Audit

9.4. Jewelry Checklist

Do workers remove rings (including silicone rings) when they perform activities that involve climbing, ascending or
descending, or where they could fall or jump from an elevated surface? AFI 91-203 para. 9.1.1.1

Do workers remove rings (including silicone rings) when performing materials handling activities? AFI 91-203 para. 9.1.1.2

Do workers remove rings (including silicone rings) when performing work that exposes them to moving machinery, rotating or revolving parts? AFI 91-203 para. 9.1.1.3

Do workers remove rings (including silicone rings) when performing work that exposes them to energized electrical circuits? AFi 91-203 para. 9.1.1.4

Is any jewelry that presents a potential for snagging, catching, pulling, tearing or loss evaluated and restricted if it presents a hazard to the worker or operation? AFI 91-203 para. 9.2

Signatures

Report Routing

Supervisor Signature:

Notification

Superintendent Signature:

Notification

Commander Signature:

Notification

Safety Office Signature:

Notification

Wing Commander Signature:

Notification

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.