Dallas Gemba Walk - Production/Operations - Zone B

• Zone B includes all Production/Operations

  Select

• Conducted on

  Date

• Prepared by

• Inspection Team

First Aid Kit #1

• Scan First Aid KIt #1

• Are you inspecting the correct First Aid Kit?

  Yes

  No

  N/A

• Is the First Aid Kit fully stocked and easy to access?

  Yes

  No

  N/A

• Equipment is in good condition & properly guarded

  Yes

  No

  N/A

• PPE is available, in good condition and properly stored

  Yes

  No

  N/A

• Employees are wearing proper PPE for the task they are performing

  Yes

  No

  N/A

• Any other unsafe conditions or behaviors?

  Safe

  At Risk

  N/A

• Exit doors and routes are free of obstruction

  Yes

  No

  N/A

• Emergency lights are functioning

  Yes

  No

  N/A

• Any other fire safety or emergency response issues noted

  No

  Yes

  N/A

Reference Instructions

• Reference document for fire extinguisher inspection.

Fire Extinguisher #15

• Scan Barcode for Fire Extinguisher #15

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  No

  Yes

  N/A

Fire Extinguisher #16

• Scan Barcode for Fire Extinguisher #16

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  No

  Yes

  N/A

Fire Extinguisher #22

• Scan Barcode for Fire Extinguisher #22

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  No

  Yes

  N/A

Fire Extinguisher #23

• Scan Barcode for Fire Extinguisher #23

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  No

  Yes

  N/A

Fire Extinguisher #25

• Scan Barcode for Fire Extinguisher #25

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  No

  Yes

  N/A

Fire Extinguisher #26

• Scan Barcode for Fire Extinguisher #26

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  No

  Yes

  N/A

Fire Extinguisher #27

• Scan Barcode for Fire Extinguisher #27

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  Yes

  No

  N/A

Fire Extinguisher #28

• Scan Barcode for Fire Extinguisher #28

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  Yes

  No

  N/A

Fire Extinguisher #29

• Scan Barcode for Fire Extinguisher #29

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  Yes

  No

  N/A

Fire Extinguisher #30

• Scan Barcode for Fire Extinguisher #30

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  Yes

  No

  N/A

Fire Extinguisher #31

• Scan Barcode for Fire Extinguisher #31

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  Yes

  No

  N/A

Fire Extinguisher #32

• Scan Barcode for Fire Extinguisher #32

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  Yes

  No

  N/A

Fire Extinguisher #33

• Scan Barcode for Fire Extinguisher #33

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  Yes

  No

  N/A

Fire Extinguisher #34

• Scan Barcode for Fire Extinguisher #34

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  Yes

  No

  N/A

• Area is clean and free of debris, standing water and leaks

  Yes

  No

  N/A

• Aisles are clear and free of debris or obstructions

  Yes

  No

  N/A

• Pallets are lying flat and not in aisles

  Yes

  No

  N/A

• Any other housekeeping issues noted?

  No

  Yes

  N/A

• Flammable Storage Cabinets are closed and in good working order

  Yes

  No

  N/A

• Flammable Storage Cabinets are free of combustible materials sored in, on or around cabinet

  Yes

  No

  N/A

• Any other issues related to the flammable cabinets noted?

  Yes

  No

  N/A

• First Aid Kit is unobstructed and easy to gain access to

  Yes

  No

  N/A

• First Aid Kit is free of damage and is fully stocked

  Yes

  No

  N/A

• Any other issues related to the first aid kit

  Yes

  No

  N/A

• Reference Documents for inspecting Ladders.

Ladder #L-01

• Scan QR code for Ladder #L-01 (Stud Packing Machine 5-Step platform)

• Wrong QR code scanned. Are you inspecting the correct Ladder?

  Yes

  No

  N/A

• Rungs and steps are in good condition

  Yes

  No

  N/A

• Cleats/shoes are in good condition

  Yes

  No

  N/A

• Side rails are in good conditon

  Yes

  No

  N/A

• Metal spreaders/locking device is in good condition

  Yes

  No

  N/A

• Top section is in good condition

  Yes

  No

  N/A

• Labels are legible and visible

  Yes

  No

  N/A

• For metal ladders - rungs and steps have corrugated, knurled, dimpled or skid-resistant coating

  Yes

  No

  N/A

• Any other issues with this ladder

  Yes

  No

  N/A

Ladder #L-18

• Scan QR code for Ladder #L-18 (Metal Fixed Ladder near time clock)

• Wrong QR code scanned. Are you inspecting the correct Ladder?

  Yes

  No

  N/A

• Rungs are in good condition (free of cracks, breaks, bends, corrosion, excessive wear, dirt or debris)

  Yes

  No

  N/A

• Side rails are in good condition (free of cracks, breaks, bends, corrosion, excessive wear, dirt or debris)

  Yes

  No

  N/A

• Fasteners are in good condition (free of cracks, breaks, bends, corrosion, excessive wear, dirt or debris)

  Yes

  No

  N/A

• Any other issues with this Ladder

  Yes

  No

  N/A

• Chemicals are properly stored and all containers labeled

  Yes

  No

  N/A

• Any other chemical hazard or concern?

  No

  Yes

  N/A

• All electrical panels are closed, labeled and free of obstructions (located on dock)

  Yes

  No

  N/A

• Is the main Electrical Room clean and free of stored items?

  Yes

  No

  N/A

• Do electrical panels have at least 40" clearance from the front and side clearance is the width of the panel or 30" whichever is greater

  Yes

  No

  N/A

• Cords and other electrical components are free of damage

  Yes

  No

  N/A

• Any other electrical hazards or concerns

  No

  Yes

  N/A

• Hazardous Waste containers are closed

  Yes

  No

  N/A

• Hazardous Waste containers are labeled as required

  Yes

  No

  N/A

• Hazardous Waste area is clean and organized

  Yes

  No

  N/A

• Area is free or trash including trash cans dumped daily to minimize fire risk

  Yes

  No

  N/A

• Any other Waste or Environmental issues or concerns?

  No

  Yes

  N/A

• Items handled by employees are stored below shoulder height?

  Yes

  No

  N/A

• Heavy items are kept at mid level and team lift or a mechanical aid is used?

  Yes

  No

  N/A

• Any other ergonomic risk or concern?

  No

  Yes

  N/A

• Add any additional needs, comments or actions that need escalated which were not noted already in this report.