate tools or equipment being used?

  • Tools or equipment being used correctly?

  • Tools or equipment in good condition?

  • Tools and equipment: ladders, power or hand tools

Safe behaviors observed-actions taken to encourage safe behavior

Unsafe behaviors observed-action taken to correct and prevent recurrence

Line of fire. Is the worker in the line of fire?

  • Grinding or drilling operations creating flying objects or particles - goggles/face-shield in use?

  • Forklift movement in the area - operator aware of pedestrians?

Safety procedures

  • Lock-out/Tag-out, Arc Flash, Hot Work Permit, Confined Space

  • Add media

  • Auditor signature

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