Dortec JHSC Workplace Inspection

• Date

  Date

• JHSC Team Member(s)

• Zone(s) assigned to inspect?

• Which area are you assigned to inspect?

  Select Zone 1 Zone 2 Zone 3 Zone 4 Zone 5 Zone 6 Zone 7 Zone 8 Zone 9 Zone 10 Zone 11 Zone 12 Zone 13 Zone 14 Zone 15

  • Zone 1
  • Zone 2
  • Zone 3
  • Zone 4
  • Zone 5
  • Zone 6
  • Zone 7
  • Zone 8
  • Zone 9
  • Zone 10
  • Zone 11
  • Zone 12
  • Zone 13
  • Zone 14
  • Zone 15

Zone 1: Office

Office Area (both upstairs and downstairs)

• Are cords and wires tied up/taped down to prevent a trip hazard?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the material on cabinets and shelves stored safely? Ensure no heavy items are stored on top of shelves and items are not within 18” of a sprinkler head.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are carpets and floors in good condition to prevent trips and falls?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are stairs free from trip hazards?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are lights and light fixtures working properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are any ceiling tiles missing or do any need to be replaced due to damage?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check the emergency evacuation maps - these are located at every emergency entrance. Is the last revision date 10/18/19?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Restrooms (Plant + Office)

• Is the restroom clean and tidy? Please take pictures if the housekeeping is inadequate.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the locks on the stalls working properly? Are the toilet paper dispensers in good condition? Please take notes if anything needs to be repaired.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the taps working properly? Are the sinks draining properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are any ceiling tiles missing or do any need to be replaced due to damage?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are lights and light fixtures working properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Do the recycling bins contain any non-recyclable material?

  Yes

  No

  Corrected Immediately

  N/A

• Please take a photo for the recycling wall of shame if there are items that are non-recyclable in the bin. Make note of which restroom the photo is from.

First Aid Room (See HR if you do not have access)

• Is the safety data sheet binder on the door?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is there a first aider list on the door? Are all first aid certificates current?

  Yes

  No

  Corrected Immediately

  N/A

• What s the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the first aid room accessible and clean? is there a pillow and blanket available for use?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the eye wash station clean and working properly? Test by pulling off the caps, pulling the center button and turning on the water. Please make sure you re-set everything before leaving the first aid room!

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the emergency cart present? Is the tamper proof seal still in place? Look for a grey toolbox near the cot with a yellow zip tie holding it closed.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the monthly first aid room inspection sheet completed by the Occupational Health Nurse? It should be posted on the front of the lower cabinets.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Safety Board (Communication Hallway)

• Are the JHSC minutes and inspections posted and current (within the last month?)

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are JHSC meeting dates and members’ names posted?<br>

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is a copy of the Occupational Health and Safety Act and WHMIS regulation posted? Look for the green book.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the following documents available on the board:<br>- Dortec Workplace Violence and Workplace Harassment Policies<br>- “Health and Safety at Work” poster<br>- JHSC, Management and Supervisor annual inspection schedules<br> - WSIB Form 82 (“In Case of Injury at Work)

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Cafeteria

• Do the recycling bins contain any non-recyclable material?

  Yes

  No

  Corrected Immediately

  N/A

• Please take a photo for the recycling wall of shame if there are items that are non-recyclable in the bin. Make note of which restroom the photo is from.

• Are electrical cords in good condition? Check for damaged or frayed wires.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are walkways free from trip hazards?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the cafeteria clean and tidy?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Zone 2: South-west Production Area

General Questions

• Lights and light fixtures working properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Can you see the ceiling piping labels?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are floors clean and free from obstructions or trip hazards? Totes should not be blocking the aisles and cords and matting should not cause trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Do the recycling bins contain any non-recyclable material?

  Yes

  No

  Corrected Immediately

  N/A

• Please take a photo for the recycling wall of shame if there are items that are non-recyclable in the bin. Make note of which restroom the photo is from.

• If there are any ladders nearby, are they stored properly? they should be chained or hung to prevent falling over. Are ladder inspection tags present? These should be filled out every time someone uses the ladder.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees wearing appropriate personal protective equipment? at minimum, employees should have safety shoes and safety glasses.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees following the hair and jewelry policy?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If maintenance or engineering is working on a machine, are proper lockout procedures being followed? Ask the maintenance or engineering team member

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check that all fire extinguishers are accessible. Please move any items that are blocking fire extinguishers.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Do employees have any ergonomics concerns? If yes, please take a photo of the station and make note of employee’s name, clock number and the line/station.

Production/Assembly Area:

• Are the daily pre-start inspection sheets completed and signed for the shift? These are located on the line’s communication board in an orange folder. If an inspection sheet is not signed, please follow up with the team leader and make a note of it in the inspection.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the walkway in and around the work cells a minimum of 18 inches wide?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are workstations and barriers free from sharp or broken edges?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If there are any chemicals on the line:<br>- Are they stored safely?<br>- Are they properly labelled?<br>- Are the containers free from leaks?<br>- If necessary, are the containers grounded?<br>Ask maintenance or the EHS department if you are unsure about a chemical and its use.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are cords, wires, totes, mats, rolling carts and boxes stored safely? Ensure there are no trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are lockout/tagout placards on each line? There should be an information sheet on the main electrical panels with lockout points identified. Each lockout point will also have a label.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are guards and interlock doors in good condition? Check for visible damage.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are flow racks and shelves in good condition? Are they secure from tipping over? Are they in a good location (not obstructing aisles or limiting worker movement?)

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are all electrical panels, outlets and boxes accessible? Electrical panels should have a minimum of 3 feet clearance around them. If not, take a photo and indicate what line/cell is affected.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the emergency stops or pulls visible, accessible and easy to engage? Are they within operator reach?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• On robot cells: is the Robot Emergency Entrapment procedure posted? Is the robot cell free from rags, loose parts, chemicals or other objects?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• On laser cells: is the class 4 laser warning signs posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Zone 3: North-West Production Area

General Questions

• Lights and light fixtures working properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Can you see the ceiling piping labels?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are floors clean and free from obstructions or trip hazards? Totes should not be blocking the aisles and cords and matting should not cause trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Do the recycling bins contain any non-recyclable material?

  Yes

  No

  Corrected Immediately

  N/A

• Please take a photo for the recycling wall of shame if there are items that are non-recyclable in the bin. Make note of which restroom the photo is from.

• If there are any ladders nearby, are they stored properly? they should be chained or hung to prevent falling over. Are ladder inspection tags present? These should be filled out every time someone uses the ladder.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees wearing appropriate personal protective equipment? at minimum, employees should have safety shoes and safety glasses.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees following the hair and jewelry policy?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If maintenance or engineering is working on a machine, are proper lockout procedures being followed? Ask the maintenance or engineering team member

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check that all fire extinguishers are accessible. Please move any items that are blocking fire extinguishers.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Do employees have any ergonomics concerns? If yes, please take a photo of the station and make note of employee’s name, clock number and the line/station.

Production/Assembly Area:

• Are the daily pre-start inspection sheets completed and signed for the shift? These are located on the line’s communication board in an orange folder. If an inspection sheet is not signed, please follow up with the team leader and make a note of it in the inspection.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the walkway in and around the work cells a minimum of 18 inches wide?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are workstations and barriers free from sharp or broken edges?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If there are any chemicals on the line:<br>- Are they stored safely?<br>- Are they properly labelled?<br>- Are the containers free from leaks?<br>- If necessary, are the containers grounded?<br>Ask maintenance or the EHS department if you are unsure about a chemical and its use.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are cords, wires, totes, mats, rolling carts and boxes stored safely? Ensure there are no trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are lockout/tagout placards on each line? There should be an information sheet on the main electrical panels with lockout points identified. Each lockout point will also have a label.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are guards and interlock doors in good condition? Check for visible damage.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are flow racks and shelves in good condition? Are they secure from tipping over? Are they in a good location (not obstructing aisles or limiting worker movement?)

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are all electrical panels, outlets and boxes accessible? Electrical panels should have a minimum of 3 feet clearance around them. If not, take a photo and indicate what line/cell is affected.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the emergency stops or pulls visible, accessible and easy to engage? Are they within operator reach?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• On robot cells: is the Robot Emergency Entrapment procedure posted? Is the robot cell free from rags, loose parts, chemicals or other objects?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• On laser cells: is the class 4 laser warning signs posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Zone 4: Central-East Production Area

General Questions

• Lights and light fixtures working properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Can you see the ceiling piping labels?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are floors clean and free from obstructions or trip hazards? Totes should not be blocking the aisles and cords and matting should not cause trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Do the recycling bins contain any non-recyclable material?

  Yes

  No

  Corrected Immediately

  N/A

• Please take a photo for the recycling wall of shame if there are items that are non-recyclable in the bin. Make note of which restroom the photo is from.

• If there are any ladders nearby, are they stored properly? they should be chained or hung to prevent falling over. Are ladder inspection tags present? These should be filled out every time someone uses the ladder.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees wearing appropriate personal protective equipment? at minimum, employees should have safety shoes and safety glasses.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees following the hair and jewelry policy?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If maintenance or engineering is working on a machine, are proper lockout procedures being followed? Ask the maintenance or engineering team member

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check that all fire extinguishers are accessible. Please move any items that are blocking fire extinguishers.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Do employees have any ergonomics concerns? If yes, please take a photo of the station and make note of employee’s name, clock number and the line/station.

Production/Assembly Area:

• Are the daily pre-start inspection sheets completed and signed for the shift? These are located on the line’s communication board in an orange folder. If an inspection sheet is not signed, please follow up with the team leader and make a note of it in the inspection.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the walkway in and around the work cells a minimum of 18 inches wide?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are workstations and barriers free from sharp or broken edges?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If there are any chemicals on the line:<br>- Are they stored safely?<br>- Are they properly labelled?<br>- Are the containers free from leaks?<br>- If necessary, are the containers grounded?<br>Ask maintenance or the EHS department if you are unsure about a chemical and its use.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are cords, wires, totes, mats, rolling carts and boxes stored safely? Ensure there are no trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are lockout/tagout placards on each line? There should be an information sheet on the main electrical panels with lockout points identified. Each lockout point will also have a label.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are guards and interlock doors in good condition? Check for visible damage.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are flow racks and shelves in good condition? Are they secure from tipping over? Are they in a good location (not obstructing aisles or limiting worker movement?)

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are all electrical panels, outlets and boxes accessible? Electrical panels should have a minimum of 3 feet clearance around them. If not, take a photo and indicate what line/cell is affected.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the emergency stops or pulls visible, accessible and easy to engage? Are they within operator reach?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• On robot cells: is the Robot Emergency Entrapment procedure posted? Is the robot cell free from rags, loose parts, chemicals or other objects?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• On laser cells: is the class 4 laser warning signs posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Zone 5: East Production Area

General Questions

• Lights and light fixtures working properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Can you see the ceiling piping labels?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are floors clean and free from obstructions or trip hazards? Totes should not be blocking the aisles and cords and matting should not cause trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Do the recycling bins contain any non-recyclable material?

  Yes

  No

  Corrected Immediately

  N/A

• Please take a photo for the recycling wall of shame if there are items that are non-recyclable in the bin. Make note of which restroom the photo is from.

• If there are any ladders nearby, are they stored properly? they should be chained or hung to prevent falling over. Are ladder inspection tags present? These should be filled out every time someone uses the ladder.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees wearing appropriate personal protective equipment? at minimum, employees should have safety shoes and safety glasses.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees following the hair and jewelry policy?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If maintenance or engineering is working on a machine, are proper lockout procedures being followed? Ask the maintenance or engineering team member

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check that all fire extinguishers are accessible. Please move any items that are blocking fire extinguishers.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Do employees have any ergonomics concerns? If yes, please take a photo of the station and make note of employee’s name, clock number and the line/station.

Production/Assembly Area:

• Are the daily pre-start inspection sheets completed and signed for the shift? These are located on the line’s communication board in an orange folder. If an inspection sheet is not signed, please follow up with the team leader and make a note of it in the inspection.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the walkway in and around the work cells a minimum of 18 inches wide?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are workstations and barriers free from sharp or broken edges?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If there are any chemicals on the line:<br>- Are they stored safely?<br>- Are they properly labelled?<br>- Are the containers free from leaks?<br>- If necessary, are the containers grounded?<br>Ask maintenance or the EHS department if you are unsure about a chemical and its use.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are cords, wires, totes, mats, rolling carts and boxes stored safely? Ensure there are no trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are lockout/tagout placards on each line? There should be an information sheet on the main electrical panels with lockout points identified. Each lockout point will also have a label.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are guards and interlock doors in good condition? Check for visible damage.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are flow racks and shelves in good condition? Are they secure from tipping over? Are they in a good location (not obstructing aisles or limiting worker movement?)

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are all electrical panels, outlets and boxes accessible? Electrical panels should have a minimum of 3 feet clearance around them. If not, take a photo and indicate what line/cell is affected.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the emergency stops or pulls visible, accessible and easy to engage? Are they within operator reach?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• On robot cells: is the Robot Emergency Entrapment procedure posted? Is the robot cell free from rags, loose parts, chemicals or other objects?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• On laser cells: is the class 4 laser warning signs posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Zone 6: Warehouse

• STOP: you must have a high visibility vest to enter the warehouse. Please contact the warehouse supervisor or team leader so you can safely enter the warehouse.

Warehouse Area:

• Is the battery charging area free from combustibles or cardboard?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the battery charging PPE tidy? Check for missing equipment

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Does the spill kit have the emergency contact list, spill kit inventory list and spill response plan posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check the eye wash station to make sure it is working properly. Test by pushing on the lever – please make sure to re-set the eye wash station before leaving.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Check that all fire extinguishers are accessible. Please move any items that are blocking fire extinguishers.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are weight limits posted on the end of each rack?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check the sprinkler risers near the greaser barrels (northwest corner of building near the EI shop). Is the sprinkler riser free from obstructions? Ensure it is not leaking and the area is clean

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If the barrel greaser is being used, is the material handler wearing hearing protection?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are all warehouse employees and warehouse visitors wearing high visibility shirts/vests/straps?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Speak to a lift truck driver – ask to see their forklift license/certification. Remember to take note of the employee’s name and clock number if the certification is out of date.

• Are daily checks completed for tuggers, electric walkies and lift trucks? Ask the operator to see one and take a photo.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check the yellow flammable cabinet for combustibles and unlabeled chemicals. Confiscate any chemicals that are not labelled and bring them to HR.

  No concerns

  Corrected immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the yellow flammable cabinet grounded?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are skids stored safely in the racks? Look for skids that are off-balance or sticking out into the aisle.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are there any damaged racks? If so, please report it to the warehouse team leader or supervisor so they can tag it out (if necessary).

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Outside:

• Are the trailer jacks and wheel chocks being used? At minimum, one wheel must be chocked and the trailer jack needs to be placed under the front of the trailer. The stand should be as close as possible to the bottom of the trailer.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the railings, stairs and shipping docks in safe condition? Is the driver entrance sign posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are all the scrap bins covered? Ensure there are no pieces of scrap on the ground

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are all storage containers stored away from emergency doors, fire routes and equipment? Are they stored safely?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the walkway in good condition? Check for snow, ice or debris on the walkway.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Zone 7: Maintenance/Central Stores/EI Shop/Hazardous Waste

Central Stores

• Check the yellow flammable cabinet:<br>•It must be grounded<br>•It should only contain flammable substances (no rags, cardboard, plastic etc.)<br>•All chemicals should be properly labelled

  No concerns

  Corrected immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Does the spill kit have the emergency contact list, spill kit inventory list and spill response plan posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the spill kit accessible?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the racking/shelving in good condition? Check for visible damage

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are any ceiling tiles missing or damaged?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the housekeeping adequate?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• At the fire alarm panel (beside the door), is the Fire Chief Binder and megaphone available?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• In the “Temporary Hazardous Material Storage Area”, check that only aerosols, batteries, paint and ink are stored in the containers.

  No concerns

  Corrected immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Maintenance:

• Check the yellow flammable cabinet:<br>•It must be grounded<br>•It should only contain flammable substances (no rags, cardboard, plastic etc.)<br>•All chemicals should be properly labelled

  No concerns

  Corrected immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Does the spill kit have the emergency contact list, spill kit inventory list and spill response plan posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the spill kit accessible?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the racking/shelving in good condition? Check for visible damage

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If there are any ladders nearby, are they stored properly? They should be chained or hung to prevent falling over. Are ladder inspection tags present? These should be filled out every time someone uses that ladder.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the housekeeping adequate?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the pre-use inspection sheets available for the grinders, lathes, and drill presses? Ask a maintenance team member if you are unsure where to find them.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• In the welding area, are all the cylinders secured from tipping? Does each cylinder have a proper cylinder cap on it?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Have the chuck keys been removed from the machinery? Chuck keys must be removed from the machine unless someone is adjusting the machine.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the grinder properly guarded? There should be no more than a 3mm gap on a grinding wheel.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

EI Shop/Hazardous Waste Area

• Check the yellow flammable cabinet:<br>•It must be grounded<br>•It should only contain flammable substances (no rags, cardboard, plastic etc.)<br>•All chemicals should be properly labelled

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Does the spill kit have the emergency contact list, spill kit inventory list and spill response plan posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the spill kit accessible?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the racking/shelving in good condition? Check for visible damage

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is all the hazardous waste stored on secondary containment skids?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the aerosol drums and oily rag drums grounded? Check for a grounding wire

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the housekeeping adequate?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If there are any ladders nearby, are they stored properly? They should be chained or hung to prevent falling

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are all electrical panels, outlets and boxes accessible? Electrical panels should have a minimum of 3 feet clearance around them. If not, take a photo and indicate what area is non-compliant.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Zone 8: Outdoors (Both D1 and D2)

• STOP: For your own safety, please wear a high visibility vest while walking in the parking lot and around the buildings. You can borrow one from the HR office.

• Are all sidewalks, driveways and walkways maintained in good condition?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the stairs and railings from D1 to D2 in good condition? Check to make sure the handrail isn’t wobbly, rusted or broken and that the stairs are free from debris/ice.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the stairs and railings from D2 to the overflow parking lot in good condition? Check to make sure the handrail isn’t wobbly, rusted or broken and that the stairs are free from debris/ice.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are any vehicles parked in a no-parking zone? If there is a car parked in a no parking zone, please take a picture of the parking tag #. Common problem areas include:<br>•In front of the compactor (big white bin at northwest side of D1)<br>•In front of the hazardous waste room door (entrance door beside the compactor)<br>•Shipping lanes at back of D1 and D2

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the grounds tidy with no litter or debris?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the propane cages at the back of the buildings closed, locked and properly grounded?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the smoking areas clean with no cigarette butts on the ground? Is an appropriate cigarette butt receptacle available?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• In winter: check the salt containers to see if there is salt available. These are blue containers near the entrances of the building.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Zone 10: Main Production Area – D2

General Questions

• Lights and light fixtures working properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are floors clean and free from obstructions or trip hazards? Totes should not be blocking the aisles and cords and matting should not cause trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Do the recycling bins contain any non-recyclable material?

  Yes

  No

  Corrected Immediately

  N/A

• Please take a photo for the recycling wall of shame if there are items that are non-recyclable in the bin. Make note of which restroom the photo is from.

• If there are any ladders near by, are they stored properly? they should be chained or hung to prevent falling over. Are ladder inspection tags present? These should be filled out every time someone uses the ladder.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees wearing appropriate personal protective equipment? at minimum, employees should have safety shoes and safety glasses.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees following the hair and jewelry policy?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If maintenance or engineering is working on a machine, are proper lockout procedures being followed? Ask the maintenance or engineering team member

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check that all fire extinguishers are accessible. Please move any items that are blocking fire extinguishers.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Do employees have any ergonomics concerns? If yes, please take a photo of the station and make note of employee’s name, clock number and the line/station.

Production/Assembly Area:

• Are the daily pre-start inspection sheets completed and signed for the shift? These are located on the line’s communication board in an orange folder. If an inspection sheet is not signed, please follow up with the team leader and make a note of it in the inspection.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the walkway in and around the work cells a minimum of 18 inches wide?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are workstations and barriers free from sharp or broken edges?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If there are any chemicals on the line:<br>- Are they stored safely?<br>- Are they properly labelled?<br>- Are the containers free from leaks?<br>- If necessary, are the containers grounded?<br>Ask maintenance or the EHS department if you are unsure about a chemical and its use.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are cords, wires, totes, mats, rolling carts and boxes stored safely? Ensure there are no trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are lockout/tagout placards on each line? There should be an information sheet on the main electrical panels with lockout points identified. Each lockout point will also have a label.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are guards and interlock doors in good condition? Check for visible damage.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are flow racks and shelves in good condition? Are they secure from tipping over? Are they in a good location (not obstructing aisles or limiting worker movement?)

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are all electrical panels, outlets and boxes accessible? Electrical panels should have a minimum of 3 feet clearance around them. If not, take a photo and indicate what line/cell is affected.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the emergency stops or pulls visible, accessible and easy to engage? Are they within operator reach?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• On robot cells: is the Robot Emergency Entrapment procedure posted? Is the robot cell free from rags, loose parts, chemicals or other objects?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• On laser cells: is the class 4 laser warning signs posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Zone 11: ECU Room

General Questions

• Lights and light fixtures working properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Can you see the ceiling piping labels?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are floors clean and free from obstructions or trip hazards? Totes should not be blocking the aisles and cords and matting should not cause trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Do the recycling bins contain any non-recyclable material?

  Yes

  No

  Corrected Immediately

  N/A

• Please take a photo for the recycling wall of shame if there are items that are non-recyclable in the bin. Make note of which restroom the photo is from.

• If there are any ladders near by, are they stored properly? they should be chained or hung to prevent falling over. Are ladder inspection tags present? These should be filled out every time someone uses the ladder.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees wearing appropriate personal protective equipment? at minimum, employees should have safety shoes and safety glasses.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees following the hair and jewelry policy?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If maintenance or engineering is working on a machine, are proper lockout procedures being followed? Ask the maintenance or engineering team member

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check that all fire extinguishers are accessible. Please move any items that are blocking fire extinguishers.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Do employees have any ergonomics concerns? If yes, please take a photo of the station and make note of employee’s name, clock number and the line/station.

Production/Assembly Area:

• Are the daily pre-start inspection sheets completed and signed for the shift? These are located on the line’s communication board in an orange folder. If an inspection sheet is not signed, please follow up with the team leader and make a note of it in the inspection.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the walkway in and around the work cells a minimum of 18 inches wide?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are workstations and barriers free from sharp or broken edges?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If there are any chemicals on the line:<br>- Are they stored safely?<br>- Are they properly labelled?<br>- Are the containers free from leaks?<br>- If necessary, are the containers grounded?<br>Ask maintenance or the EHS department if you are unsure about a chemical and its use.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are cords, wires, totes, mats, rolling carts and boxes stored safely? Ensure there are no trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are lockout/tagout placards on each line? There should be an information sheet on the main electrical panels with lockout points identified. Each lockout point will also have a label.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are guards and interlock doors in good condition? Check for visible damage.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are flow racks and shelves in good condition? Are they secure from tipping over? Are they in a good location (not obstructing aisles or limiting worker movement?)

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are all electrical panels, outlets and boxes accessible? Electrical panels should have a minimum of 3 feet clearance around them. If not, take a photo and indicate what line/cell is affected.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the emergency stops or pulls visible, accessible and easy to engage? Are they within operator reach?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• On robot cells: is the Robot Emergency Entrapment procedure posted? Is the robot cell free from rags, loose parts, chemicals or other objects?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• On laser cells: is the class 4 laser warning signs posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Zone 12: 12: D2 Prototype, Quality, Cafeterias, Office

Prototype & Quality Offices

• Lights and light fixtures working properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are floors clean and free from obstructions or trip hazards? Totes should not be blocking the aisles and cords and matting should not cause trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Do the recycling bins contain any non-recyclable material?

  Yes

  No

  Corrected Immediately

  N/A

• Please take a photo for the recycling wall of shame if there are items that are non-recyclable in the bin. Make note of which restroom the photo is from.

• If there are any ladders nearby, are they stored properly? they should be chained or hung to prevent falling over. Are ladder inspection tags present? These should be filled out every time someone uses the ladder.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees wearing appropriate personal protective equipment? At minimum, employees should have safety shoes and safety glasses.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees following the hair and jewelry policy?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the material on cabinets and shelves stored safely? Ensure no heavy items are stored on top of shelves and items are not within 18” of a sprinkler head.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Do employees have any ergonomics concerns? If yes, please take a photo of the station and make note of employee’s name, clock number and the task in question.

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

Office Area (both upstairs and downstairs)

• Are cords and wires tied up/taped down to prevent a trip hazard?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the material on cabinets and shelves stored safely? Ensure no heavy items are stored on top of shelves and items are not within 18” of a sprinkler head.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the material on cabinets and shelves stored safely? Ensure no heavy items are stored on top of shelves and items are at least 18" below the sprinkler head.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are carpets and floors in good condition to prevent trips and falls?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are stairs free from trip hazards?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are lights and light fixtures working properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are any ceiling tiles missing or do any need to be replaced due to damage?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check the emergency evacuation maps - these are located at every emergency entrance. Is the last revision date 10/18/19?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Restrooms (Plant + Office)

• Is the restroom clean and tidy? Please take pictures if the housekeeping is inadequate.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the locks on the stalls working properly? Are the toilet paper dispensers in good condition? Please take notes if anything needs to be repaired.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the taps working properly? Are the sinks draining properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are any ceiling tiles missing or do any need to be replaced due to damage?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are lights and light fixtures working properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Do the recycling bins contain any non-recyclable material?

  Yes

  No

  Corrected Immediately

  N/A

• Please take a photo for the recycling wall of shame if there are items that are non-recyclable in the bin. Make note of which restroom the photo is from.

First Aid Room (See HR if you do not have access)

• Is the safety data sheet binder on the door?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is there a first aider list on the door? Are all first aid certificates current?

  Yes

  No

  Corrected Immediately

  N/A

• What s the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the first aid room accessible and clean? is there a pillow and blanket available for use?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the eye wash station clean and working properly? Test by pulling off the caps, pulling the center button and turning on the water. Please make sure you re-set everything before leaving the first aid room!

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the emergency cart present? Is the tamper proof seal still in place? Look for a grey toolbox near the cot with a yellow zip tie holding it closed.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the monthly first aid room inspection sheet completed by the Occupational Health Nurse? It should be posted on the front of the lower cabinets.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Safety Board (Communication Hallway)

• Are the JHSC minutes and inspections posted and current (within the last month?)

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are JHSC meeting dates and members’ names posted?<br>

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is a copy of the Occupational Health and Safety Act and WHMIS regulation posted? Look for the green book.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the following documents available on the board:<br>- Dortec Workplace Violence and Workplace Harassment Policies<br>- “Health and Safety at Work” poster<br>- JHSC, Management and Supervisor annual inspection schedules<br> - WSIB Form 82 (“In Case of Injury at Work)

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Cafeteria

• Do the recycling bins contain any non-recyclable material?

  Yes

  No

  Corrected Immediately

  N/A

• Please take a photo for the recycling wall of shame if there are items that are non-recyclable in the bin. Make note of which restroom the photo is from.

• Are electrical cords in good condition? Check for damaged or frayed wires.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are walkways free from trip hazards?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the cafeteria clean and tidy?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Zone 13: ECU Maintenance/ECU Receiving

• Lights and light fixtures working properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are floors clean and free from obstructions or trip hazards? Totes should not be blocking the aisles and cords and matting should not cause trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Do the recycling bins contain any non-recyclable material?

  Yes

  No

  Corrected Immediately

  N/A

• Please take a photo for the recycling wall of shame if there are items that are non-recyclable in the bin. Make note of which restroom the photo is from.

• If there are any ladders nearby, are they stored properly? they should be chained or hung to prevent falling over. Are ladder inspection tags present? These should be filled out every time someone uses the ladder.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees wearing appropriate personal protective equipment? At minimum, employees should have safety shoes and safety glasses.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are employees following the hair and jewelry policy?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the material on cabinets and shelves stored safely? Ensure no heavy items are stored on top of shelves and items are not within 18” of a sprinkler head.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Check that all fire extinguishers are accessible. Please move any items that are blocking fire extinguishers.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check the yellow flammable cabinet for combustibles and unlabeled chemicals. Confiscate any chemicals that are not labelled and bring them to HR.<br>Ask maintenance or the EHS department if you are unsure about a chemical and its use.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the yellow flammable cabinet grounded? Check for a grounding wire

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Zone 14: D2 Warehouse

• STOP: you must have a high visibility vest to enter the warehouse. Please contact the warehouse supervisor or team leader so you can safely enter the warehouse.

Warehouse Area:

• Is the battery charging area free from combustibles or cardboard?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the battery charging PPE tidy? Check for missing equipment

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Does the spill kit have the emergency contact list, spill kit inventory list and spill response plan posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check the eye wash station to make sure it is working properly. Test by pushing on the lever – please make sure to re-set the eye wash station before leaving.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Speak to an employee – ask if they have any safety concerns. Remember to take note of the employee’s name, clock number and the line. Please take a picture of the concern (if possible)!

• Check that all fire extinguishers are accessible. Please move any items that are blocking fire extinguishers.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are weight limits posted on the end of each rack?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check the sprinkler risers near the greaser barrels (northwest corner of building near the EI shop). Is the sprinkler riser free from obstructions? Ensure it is not leaking and the area is clean

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• If the barrel greaser is being used, is the material handler wearing hearing protection?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are all warehouse employees and warehouse visitors wearing high visibility shirts/vests/straps?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Speak to a lift truck driver – ask to see their forklift license/certification. Remember to take note of the employee’s name and clock number if the certification is out of date.

• Are daily checks completed for tuggers, electric walkies and lift trucks? Ask the operator to see one and take a photo.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Check the yellow flammable cabinet for combustibles and unlabeled chemicals. Confiscate any chemicals that are not labelled and bring them to HR.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the yellow flammable cabinet grounded?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are skids stored safely in the racks? Look for skids that are off-balance or sticking out into the aisle.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are there any damaged racks? If so, please report it to the warehouse team leader or supervisor so they can tag it out (if necessary).

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

Outside:

• Are the trailer jacks and wheel chocks being used? At minimum, one wheel must be chocked and the trailer jack needs to be placed under the front of the trailer. The stand should be as close as possible to the bottom of the trailer.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are the railings, stairs and shipping docks in safe condition? Is the driver entrance sign posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are all the scrap bins covered? Ensure there are no pieces of scrap on the ground

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are all storage containers stored away from emergency doors, fire routes and equipment? Are they stored safely?

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Is the walkway in good condition? Check for snow, ice or debris on the walkway.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up.

  Yes

  No

  Corrected Immediately

  N/A

• What is the risk level?

  Select A - Immediate response needed B - 48h follow up required C - No immediate risk to safety

  • A - Immediate response needed
  • B - 48h follow up required
  • C - No immediate risk to safety