Information
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Ingram Micro - Miami - Safety Observation
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Document No.
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Conducted on
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Department
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Associate
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Observer
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OBSERVATION TYPE
(CHECK ONE) -
This form should be used to document associate’s safe and unsafe behaviors so feedback can be provided in order to improve performance and reduce or eliminate injuries.
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Behavior Observed
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Using proper ergonomics (e.g. proper lifting techniques, not bending at waist or twisting, using pivot technique, using team lifts for heavy/bulky items, using cart instead of carrying materials, maintaining neutral hand postures, etc.).
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Using pallets in designated areas, not using broken pallets, disposing of pallets when empty.
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Powered Industrial Truck Operation (e.g. completing daily inspection checklist, displaying operator's license, driving at safe speed, using horn, wearing seatbelt/harness, etc.).
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Using safe practices when using box cutter (cutting away from body).
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Maintaining safe clearances around exits, pedestrian walkways, electrical panels and fire extinguishers.
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Proper labeling and storage of all chemical containers.
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Maintaining area free from clutter/trash or materials to avoid trip/fall hazards.
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Paying attention to surroundings (e.g. keeping clear of forklifts, hands and body parts away from conveyors, using pedestrian aisles, not walking through docks or hazardous areas, etc.).
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Using equipment properly (e.g. 3 points of contact on ladders, tools, machinery, not using defective items, not operating equipment without guarding).
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Cleaning up all spills or immediately reporting to Security.
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Storing product properly (e.g. stacked evenly on pallets, placed in racking evenly so they are not projecting into aisle, items banded or shrink wrapped to prevent from falling).
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Utilizing proper electrical safety (e.g. not using extension cords in place of permanent wiring, not using daisy-chained power strips, following LO/TO procedures, etc.).
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Other
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Observer Signature
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Associate Signature