Title Page
-
Site conducted
-
Conducted on
-
Observation Prepared by
-
Location
Behavior
-
Behavior
PPE
-
Task Specific PPE Requirements
-
HEAD
-
EYES/FACE
-
HEARING
-
HAND
-
FOOT
-
PERSONAL FALL PROTECTION ( PFAS ) & GUARDRAILL SYSTEMS
-
SCAFFOLDING
-
LADDERS
-
EQUIPMENT( bobcat, excavator, MWEPS, etc.)
-
Fire Safety (fire extinguisher)
-
Electrical Safety ( extension cords, GFCI)
TOOLS ( Hand and Power tools )
-
-
CORRECT FOR THE TASK
-
PROPER USE
-
CONDITION
BODY POSITION/PROTECTION
-
LIFTING/BENDING
-
REACHING/TWISTING
-
PUSHING/PULLING
-
LINE OF PINCH POINTS/FIRE
HOUSEKEEPING
-
SLIP TRIP HAZARDS
-
ORDERLY STORAGE
-
CLEAR AISLES
-
Holes and Floor openings
PROCEDURES
-
SAFETY HUDDLE/DJB
-
TOOLBOX TALK
-
PACE OF WORK
-
VISUAL FOCUS
-
COMMUNICATIONS
-
Add signature