Title Page

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Are employee's shoes in good shape?

  • Are employees walking backwards at any time?

  • Are employees using handrails when ascending and descending steps and stairs?

  • Is the walkway clean and clear of hazards?

  • Are employees running or hurrying to get to their workspace?

  • Are any employees walking/ working in a manner that would lead you to believe they are not functioning at 100%? Lack of sleep? Illness? Medical problem?

  • Are their any "at risk" behaviors?

  • Do you see any employees going above and beyond what's required?

  • Add media

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