Title Page
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Conducted on
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Prepared by
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Location
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Employee Observed
P.R.E.P.
Positioning
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Are employees positioning themselves out of the line of fire of moving vehicles and equipment?
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Acknowledge the employees' proper positioning out of the line of fire and thank him/her for demonstrating Safe Behaviors!
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Stop the unsafe act and counsel employees on proper positioning out of the line of fire.
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Are employees performing tasks only in/on designated walking/working surfaces (NOT on rails, rollers, correlators, companion plates; vehicle tires, door frames, running boards, bumpers, tailgates)?
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Stop the unsafe act and counsel employees on proper positioning only in/on designated walking/working surfaces.
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Acknowledge the employee's proper positioning only in/on designated walking/working surfaces and thank him/her for demonstrating Safe Behaviors!
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Are employees performing tasks in the wash tunnel only when it is safe to do so (when tunnel equipment has been deenergized and locked out)?
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Acknowledge the employee's safe act of performing work only when it is safe to do so and thank him/her for demonstrating Safe Behaviors!
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Stop the unsafe act and counsel employees on deenergizing moving equipment before performing work in the wash tunnel.
Resourcefulness
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Are employees using mechanical aids (dollies, carts, pallet jacks, etc.) or soliciting the help of fellow employees where practical to lift and/or transport heavy items (trash, debris, cases of chemical, etc.)?
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Acknowledge employee's proper selection and use of available mechanical aids and thank him/her for demonstrating Safe Behaviors!
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Stop the unsafe act and counsel employees on proper selection and use of available mechanical aids.
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Are employees selecting the right tool (hand and power tools, cleaning tools, etc.) for the job at hand (routine maintenance, site cleaning, etc.)?
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Acknowledge the employee's selection of the right tool for the job at hand and thank him/her for demonstrating Safe Behaviors!
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Stop the unsafe act and counsel employees on selecting the right tool for the job at hand.
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Where appropriate, are employees using available resources (written policies and/or procedures, operator manuals or manufacturer's instructions) to safely complete the task at hand?
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Acknowledge the employee's use of available resources to safely complete the task at hand and thank him/her for demonstrating Safe Behaviors!
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Stop the unsafe act and counsel employees on using available resources.
Eyes on Task
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Are employees establishing eye contact with operators of vehicles while on site, or, if operating a vehicle themselves, with pedestrians who may be in the line of fire while on site?
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Acknowledge the employee's safe act of establishing eye contact with operators of vehicles and with pedestrians while operating a vehicle on site and thank him/her for demonstrating Safe Behaviors!
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Stop the unsafe act and counsel the employees on the importance of establishing eye contact with operators of vehicles and with pedestrians while operating a vehicle on site.
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Are employees placing their hands and feet only places where they can visually confirm that it is safe to do so (i.e. - NOT into trash cans, vacuum separator canisters, under customer vehicle seats or into seat/door pockets)?
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Acknowledge the employee's proper placement of hands and feet only in places where they can visually confirm that it is safe to do so and thank him/her for demonstrating Safe Behaviors!
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Stop the unsafe act and counsel employees on the importance of placing hands and feet only where they can visually confirm that it is safe to do so (e.g. - contaminated sharps, bodily fluids, other potentially infectious materials [OPIM]).
Protective Equipment
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Are employees wearing footwear that has been designated as non-slip?
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Acknowledge the employee's compliance with the non-slip footwear requirement and thank him/her for demonstrating Safe Behaviors!
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Counsel employees on the importance of non-slip footwear, and inform them of their options on how to obtain a pair (Shoes for Crews, local retail outlets, etc.).
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Are employees donning required personal protective equipment, PPE (hearing protection, gloves, goggles, etc.), where and when required (designated high noise areas, when handling chemicals, etc.)?
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Acknowledge the employee's proper selection and use of required PPE and thank him/her for demonstrating Safe Behaviors!
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Stop the unsafe act and counsel employees on the importance of wearing required PPE.