Information
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Document No.
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Conducted on
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Observer
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Enter Dept
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Select Shift
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Enter Task
OBSERVER PLANNING NOTES
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1) Notify respective supervisor of audit in area.
2) Introduce yourself to worker being observed.
3) Review the observation checklist with the worker.
4) Stand in a safe place to complete observations.
5) Complete feedback session (start with Safe items)
6) Submit completed form for data collection and review
ERGONOMIC ACTIVITIES
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Is the upper body, shoulders, and neck in neutral position?
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Are wrists kept in neutral position when holding tools?
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Are knees bent and head upright when lifting?
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Are elbows at sides and loads held close to body when lifting?
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Is lifting motion smooth (avoids jerking)?
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Do hands and arms stay below shoulder height when lifting or reaching?
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Does the worker pivot feet when turning and carrying a load (upper body not twisting at the waist)?
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Is there a mechanical lifting device used to position the load/work?
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Are carts, pallet jacks, etc., pulled instead of pushed?
WORK RELATED ACTIVITIES
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Is the worker wearing safety glasses with side shields?
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Is filtered eye protection worn when tack-welding with electric arc welders?
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Is the immediate work area clean and free of tripping and slipping hazards?
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Are gloves worn when handling sharp edged material?<br>(expanded metal, sheet metal, steel strapping)
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Is forearm protection pulled up when worn?
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Are machine guards in place and not bypassed?<br>* Gears are not touchable<br>* Belts and pulleys art not touchable<br>* Roller chain and sprockets are not touchable<br>* Power transmission couplings are not touchable
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Is work material stacked so that it doesn't fall over?
