JMC Steel Group - Warren Plant Safety Contact

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• 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

• Employee Name

• Job Activity

• What was observed?

Safety Contact - choose responses from applicable category

• Working Safely

  Select Proper use of PPE Proper use of machine / equipment Proper LoTo Proper use of hand tools Proper body placement Other

  • Proper use of PPE
  • Proper use of machine / equipment
  • Proper LoTo
  • Proper use of hand tools
  • Proper body placement
  • Other

• Unsafe Condition

  Housekeeping

  Equipment failure

  Machine guarding

  Slip Trip hazard

  Other

• Unsafe Act

  Select Improper PPE Improper use of Machine / Equipment Improper LoTo Improper manual pipe movement Improper body placement Other unsafe act

  • Improper PPE
  • Improper use of Machine / Equipment
  • Improper LoTo
  • Improper manual pipe movement
  • Improper body placement
  • Other unsafe act

Action Taken

• What action was taken during the Safety Contact

  Employee commended

  Basic training given

  Condition corrected

  Act corrected

• Details of action take -

Follow-up

• Comments

• Was discipline required?

  Yes

  No

  N/A