HSE MDLZ BBS observation

• Document No.

• Site

• Department

• Conducted on

  Date

• Prepared by

Ergonomics (Positions of People):

• Movements and body positions contribute to good posture of the back, arms, risk, etc.<br>

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Work tools and equipment minimize strain.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Lifting and reaching occurs in the power zone

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Other: (write in the topic observed)

  Yes

  No

  N/A

• Please provide details on what you observed.

Personal Protective Equipment

• Eye, head, face, hand, foot or hearing protection.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Fall protection used when working at heights.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Other: (write in the topic observed)

  Yes

  No

  N/A

• Please provide details on what you observed.

Equipment & Work Conditions:

• Electrical equipment in good condition & electrical cabinets closed.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Nip point guards in place, closed, secured and/or interlocked.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Material handling equipment in good condition and operated safely.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Tools are in good working condition, correct tool for the task is used.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Other: (write in the topic observed)

  Yes

  No

  N/A

• Please provide details on what you observed.

Lock Out/Tag Out

• Equipment safely locked and tagged out. Zero energy state achieved.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Other personnel in the area are aware of lockout.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Other: (write in the topic observed)

  Yes

  No

  N/A

• Please provide details on what you observed.

Risk Awareness

• The individual is aware of job task risks and safety controls.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• The individual is able to describe safe acts for the job AND perform the job safely.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• The individual is able to describe unsafe acts for job.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• The individual is able to demonstrate that recent incident corrective actions are complete for their work area. [Enter a description of the recent incident here].

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• The individual knows the location of the nearest emergency equipment (safety shower, eyewash, etc.). It is accessible.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• The individual can explain the most recent tool box or training communication.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Other: (write in the topic observed)

  Yes

  No

  N/A

• Please provide details on what you observed.

Housekeeping

• Pallets, equipment and other materials are placed in designated areas, cables and hoses are stored safely.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Hazardous materials are labeled, used and stored safely.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Walkways and fire equipment/emergency access routes clear of obstructions.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Walking and working surfaces clear and safe (no tripping hazards, obstructions, etc.).

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Other: (write in the topic observed)

  Yes

  No

  N/A

• Please provide details on what you observed.

Environment

• Water leaks are controlled.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Steam leaks are controlled.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Energy waste is minimized (ex: unattended machines are not left running)

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Air leaks are controlled.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Drains are blocked to prevent food waste discharge.

  Safe

  At Risk

  N/A

• Classify the risk. <br>

  A

  B

  C

• Corrected on the spot?

• Other: (write in the topic observed)

  Yes

  No

  N/A

• Please provide details on what you observed.

Other Observations.