• Дата и Время / Date & Time

Место / Location

  • Цех / Shop floor:
  • Участок, место / Area:

Положение тела, действия / Body Position, Action

  • Положение тела, внимание на работе / Hands and Body Placement, Eyes on task

  • Другое / Other

Оборудование, инструмент / Equipment, tools

  • Использование, Хранение, Исправность / Use, Storage,Condition

СИЗ / PPE

  • Голова, Руки, Ноги / Head, Hands, Arms, Feet, Legs

  • Другое / Other

Соответствие процедурам / Procedure compliance

  • Следует визуальным инструкциям, знает риски / Follows visual instructions, knows risks

  • Наличие удостоверения, квалификации / Qualification document

  • Другое / Other

Опасные материалы / Hazardous Materials

  • Использование, Транспортировка, Хранение / Use, Storage, Transport

Условия работы / Conditions

  • Складирование материалов, Неустойчивое положение / Warehousing, Unstable materials

  • Опасности потери устойчивости, ударов или порезов, / Slip, Trip, Fall, Sharp or Striking hazards,

  • Поддержание чистоты и порядка / Housekeeping

  • Другое / Other

  • Подпись / Signature

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