JMC Steel Group - Blytheville Plant Safety Contact

• Document No.

• Safety Contact

• Conducted On:

  Date

• Conducted By:

• Facility Location:
  Address

• Employee Name

• Department

  Select Mill 1 Mill 2 Maintenance Shipping Warehouse Slitter Quality Office Plant wide

  • Mill 1
  • Mill 2
  • Maintenance
  • Shipping
  • Warehouse
  • Slitter
  • Quality
  • Office
  • Plant wide

• Job Activity

• What was observed?

• Where Was It Observed?

Safety Contact - choose responses from applicable category

• Working Safely

  Select Proper Use of ALL Required PPE Proper Use of Machine/Equipment Proper LOTO (Understand & Use) Proper Use of Hand Tools Proper Body Placement Other PPE in Good Condition Follow & Understand JSA Proper Use of Crane Proper Use of Mobile Equipment Work Area Clean Work Area Well Organized

  • Proper Use of ALL Required PPE
  • Proper Use of Machine/Equipment
  • Proper LOTO (Understand & Use)
  • Proper Use of Hand Tools
  • Proper Body Placement
  • Other
  • PPE in Good Condition
  • Follow & Understand JSA
  • Proper Use of Crane
  • Proper Use of Mobile Equipment
  • Work Area Clean
  • Work Area Well Organized

• Unsafe Condition

  Housekeeping

  Equipment Failure

  Machine Guarding

  Slip Trip Hazard

  Other

• Unsafe Act

  Select Improper Use/Lack of/Damaged PPE Improper use of Machine/Equipment Improper LOTO Improper Manual Movement of Pipe Improper Body Placement Other unsafe act Not Following JSA

  • Improper Use/Lack of/Damaged PPE
  • Improper use of Machine/Equipment
  • Improper LOTO
  • Improper Manual Movement of Pipe
  • Improper Body Placement
  • Other unsafe act
  • Not Following JSA

Action Taken

• What action was taken during the Safety Contact

  Employee commended

  Basic Training Provided

  Condition Corrected

  Act Corrected

• Details of action taken -

Follow-up

• Comments

• Was discipline required?

  Yes

  No

  N/A