C&W SERVICES CWALK - Mobile Maintenance

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Vehicle Readiness

• Is van exterior undamaged, clean with C&W Services graphics in place?

  Yes

  No

  N/A

• Are ladder racks secured with a padlock and are ladders secured properly?

  Yes

  No

  N/A

• Is van interior clean, organized with supplies & equipment secured?

  Yes

  No

  N/A

• Does the van have safety cones and emergency road side triangles?<br>

  Yes

  No

  N/A

• Is the EFM Mobile Maintenance handbook available and up to date?

  Yes

  No

  N/A

• Does the handbook contain contact information in case of an emergency, including the number to the Medcor Triage Nurse in case of an injury?

  Yes

  No

  N/A

• Does the van have a first aid kit on board and is it properly stocked?

  Yes

  No

  N/A

• Does the van have a fire extinguisher on board and is it easily accessible?

  Yes

  No

  N/A

• Are vehicle inspections being performed at each fill-up?

  Yes

  No

  N/A

• Has the employee read and understand the rules of our Vehicle policy?

  Yes

  No

  N/A

• Has a MVR checks been conducted on the driver in the past year?

  Yes

  No

  N/A

Safety & Environmental Readiness

• Does the technician understand the Cardinal Rules and can he provide a few examples of these rules?

  Yes

  No

  N/A

• Does the technician understand C&W Services Safety Pledge and can he provide an example of what it means?

  Yes

  No

  N/A

• Does the technician understand his roles and responsibilities as it relates to injury & incident management?

  Yes

  No

  N/A

• Does the technician understand the PPE Policy and does he have the available PPE in stock?<br>

  Yes

  No

  N/A

• What was the previous or most recent safety training received? What did you learn from the training and what have you done to prevent injury?

  Yes

  No

  N/A

• Does the technician have the necessary universal waste recycle packs and is recycling per environmental guidelines?

  Yes

  No

  N/A

• Is the technician keeping refrigeration logs as required by the EPA?

  Yes

  No

  N/A

PPE Readiness

• Are hard hats available and in use?

  Yes

  No

  N/A

• Is eye and face protection equipment available and in use?

  Yes

  No

  N/A

• Is hearing protection available and in use were required?

  Yes

  No

  N/A

• Is there hand & arm protection available and is use?

  Yes

  No

  N/A

• Is the technician wearing the required foot protection?

  Yes

  No

  N/A

• Is there fall protection equipment available and in use? Required when falls of 6' or greater

  Yes

  No

  N/A

Tools and Equipment

• Does the tool stock appear to be adequate for the work that is being performed? Review Tool inventory!

  Yes

  No

  N/A

• Are tools & equipment in good conditions and safe for use?

  Yes

  No

  N/A

• Is the technician using the correct tools & equipment for the task being performed?

  Yes

  No

  N/A

• Are tools & equipment inspected before each use? Power Equipment, Ladders, Aerial Equipment, Utility Vehicles, etc.?

  Yes

  No

  N/A

• Does technician have access to both mobile devices (iPhone & iPad) and is utilizing the applications correctly?

  Yes

  No

  N/A

Work Area Preparation Readiness

• Permit to Work Guideline: Did you check in with the building owner or requestor before starting the work?

  Yes

  No

  N/A

• PPE Guidelines: Do you have the correct PPE for the task you are performing?

  Yes

  No

  N/A

• Electrical Work Guidelines: Are you trained and authorized to perform electrical work?

  Yes

  No

  N/A

• LOTO Guidelines: Are you trained and authorized to perform LOTO? Have technician demonstrate or explain a couple of scenario's

  Yes

  No

  N/A

• Hot Work Guideline: When hot work is performed are you following the hot work permit instructions? Are you posting the permit as required? Show me your completed hot work permits.

  Yes

  No

  N/A

• Spills, Trips & Falls Guidelines: Issues have been identified have been corrected?

  Yes

  No

  N/A

• Portable Ladder Guidelines: Is the correct ladder being used for the job and are they inspected before each use?

  Yes

  No

  N/A

• Lifting and Hoisting Operations Guidelines: Does the technician review these guidelines before each lifting operation?

  Yes

  No

  N/A

• Work at Height Guidelines: Is the technician using the proper fall protection and is he authorized to use aerial equipment?

  Yes

  No

  N/A

Know: Acquire and keep up to date knowledge or the employee task

• Can you please explain to me the job task you are performing now?

  Safe

  At Risk

  N/A

• What other task do you normally perform?

  Safe

  At Risk

  N/A

Understand: Understand the general hazards associated with operations of C&W Services

• Are there any safety hazards with this type of activity/task?

  Safe

  At Risk

  N/A

• Is there anything causing you to rush or become frustrated on this work or other work?

  Safe

  At Risk

  N/A

Controls: Consider information regarding incidents, hazards & risk and respond in a timely way to that information

• Are you aware of any injuries from this or similar injuries?

  Safe

  At Risk

  N/A

• If yes, were any changes identified or made to prevent future injuries?

  Safe

  At Risk

  N/A

• Is there anything you can think of that would make this job easier or safer?

  Safe

  At Risk

  N/A

• What do you like about our companies safety programs?

  Safe

  At Risk

  N/A

Hazard Reporting: Hearing about hazards before they result in injuries builds a true preventative safety management program?

• Have you noticed any safety hazards (a good catch) or been involved in or witnessed any near-miss incidents?

  Safe

  At Risk

  N/A

• Do employees talk to each other and/or their supervisor/manager about safety hazards and near misses? If not, why not?

  Yes

  No

  N/A

Employee Input: Ask for employee feedback and let them know their suggestions matter

• Do you have any recommendations on how to improve the safety of this work/task?

  Safe

  At Risk

  N/A

• Is there anything I can do to make this work/task safer for you and your co-workers?

  Safe

  At Risk

  N/A

Commendable behaviors observed:

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