Jewelry Checklist.

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

9.4. Jewelry Checklist.

• 9.4.1. Do workers remove rings when they perform activities that involve climbing, ascending or<br>descending, or where they could fall or jump from an elevated surface? Reference 9.1.1.1

  Yes

  No

  N/A

• 9.4.2. Do workers remove rings when performing materials handling activities? Reference 9.1.1.2

  Yes

  No

  N/A

• 9.4.3. Do workers remove rings when performing work that exposes them to moving machinery,<br>rotating or revolving parts? Reference 9.1.1.3

  Yes

  No

  N/A

• 9.4.4. Do workers remove rings when performing work that exposes them to energized electrical<br>circuits? Reference 9.1.1.4

  Yes

  No

  N/A

• 9.4.5. Is any jewelry that presents a potential for snagging, catching, pulling, tearing or loss<br>evaluated and restricted if it presents a hazard to the worker or operation? Reference 9.2

  Yes

  No

  N/A