Fitesa/Pantex Management By Walking Around Tour

• Conducted on

  Date

• Prepared by

• Plant

  Plant 1

  Plant 2

  Plant 3/Pantex

  PPD

Safe Start Basic

Line-of-Fire

• Employee uses proper body positioning – (falling, struck by, striking against, pinch points)

  Yes

  No

  N/A

• Describe your observation:

• PPE - (required, adequate, good condition, properly worn)

  Yes

  No

  N/A

• What is missing?

• Why is it missing?

• Are employees using safety barrier when lifting TB to mezzanine?

  Yes

  No

  N/A

• Why not?

• Are employees using proper cutting tools?

  Yes

  No

  N/A

• Why are SRB's not being utilized?

Eyes-not-on-Task

• If using a SRB, does the employee have a cut resistant glove and/or sleeve on?

  Yes

  No

  N/A

• Why not?

Balance/Traction/Grip

• Is the production floor area is free of trip hazards (trash, material, etc)?

  Yes

  No

  N/A

• Identify source of trip hazard

• Is the production floor area is clear of any slip hazards (oil, water, resin)?

  Yes

  No

  N/A

• Identify source of slip hazard

• Is the floor around the resin hoppers clear of resin?

  Yes

  No

  N/A

• What event(s) led to resin on floor?

Hazard Identification Process (Near Miss):

• Did you identify any activities that cause an employee to put a body part in close proximity to a nip/rotating equipment? (Select N/A for None.)

  Yes

  No

  N/A

• Location of finding:

• Description:

• Contributing Factors- States

  Select Rushing Frustration Fatigue Complacency

  • Rushing
  • Frustration
  • Fatigue
  • Complacency

• Contributing Factors-Critical Errors

  Select Eyes Not on Task Line-of-Fire Mind Not on Task Balance/Traction/Grip Other Factors

  • Eyes Not on Task
  • Line-of-Fire
  • Mind Not on Task
  • Balance/Traction/Grip
  • Other Factors

• Did you highlight the above risk to the employee?

  Yes

  No

  N/A

• Why not?

• Questions or Recommendations:

• Identify a Housekeeping or Contamination Issue -

• Examples: Dust above/around machines, dirty floor, carts overflowing, Doors left open, holes/gaps in siding, poor Equipment out of place, not properly marked, obsolete equipment, dirty/unclean area, poor condition, food outside of lunch room, painting required. Add a photo if possible.

• Is the area clear of any Housekeeping or Contamination issues?

  Yes

  No

  N/A

• Issue(s):

• The key to the MBWA daily tour is listening to our employees. Did you receive any feedback or comments from the employees? (Select N/A for no feedback.)

  Yes

  No

  N/A

• List comments: