ISS Safety Floor Walk Checklist (Non-Amazon)

• Client / Site

• Conducted on

  Date

• Prepared by

At-Risk Behaviors

• Did you address any at-risk behaviors?

  Yes

  No

• Findings

• Add media

  Media

• Action plan to address

At-Risk Conditions

• Did you address any at-risk conditions?

  Yes

  No

• Findings

• Add media

  Media

• Action plan to address

• Immediate corrections

• Add picture of correction

  Media

Safe Behaviors Commended

• Did you commend any associates on exhibiting safe behavior?

  Yes

  No

• Findings

5s / Housekeeping / Amnesty

• Did you address any 5s / Housekeeping / Amnesty concerns?

  Yes

  No

• Findings

• Add media

  Media

• Action plan to address

Attend Stand-up

• Did you attend a Department stand-up?

  Yes

  No

• Safety Tip

• Notable Safety topics covered

Associate Job Shadowing

• Did you shadow an associate working in path?

  Yes

  No

• Safety concerns identified

• Associate Feedback

• Follow-up action item(s)

Parking Lot Inspection

• Was a parking lot inspection completed?

  Yes

  No

• Findings

• Add media

  Media

• Action plan to address

PIT Audit

• Was a PIT Audit conducted?

  Yes

  No

• At-Risk behaviors identified & addressed

• Equipment Safety

• Add media

  Media

• 5s / Housekeeping concerns identified

• Add media

  Media

• Action plan to address

Additional Findings / Concerns

• Did you have any additional comments/concerns that have not been addressed above?

  Yes

  No

• Findings

• Add media

  Media

• Follow-up action item(s)