Information
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Client / Site
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Areas Evaluated
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Conducted on
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Prepared by:
- Albert Patin
- Nick Castillo
- Joel DeBoer
- Jason Warne
- Tom Guetter
- Jarren Saxon
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Location
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Employees, Leads, Supervisors, and Managers present during the audit:
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Auditors Signature
Previous Audit
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Previous Audit Follow Up
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Has the last inspection report been reviewed?
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Have all items been corrected?
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Are there any recurring or new concerns from the last audit?
General Questions
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The following are general questions to help discuss the safety culture in the area and generate possible follow up BBS topics and JHA opportunities.
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Question 1: What is the BBS behavior(s) the area is currently observing?
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Question 2: What ergonomic concerns is or could the area be evaluating?
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Question 3: What new processes have been added to the area that will need to be reviewed (JHAs)?
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Hazard Identification
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Hazard Identification
Item Number
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- Recommendation
- Serious
- Imminent Danger
- EHS will provide additional information
- Follow up with the area for additional information needed
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Description
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Correction Method:
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Does the safety item have a BBS behavior(s) it can be attributed to?
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Does the safety item share any ergonomic concerns?
Best Work Practices
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The following items represent best work practices which occur in this department.
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