CMH #929-Cab-Build & Set

• Conducted on

  Date

• Prepared by

• Location
  Address

Fall Protection

• Steps/ramps are being used to enter/exit homes and floors

  Yes

  No

  N/A

• Moving scaffold while Team Members on them (up OR down)

  Yes

  No

  N/A

• Walking or working under a suspended load or moving scaffold

  Yes

  No

  N/A

• Chains Hooked on Elevator Openings

  Yes

  No

  N/A

PPE

• Bump caps worn properly (bill facing forward) and not modified

  Yes

  No

  N/A

• Safety glasses or side shields on prescription safety glasses

  Yes

  No

  N/A

• Ear plugs properly worn

  Yes

  No

  N/A

• Proper use of cut resistant gloves

  Yes

  No

  N/A

Electrical

• Cords in good shape with no local repairs

  Yes

  No

  N/A

• Any missing knockouts in electrical boxes

  Yes

  No

  N/A

Housekeeping

• Housekeeping

  Good

  Fair

  Poor

  N/A

• Trip hazards

  Yes

  No

  N/A

• Blocked electrical Panels

  Yes

  No

  N/A

• Air filters changed regularly in Formica Room

  Yes

  No

  N/A

• Cylinders chained up properly

  Yes

  No

  N/A

Hazard Communication

• Containers legibly labeled

  Yes

  No

  N/A

• Flammables stored properly in flammable cabinet (limited to one day supply in work area)

  Yes

  No

  N/A

Tools

• ALL tools without damage and maintained properly

  Yes

  No

  N/A

• ALL guns set to sequential fire (no bump or modified guns)

  Yes

  No

  N/A

• Air/Glue Hoses are bulging or leaking

  Yes

  No

  N/A

• Hands outside the handsfree zone

  Yes

  No

  N/A

• Gloves being used while operating saw

  Yes

  No

  N/A

• Guards on all saws in place and functioning

  Yes

  No

  N/A

• Push sticks available AND being used at table saws

  Yes

  No

  N/A

• Compressed air being used to blow off team members

  Yes

  No

  N/A

• Team members cutting away from body with utility knife

  Yes

  No

  N/A

Training and Authorization

• Saw used by authorized Team Members

  Yes

  No

  N/A

• Hoists used by authorized Team Members

  Yes

  No

  N/A

• Guns used by authorized Team Members

  Yes

  No

  N/A

• Forklifts operated by authorized Team Members

  Yes

  No

  N/A

• Scissor lift used by authorized Team Members

  Yes

  No

  N/A

Emergency preparedness

• Exit doors blocked

  Yes

  No

  N/A

• Fire extinguishers identified

  Yes

  No

  N/A

• Extinguishers accessible

  Yes

  No

  N/A

• Extinguishers adequately charged (needle in the green)

  Yes

  No

  N/A

• Aisle-way and walkways free of material and debris

  Yes

  No

  N/A

Body Mechanics and Material Handling

• Team members using proper carrying techniques(not carrying material on head or shoulders)

  Yes

  No

  N/A

• Team Members using carts and other material moving equipment

  Yes

  No

  N/A

• Proper lifting techniques(using legs, back straight, chin up, feet shoulder width apart)

  Yes

  No

  N/A

• Using team lift for material over fifty pounds

  Yes

  No

  N/A

Other Hazards Noted

• Other Hazards Noted