Title Page

  • Conducted on

  • Completed by

  • Department

  • Requirements for Communicating & Reviewing Inspection Results with Plant Management

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General Safety Observations

  • 1. Are employees wearing appropriate PPE?

  • Specify lack of or inappropriate PPE

  • Enter employees

  • 2. Is PPE being worn correctly?

  • Enter employee names

  • 3. Is PPE maintained in a sanitary condition and ready for use?

  • Specify work station(s)

  • 4. Employees wearing ID Badges as required per EHS General Rules?

  • Enter employee names

  • 5. Are Red Badge employees operating equipment alone, with another Red Badge Employee or without supervision?

  • Provide employee names

  • 6. Forklift Operators are wearing Forklift ID Badges & training is current?

  • List employees not wearing Forklift ID Badges

  • 7. Are employees adhering to cell phone and earbud policy?

  • Specify work station(s)

  • 8. All spray bottles are labeled with a GHS Compliant Label.

  • Specify work station(s)

  • 9. Safe guards are in use (light curtains, cage doors, mezzanine gates, machine guards, dock chains, LOTO if applicable etc.)?

  • Specify work station(s)

  • 10. Emergency stop buttons are mushroom shaped, colored red and have a yellow collar legend plate labeled "EMERGENCY STOP".

  • Specify work station(s)

  • 11. Abrasive grinders have safety guards that cover the spindle, nut and flange projections; the guards are mounted to maintain proper alignment with the wheel.

  • Specify work station(s)

  • 11. Multiple plug adaptors (e.g., power strips) are not used.

  • Specify work station(s)

  • 12. Extension cords are being used as permanent powers sources.

  • Specify work station(s)

  • 13. Drums of new and/or used oil stored on a proper secondary containment pad.

  • Specify work station(s)

  • 1b. Secondary containment pads is in good condition (no leaks, damage, dents).

  • Specify work station(s)

  • Indicate any issues found during inspection

  • 14. Are Compressed Gas cylinders stored in assigned areas where they will not be damaged by passing or falling objects?

  • 15. Are Compressed Gas cylinders secured by Safety Chains?

  • 16. Are valve protectors always placed on Compressed Gas cylinders when the cylinders are not in use or connected for use?

Sign-off

Sign-off

  • Auditor

  • Plant Manager

  • Plant EHS

  • Additional Personnel

  • Additional Personnel

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