Employee Work Habit Observations 2.0

Information

Employee Work Habits Observations (Complete Weekly)

Date:
Completed By:
Employee(s) Observed:
Job Site:

1. Personal Protective Equipment

1.1 Proper head protection
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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1.2 Proper foot protection
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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1.3 Proper eye protection
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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1.4 Proper hearing protection
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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1.5 Ear plugs not just set in outer ear
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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1.6 Proper hand protection (gloves)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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1.7 Proper respiratory protection
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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1.8 PPE in good condition
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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1.9 Harness worn correctly (straps, lanyards, snug enough, etc.)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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1.10 Harness CSA approved
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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1.11 Harness is in safe, usable condition
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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1.12 Tied off correctly to basket/platform of lift
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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1.13 Other: (please specify)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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2. Ladders

2.1 The ladder is suitable for the task (step, extension, or platform ladder)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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2.2 The ladder can accommodate the weight being moved up or down, or being held on it
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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2.3 The ladder length will position the worker so they do not have to reach
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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2.4 The ladder has been maintained and is in safe working condition and used per the manufacturer's guidelines
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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Extension / Portable Ladders:

2.5 Is secured at the top and bottom
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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2.6 Is set up at a safe angle (1:4)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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2.7 Is set up with side rails against supporting surface (not the rung against the surface)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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2.8 If used for access/egress the length extends three rungs above the top of the supporting surface
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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Workers working on ladders

2.9 Are trained in ladder safety
Provide steps taken to correct the issue, includes pictures.
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2.10 Are performing tasks that do not affect the ladder stability (ie: no forceful exertions or sudden forces, not using equipment such as hammer drills, not overreaching while pulling something such as cable through conduit)
Provide steps taken to correct the issue, includes pictures.
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2.11 Are climbing the ladder using both hands; facing the ladder
Provide steps taken to correct the issue, includes pictures.
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2.12 Are standing keeping both feet on the ladder and able to receive or place materials/tools without reaching sideways beyond the side rails of the ladder, or below knee level, or lean backwards
Provide steps taken to correct the issue, includes pictures.
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2.13 Are able achieve 3-point contact when standing and working on the ladder (ie: not holding large, awkward items that require both hands to hold)
Provide steps taken to correct the issue, includes pictures.
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2.14 Are standing below a height of 3 metres
Provide steps taken to correct the issue, includes pictures.
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2.15 Other: (please specify)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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3. Manual Material Handling / Safe Lifting

3.1 Worker carrying load close to core
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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3.2 No stooping or twisting; bending at knees with back straight
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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3.3 Appropriate size of load
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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3.4 Proper grip of load
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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3.5 Using sufficient rest & recover time between loads
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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3.6 Choosing to push load rather than pull
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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3.7 Other: (please specify)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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4. Safe Position for Task

4.1 Body positioned for task
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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4.2 Using proper PPE for specific task
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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4.3 Proper footing for task
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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4.4 Proper balance for task
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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4.5 Other: (please specify)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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5. Safe Behaviour (No Horseplay)

5.1 Safety meetings are being held
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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5.2 No horseplay, rowdiness, practical jokes, fighting, running, sleeping
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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5.3 Does worker know & understand correct work procedure
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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5.4 Other: (please specify)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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6. Safe Use of Equipment

6.1 Familiar with the safe use of equipment
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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6.2 Could worker spot damage
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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6.3 Properly trained to operate equipment
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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Ariel Work Platforms

6.4 Are there Ariel Work Platforms on site?
6.5 Is Lift Kit available
6.6 Has Daily Scissor Lift Checklist been completed?
6.7 Other: (please specify)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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7. Tools, Equipment, Materials

7.1 Tools/Equipment right for the task at hand, used properly and in safe condition
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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7.2 Cords on small tools safe
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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7.3 Proper guards on equipment
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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7.4 Tagging necessary items as DEFECTIVE
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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7.5 Necessary PPE worn while using tools/equipment
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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7.6 Neatly and safely stacked
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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7.7 Flammable materials separated & stored in ventilated area
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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7.8 Materials properly stored & identified/labelled
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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7.9 Consumables are properly stored in containers
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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7.10 Other: (please specify)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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8. Electrical

8.1 All employees have non-contact voltage tester and understand to check each circuit before starting work on it
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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8.2 Proper Lock Out/Tag Out is being used
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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8.3 Lock Out/Tag Out form is completed with each Lock Out/Tag Out occurrence
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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8.4 Can identify High Voltage area on job site
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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8.5 Working a safe distance from overhead conductors while on a ladder or other work platform
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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8.6 Moving material/tools by hand or using hoisting equipment a safe distance from overhead power lines or live electrical equipment
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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8.7 Markings on ground to identify location of underground power lines/utilities prior to excavation
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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8.8 Equipment/vehicles being operated a safe distance from overhead power lines
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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8.9 Understands to stay clear of High Voltage area (750V-150kV: stay 10' away; 150kV-250kV: stay 15' away; 250kV-550kV: stay 20' away)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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Extension Cords

8.10 Outdoor type is rated for over 300V
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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8.11 Safe condition of casing, ends, connections
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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8.12 GFCIs used where required
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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8.13 Other: (please specify)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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9. Unrestricted / Uncongested Areas

9.1 Steps are kept clean
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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9.2 No debris in walkways
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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9.3 Evacuation routes are clear
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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9.4 Individual job/work locations not interfering
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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9.5 Other: (please specify)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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10. Good Housekeeping / Orderly

10.1 Cables and cords not tangled
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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10.2 Tools are not cluttering walkways
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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10.3 Equipment container used for specific equipment only
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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10.4 Work area kept clean
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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10.5 Clear access and landing
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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10.6 Other: (please specify)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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11. Scaffolds / Guard Rails

Are there scaffolds or guard rails on site?
11.1 Can identify properly constructed guard rails
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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11.2 Can identify a safely built scaffold before use
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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11.3 Other: (please specify)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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12. Confined Spaces

Are there confined spaces on site?
12.1 Can identify confined spaces
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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12.2 Understands to stay out of confined spaces
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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12.3 Other: (please specify)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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13. Trenches and Excavation

Are there trenches or excavating on site?
13.1 Trench properly sloped where required
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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13.2 Excavated soil properly placed
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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13.3 Appropriate shoring used
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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13.4 Proper access to trench
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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13.5 Proper storage of materials in and above trench
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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13.6 Other: (please specify)
Hazard Rating: HIGH-Condition resulting in fatality, permanent disability, expensive loss to property MEDIUM-Serious injury or illness resulting in temporary disability & property damage LOW-Minor injury or illness non disabling, non disruptive property damage
Recommended corrective action to be taken (please include pictures)
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Employee Work Habit Observations 2.0

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Employee Work Habits Observations (Complete Weekly)

1. Personal Protective Equipment

2. Ladders

Extension / Portable Ladders:

Workers working on ladders

3. Manual Material Handling / Safe Lifting

4. Safe Position for Task

5. Safe Behaviour (No Horseplay)

6. Safe Use of Equipment

Ariel Work Platforms

7. Tools, Equipment, Materials

8. Electrical

Extension Cords

9. Unrestricted / Uncongested Areas

10. Good Housekeeping / Orderly

11. Scaffolds / Guard Rails

12. Confined Spaces

13. Trenches and Excavation

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Employee Work Habit Observations 2.0

Free Employee Work Habit Observations 2.0 Checklist

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Employee Work Habits Observations (Complete Weekly)

1. Personal Protective Equipment

2. Ladders

Extension / Portable Ladders:

Workers working on ladders

3. Manual Material Handling / Safe Lifting

4. Safe Position for Task

5. Safe Behaviour (No Horseplay)

6. Safe Use of Equipment

Ariel Work Platforms

7. Tools, Equipment, Materials

8. Electrical

Extension Cords

9. Unrestricted / Uncongested Areas

10. Good Housekeeping / Orderly

11. Scaffolds / Guard Rails

12. Confined Spaces

13. Trenches and Excavation

Related checklists