JMC Steel - Safety Control Review

• Audit Title

• Conducted on

  Date

• Prepared by

• A safeguarding control measure will be reviewed to ensure effectiveness and modifications will be made if necessary. Safeguarding controls include JSAs, Lo/To procedures, machine guarding devices, E-stops, engineering controls, etc.

• Department

  Select Mill 1 Mill 2 Slitter Shipping Warehouse Threading Maintenance Quality Office

  • Mill 1
  • Mill 2
  • Slitter
  • Shipping
  • Warehouse
  • Threading
  • Maintenance
  • Quality
  • Office

• Type of Safety Control Reviewed

  JSA

  Lockout Procedure

  Machine Guarding

  E-Stops

  Other

• Specific Control Reviewed:

• Employees Involved:

• Equipment Involved:

• Description of Review:

Complete all Applicable:

• Are safety controls adequate and effective?

  Yes

  No

  N/A

• Are safety controls in good working order?

  Yes

  No

  N/A

• Is the procedure correct?

  Yes

  No

  N/A

• Are additional controls necessary?

  Yes

  No

  N/A

• Is the procedure being followed?

  Yes

  No

  N/A

• Are corrective actions or revisions required?

  Yes

  No

  N/A

• Describe Any Corrective Actions or Revisions Required:

• Additional Comments / Suggestions: