Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Work area observation

  • Uniform: appearance, USafe logo

  • Posters: Usafe

  • Equipment: Electrical powered tools

Walking & working surfaces

  • Floor care: wet floor signs in use

  • Ladders: proper set-up and usage

  • Proper footwear for job task

  • Slips, Trips & Fall hazards

  • Disposal area: compactors, dumpsters, etc.

  • Sanitary Drainage Availability - Slop sinks, floor drains

  • Eye wash/Showers: Battery charging, corrosive chemical exposure (stripping solution)

Personal Protective Equipment

  • Eye/face protection: safety glasses, goggles, face shield

  • Hand protection: Disposable gloves, Chemical resistant gloves, winterized gloves

  • Foot protection: slip resistant shoes, company supplied boots when stripping floors, stableicers for winter wear

  • Dust masks when required: Sweeping, dusting, raking

  • Body protection: when working with acids, chemicals, battery charging, etc.

  • Fall protection: when falls of 6' or greater, aerial lifts

  • Knee pads: when necessary

  • Other required PPE

Body Mechanics and Ergonomics

  • Lifting/Carrying/Pulling/Pushing: Body movement

  • Trash removal: from baskets, barrels, drums, carts

  • Disposal of waste: to compactor and/or dumpster

  • Restroom cleaning: toilets, mirrors, ect.

Tools and equipment

  • Selection: Proper tool or equipment for job

  • Condition: Tools and equipment in safe conditions for use

  • Use: Tool and equipment being used as intented

  • Mobile equipment: Inspected prior to use, safe ops.

Hazard communication/ chemicals

  • Hazard Communication Written Program

  • Chemical inventory list, Material Safety Data Sheet (MSDS)

  • Proper labeling of containers

  • Compatibility storage - acid/base

  • Flammable storage cabinets

Follow-up

  • Is any follow up required?<br><br>

  • Add media

Commendable behaviors observed:

  • Add media

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