Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Person Interviewed during Uwalk:

  • Did this person have any safety issues or experience pain or discomfort.

  • Discuss with employees the hazards in the work area and how they control the hazards.

  • Is PPE readily available (gloves, respirators, safety glasses, hard hats)?

  • Discuss relevant incident reports with employees. Comments:

  • Discuss SAFETY issues/programs implementation specifically (LO/TO, Electrical/Arc Flash, Fall Protection (lanyards in good condition), Confined Space, Waste Management, machine guarding)

  • Discuss ENVIRONMENTAL issues/programs (e.g. hazardous material and waste Labeling & Storage (Light Bulbs, Oil), potential for spills/releases to floor or storm drains, refrigerant release and SPCC records.)

  • Discuss if there are any ergonomic issues or concerns (issues with pulling, pushing, lifting)

  • Was there any recognition or reward provided during this walk? If yes who? what?

  • Provide any comments/suggestions here:

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