Title Page
Safety Committee Member Information
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Badge # (DOUBLE-CHECK YOUR BADGE)
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First Name (As it appears on your badge)
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Last Name (As it appears on your badge)
Audit Location
Choose a Zone and Area
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Audit Zone
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Observation 1 Area
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Observation 1 Area
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Observation 1 Area
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Audit Area
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Observation 1 Area
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Observation 1 Area
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Observation 1 Area
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Observation 1 Area
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Observation 1 Area
Audit Questionnaire
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Secondary Containers<br><br>Are secondary containers properly labeled with GHS Label? Failure to attach label will make it difficult to identify material.
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Proper hygiene<br><br>Ensure personnel using solvents/chemicals are washing hands after use. Failure to wash hands can result in personnel injury.
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Welding gun operations<br><br>Ensure welder keeps hands and legs away from tip of welding gun. Weld wire punctures can cause serious injury.
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Safe Vehicle Operations<br><br>Ensure equipment operators are not talking on cell phone or being distracted while driving. Distracted equipment operators can cause serious injuries or equipment damage.
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Material Carts<br><br>Inspect Material Carts daily. "If You Connect You Must Inspect". Damaged carts can cause injury and damage to equipment.
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Shot Blast<br><br>Inspect Curtain to ensure no excessive shot is impacting surrounding areas. Shot can cause serious eye injuries.
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Cell Phone Usage<br><br>Are people walking and texting? Walking and Texting can cause injuries.
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Painters PPE<br><br>Are all painters wearing to proper PPE. Failure to wear proper PPE can result in personnel injuries.
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Re-work Material<br><br>Are material requiring re-work parked in correct areas? Can cause trip hazards.
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Pinch Points<br>Verify workers are avoiding pinch points around work area. Eliminate pinch points. to Avoid injury.
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Hydraulic Cylinders/Presses<br>Verify cylinders are not leaking. Are cylinders being used in a safe manner? Hydraulic cylinders can cause severe bodily injuries.
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Hydration<br>Verify employees know early warning signs of dehydration. Dehydration can result in significant bodily injuries.
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Proper PPE<br>Verify employees working around pressurized hydraulics wear proper eye protection. Avoid eye injuries.
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Battery Use<br>Verify batteries are in good working order. Damaged cables can cause fire or shock hazards.
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Proper Lifting<br>Are employees using proper lifting device? Avoid back injuries.
