HIGHGROVE - duplicate

• Document No.

• HIGHGROVE Audit

• Site Visited

  Select Whitesburg Calhoun Fort Valley Clarksville Perry Heard County

  • Whitesburg
  • Calhoun
  • Fort Valley
  • Clarksville
  • Perry
  • Heard County

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Safe Behavior Observations

• Safe behaviors observed - Actions taken to encourage safe behavior

  Yes

  No

  N/A

• Unsafe behaviors observed - Actions taken to correct and prevent reoccurrence

  Yes

  No

  N/A

• Line of Fire. Is the employee in the line of fire?<br>- Cutting, trimming mower discharge chute creating flying particles and objects - face shield/googles?<br>- Heavy equipment movement in the area - operator aware of pedestrians?

  Yes

  No

  N/A

• Tools & equipment being used correctly?

  Yes

  No

  N/A

• Employees focused on task?

  Yes

  No

  N/A

• Pace of work appropriate?

  Yes

  No

  N/A

Employees

• Have employees been trained on the equipment they are using?

  Safe

  At Risk

  N/A

• Are employees practicing safe work habits?

  Safe

  At Risk

  N/A

• Are employee wearing the appropriate uniform?

  Safe

  At Risk

  N/A

• Do the employees have fresh drinking water?

  Safe

  At Risk

  N/A

PPE

• Hearing: protection used in mandatory areas and during short exposures to high decibel noise?

  Safe

  At Risk

  N/A

• Is appropriate footwear being worn?

  Safe

  At Risk

  N/A

• Hands: protected when handling sharp objects/tools, severely hot or cold items

  Safe

  At Risk

  N/A

• Head: protected from impact from above and at same height objects?

  Safe

  At Risk

  N/A

• Respiratory: protected for vapors, dust, misc. debris. Clean shaven, mask stored in sealed container

  Safe

  At Risk

  N/A

2.0 Ergonomics

• Lifting/Lowering: weights not above 50# at/above shoulder height. Lift is not awkward or repetitive?

  Safe

  At Risk

  N/A

• Pushing: versus pulling?

  Safe

  At Risk

  N/A

• Reach: not overextended for long periods of time or during lifting?

  Safe

  At Risk

  N/A

• Grip/force: not excessive when combined with high frequency?

  Safe

  At Risk

  N/A

• Repetition: is not excessive not excessive when combined with high force and frequency?

  Safe

  At Risk

  N/A

• Vibration: long exposures reduced by PPE, tape or tool design?

  Safe

  At Risk

  N/A

• Body Posture: wrist, neck back in neutral position, elbows 90, close to body?

  Safe

  At Risk

  N/A

Equipment

• Is the equipment in good, safe working order?

  Yes

  No

  N/A

• Are all machine guards I place and in use?

  Yes

  No

  N/A

• If equipment is equipped with backup alarms, lights, and horns; are they working?

  Yes

  No

  N/A

• Are vehicles equipment in need of , marking lights, strobe lights, warning signs for roadside safety?

  Yes

  No

  N/A

• Are all containers properly labeled? (SDS sheets available)<br>

  Yes

  No

  N/A

• Are ladders in good working condition and being used properly?<br>- belt buckle facing uprights<br>- not standing on top 2 steps<br>- 3 point climbing descending practiced

  Yes

  No

  N/A

Vehicle

• Is the vehicle parked in a safe legal spot?

  Safe

  At Risk

  N/A

• Seat belts worn?

  Safe

  At Risk

  N/A

• Safe Speeds followed?

  Safe

  At Risk

  N/A

• Are the safety triangles/cones in use when parked for longer than 10-minutes?<br>

  Safe

  At Risk

  N/A

• Are spotters used when backing vehicles?

  Safe

  At Risk

  N/A

• Is the vehicle/equipment locked to prevent theft?<br>

  Safe

  At Risk

  N/A

• Are the drivers operating the exiles in a safe and courteous manner?

  Safe

  At Risk

  N/A

• Is the vehicle equipped and inspected and a working fire extinguisher onboard?

  Safe

  At Risk

  N/A

• Is the cab free of trash and clutter?

  Safe

  At Risk

  N/A

Job Site

• Are appropriate traffics warning signs (Men Working) posted in conspicuous places?

  Yes

  No

  N/A

• Have unsafe conditions that may cause injury or property damage been addressed?

  Yes

  No

  N/A