Information
-
Conducted on
-
Prepared by
1.0 PPE Correct
-
1.1 Head Protection
-
1.2 Eye/Face Protection
-
1.3 Hand/Foot Protection
-
1.4 Hearing Protection
-
1.5 Clothing
-
1.6 Respirator
2.0 Manual Lifting
-
2.1 Correct body position
-
2.2 Help for heavy items
-
2.3 Hand placement
-
2.5 Use of equipment
3.0 Line of Fire
-
3.1 Hand/Body position
-
3.2 Overhead hazards
-
3.3. Rotating equipment
-
3.4 Eyes on work or path
-
3.5 Pinch/Shard edges identified & protected
4.0 Housekeeping
-
4.1 Trash/Debris
-
4.2 Cord/lead control
-
4.3 Protruding items
-
4.4 Correct barricades
5.0 Fall protection
-
5.1 Trip hazard
-
5.2 Fall arrest equip. use
-
5.3 Correct ladder use
6.0 Tool Use
-
6.1 Correct tool
-
6.2 Used correctly
-
6.3 Material secured
-
6.4 Guards in place
-
6.5 GFCI used
7.0 Equipment/Forklift/Skid Loader
-
7.1 Seat belt use
-
7.2 Inspection
-
7.3 Equip. used properly
-
7.4 Backing
9.0 Procedures
-
9.1 Lockout/blinding
-
9.2 Confined space
-
9.3 Other procedure
10.0 Other
-
Item # - What is positive or at risk? / Corrective action or commendation?
-
Item # - What is positive or at risk? / Corrective action or commendation?
-
Item # - What is positive or at risk? / Corrective action or commendation?
