Job Safety Observations (JSO)

• Site conducted
  Address

• Conducted on

  Date

• Observer

• Work Area

• Task Being Performed

• Gut sets are coming at normal pace. Gut sets are coming as expected (no extra visceral parts), within normal weight. Any product/machine/machine part/tool they work with, employees are not rushing and/or overexerting.

  Compliant

  Non-Compliant

  N/A

• Comment

• Work Area is free of mechanical hazards (pinch points, blades, sprockets, drive belts) and employees not exposed to extreme temperatures.

  Compliant

  Non-Compliant

  N/A

• Comment

• Employees are wearing the proper PPE for the task. PPE is in good condition. Safety Glasses, Hard Hat, Work boots, Ear Plugs

  Compliant

  Non-Compliant

  N/A

• If Non-Compliant, please provide comment

• Employees are safely lifting, reaching (no over-reaching), pushing/pulling, bending/twisting, and/or throwing (no awkward positions or movements).

  Compliant

  Non-Compliant

  N/A

• If Non-Compliant, please provide comment:

• Properly adjusted stand height, employees are safely spaced, stacked off product does not pose a hazard to employees.

  Select Compliant Non-Compliant N/A

  • Compliant
  • Non-Compliant
  • N/A

• If Non-Compliant, please provide comment:

• Proper selection of tools, proper use of tools (knives, hooks, shovels, etc.), well-maintained tools, knives sharp and properly stored, no one is walking with knives. (NO STRING ATTACHED TO CUTTERS)

  Compliant

  Non-Compliant

  N/A

• If Non-Compliant, please provide comment:

• Procedures are followed, including lock out/tag out, chemical usage, handling and labeling, permits, electrical, powered industrial truck, and emergency stop buttons/pull cords are accessible.

  Select Compliant Non-Compliant N/A

  • Compliant
  • Non-Compliant
  • N/A

• If Non-Compliant, please provide comment:

• General housekeeping is good, there are no slip/trip/fall hazards (hoses, drain covers, tables, racks). Egress routes are clear, no product, material or powered industrial trucks blocking routes.

  Select Compliant Non-Compliant N/A

  • Compliant
  • Non-Compliant
  • N/A

• If Non-Compliant, please provide comment:

Discussion-In this section please speak to the Observed and go over the following topics.

• Did you discuss body mechanics/ positions?

  Yes

  No

  N/A

• Did you discuss PPE?

  Yes

  No

  N/A

• Did you discuss ergonomics?

  Yes

  No

  N/A

• Did you discuss workstation set up?

  Yes

  No

  N/A

• Did you discuss knife/tool handling?

  Yes

  No

  N/A

• Did you discuss procedures?

  Yes

  No

  N/A

• Did you discuss orderliness standards?

  Yes

  No

  N/A