Information
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Name of Observer
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Site Area
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Conducted on
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Job Task/s being preformed
Communications
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Has Daily Tool Box Meeting taken place
Food safety and GMP
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Appropriate protective clothing in use
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Hair Nets / Beard Nets being worn
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Footwear Appropriate
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Jewellery and Watches removed
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Work Area clean from possible foreign matter
General Safety
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Induction Current
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Vehicle Permit displayed?
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Been taken through Cobden Flight Card
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Access to First Aider List
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Nearest First Aid Kit / stocked
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Nearest evacuation point ( point out )
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Fire Extinguishers, accessible and current
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Can demonstrate who to report events to
Housekeeping
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Aisles/Walkways kept clear?
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Work area kept organized?
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Housekeeping: spills, cords or other trips, trash/clutter, lighting, or Flammables
Personal Protective Equipment
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All appropriate equipment or gear worn correctly?
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PPE kept in good condition?
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Personal protective equipment: hand, body, eyes/face, head, foot, respiratory, fall protection, hearing protection, or FR clothing/gear
Working Position
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Body position
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Location in working environment
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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
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Appropriate tools or equipment being used?
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Tools or equipment being used correctly?
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Tools or equipment in good condition?
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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?
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Grinding or drilling operations creating flying objects or particles - goggles/face-shield. Heavy equipment movement in the area - operator aware of pedestrian? Around rigging operations - hand in pinch point not under equipment? Working in front of live electrical panel - NFPA70E PPE
Safety procedures
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Permits in place (Lock-out/Tag-out, Arc Flash, Hot Work Permit, Confined Space)
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Permits / JSEA displayed in work area
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