Dortec Newmarket JHSC Inspections

• Conducted on

  Date

• Name(s) of inspector(s)

• Which building are you assigned to inspect?

  Dortec 1

  Dortec 2

• This audit is designed to move you through the plant starting and ending at Human Resources. Please attempt to complete the whole audit; speak to the warehouse supervisor or team leader before entering the warehouse. If you cannot do it in one session, you are free to use the iPad over two or three days to complete it, pending iPad availability. Please charge the iPad between sessions.
  
  For each question, select the most appropriate answer. For items that are non-conforming and/or corrected immediately, please ensure you take photos and write detailed comments. This will help the EHS team to resolve the issues quickly. If you are ever unsure about an answer, err on the side of caution and take photos/make comments anyway.
  
  If possible, correct the hazard immediately and document any steps taken to correct the hazard.
  
  Please note: if the battery is low, do not let it run out mid-audit. iAuditor will automatically save during your session, but if the iPad dies while you are doing the audit, all your hard work will be lost! Please exit and save your audit before the battery runs out! Click the "Done" button on the top right corner to save and exit.

Common Questions

General Area

• The following questions are broad and are looking at more general conditions across the plant. You may find it easier to read the questions to understand what to look for, then focus on the other areas of the audit while keeping these sections in mind.

• Are lights and light fixtures working properly? Is there enough light?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are floors clean and free from obstructions or trip hazards? (No totes should be blocking the aisles, cords or matting won't cause someone to trip etc.)

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the air quality in the area acceptable? Check for odours in the work area.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are cardboards, plastics, solder resins and/or scrap metal being recycled properly?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all liquids enclosed to prevent spills? Ensure there are no open containers of liquid that may tip. If operators have beverages, are they in enclosed containers (i.e. thermos, water bottles etc.)

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all cables, electrical lines or wires gathered to prevent trip hazards?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• If there are any ladders nearby, are they stored properly (chained/stored to prevent tipping) and are the ladder inspection tags present and completed? The inspection tags should be filled out every time someone uses the ladder.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

Emergency Equipment

• Are all emergency exits clear and free from obstructions? Are flammable substances stored at least 1.5 metres away from the exit?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the emergency exit signs illuminated and in good working order?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are fire alarm pull stations clear and free from clutter or obstructions?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the evacuation map posted by all main entrances and up to date? Make note of the revision date on bottom right side - EHS will check for accuracy.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Check the sprinkler riser near HR - the big red pipes by the employee entrance. Are the sprinkler risers free from obstructions and accessible within 3 feet? Ensure there are no leaks or garbage on the floor.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the fire extinguishers present and inspected monthly? Are the signs visible? (All fire extinguishers have signs and red stripes on the wall/column above where they are hung. The inspection tags should be signed off monthly by Vipond)

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the spill kit accessible? If unsure where the spill kit is, look for the sign hanging above the ceiling or reference the H&S Equipment map (available on the safety boards).

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• At the spill kit, are the emergency contact numbers, spill kit inventory list and spill response plan posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Check a yellow flammable cabinet:<br>-it must be grounded (check for grounding wire)<br>-it should only contain flammable substances (no rags, cardboard, plastic etc.)<br>-all chemicals should be properly labelled

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

Employees

• Are all employees wearing appropriate Personal Protective Equipment for the task being performed? At minimum, employees must have safety glasses and safety shoes. Hearing protection is mandatory at the greaser barrel in the warehouse.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are employees following the hair and jewelry policy?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• If there is a contractor onsite today, are they wearing a hard hat (if applicable), safety shoes, and safety glasses?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• If maintenance is working on a machine, are proper lockout procedures being followed? Ask maintenance if they should de-energize the machine for the task they are doing.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Do employees have any Ergonomics concerns? If yes, take a photo of the station and make note of the employee's name, clock #, shift, line and station.

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Speak to an employee - ask if they have any safety concerns. Remember to take note of the employee's name, clock number and the line. Please take a picture of the concern (if possible)!

• Speak to an employee - ask if they have any safety concerns. Remember to take note of the employee's name, clock number and the line. Please take a picture of the concern (if possible)!

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

Common Areas

• Are electrical panels and warming ovens clear from flammable materials or aerosols?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the housekeeping adequate and are walkways free from trip hazards?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all electrical cords and plugs free from damage with no frayed wires?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the countertops and table edges free from sharp or broken edges?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the emergency lighting and exit signs present and working?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

First Aid Room

• Is there a current first aider list on the door? Make note of the last revision date.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the room accessible, clean and supplies stocked? Is there a pillow and blanket available for use?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the Safety Data Sheet binder on the door?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Check the eye wash station to make sure it is clean and working properly. Test by pulling the red caps off and pull centre button - please ensure it is fully closed before leaving area

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the emergency ERT cart present and sealed?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the monthly First Aid Room inspection sheet completed by the Occupational Health Nurse? It is posted on the front of the lower cabinets.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

Safety/Communication Boards

• Are JHSC meeting dates and members' names posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the JHSC minutes and inspections posted and current (within the last month)?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is a copy of the Occupational Health and Safety Act and WHMIS Regulation posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the following documents available on the board:<br>-WSIB form 82 ("In Case of Injury at Work")<br>-Dortec Workplace Violence and Harassment policy<br>"Health and Safety at Work" poster<br>-JHSC, Management and Supervisor annual inspection schedules

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Which building are you assigned to inspect?

  Dortec 1

  Dortec 2

Dortec 1 Questions

West Side - Production/Assembly Area

• Are the daily pre-start inspection sheets completed and signed for the shift? These are located on the line's communication board inside of the orange folder. Note: if the inspection sheets are not signed, please take a picture of the sheet and kindly follow up with the team leader. The sheet may not be complete if it is close to the beginning of shift - please ask the team leader for details.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the walkway in and around the work cells a minimum of 1.5 feet wide?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are work stations and barriers free from sharp or broken edges?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• If there are any chemicals on the line:<br>-are they stored safely?<br>-are they properly labelled?<br>-are the containers free from leaks?<br>-if necessary, are the containers grounded? <br>Ask maintenance, a team leader or EHS if you are unsure about a chemical.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are cords, wires, totes, mats, rolling carts and boxes stored safely? Ensure there are no trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are lockout/tag out placards on each line? Note: There should be a main information sheet on the line with lockout points identified on it. Each lockout point will then have an individual label corresponding tot he main information sheet.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are guarding and interlocking doors working properly and in good condition? Guards or interlocking doors should not be left open without anyone there or removed for any reason.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are racks and shelves in good conditions? Are they secure from tipping over? are they in a good location (not obstructing aisles or limiting worker movement?)

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all electrical panels, outlets and boxes accessible?<br>Are the doors closed?<br>Do the panels have the ESA sticker on it (look for small metallic sticker-usually near the top right corner)?<br>Do the panels have 3 feet of clearance in front of them? If not, take a picture and note the line/station if possible.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Do main electrical panels have the Arc Flash sticker on it? Look for a large orange and white sticker with the words Arc Flash on it

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• At a laser station (P305/6 or CCC2 have lasers):<br>Are the class 4 laser warning signs posted on the laser?<br>Are exhausts working properly? Make a note if there are any odours or fumes in the area.<br>Are rags, cardboard and chemicals kept out of the laser cells?<br>Are the laser doors shut?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the emergency stops or pulls visible, accessible and easy to engage? Are they within operator reach?<br>Do the e-stop buttons have the yellow CSA background on them?<br>

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• On robot cells:<br>-is the Robot Emergency Entrapment Procedure posted?<br>-is the robot cell free from rags, loose parts, chemicals?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all conveyors guarded to prevent injury?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

East Side - Production/Assembly Area

• Are the daily pre-start inspection sheets completed and signed for the shift? These are located on the line's communication board inside of the orange folder. Note: if the inspection sheets are not signed, please take a picture of the sheet and kindly follow up with the team leader. The sheet may not be complete if it is close to the beginning of shift - please ask the team leader for details.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the walkway in and around the work cells a minimum of 1.5 feet wide?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are work stations and barriers free from sharp or broken edges?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• If there are any chemicals on the line:<br>-are they stored safely?<br>-are they properly labelled?<br>-are the containers free from leaks?<br>-if necessary, are the containers grounded? <br>Ask maintenance, a team leader or EHS if you are unsure about a chemical.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are cords, wires, totes, mats, rolling carts and boxes stored safely? Ensure there are no trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are lockout/tag out placards on each line? Note: There should be a main information sheet on the line with lockout points identified on it. Each lockout point will then have an individual label corresponding tot he main information sheet.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are guarding and interlocking doors working properly and in good condition? Guards or interlocking doors should not be left open without anyone there or removed for any reason.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are racks and shelves in good conditions? Are they secure from tipping over? are they in a good location (not obstructing aisles or limiting worker movement?)

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all electrical panels, outlets and boxes accessible?<br>Are the doors closed?<br>Do the panels have the ESA sticker on it (look for small metallic sticker-usually near the top right corner)?<br>Do the panels have 3 feet of clearance in front of them? If not, take a picture and note the line/station if possible.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Do main electrical panels have the Arc Flash sticker on it? Look for a large orange and white sticker with the words Arc Flash on it

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• At a laser station (BMW, P305/6, or CCC2 all have lasers):<br>Are the class 4 laser warning signs posted on the laser?<br>Are exhausts working properly? Make a note if there are any odours or fumes in the area.<br>Are rags, cardboard and chemicals kept out of the laser cells?<br>Are the laser doors shut?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the emergency stops or pulls visible, accessible and easy to engage? Are they within operator reach?<br>Do the e-stop buttons have the yellow CSA background on them?<br>

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• On robot cells:<br>-is the Robot Emergency Entrapment Procedure posted?<br>-is the robot cell free from rags, loose parts, chemicals?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all conveyors guarded to prevent injury?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

Maintenance and EI Area

• This section is for both the Maintenance Shop and EI Area

• Is the housekeeping acceptable?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Check a yellow flammable cabinet:<br>-it must be grounded (check for grounding wire)<br>-it should only contain flammable substances (no rags, cardboard, plastic etc.)<br>-all chemicals should be properly labelled

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• If there are any ladders nearby, are they stored properly (unable to tip or fall) and are ladder inspection tags present and completed for the day? <br>Ladder inspection tags should be filled out every time someone uses the ladder.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all electrical panels, outlets and boxes accessible?<br>Are the doors closed?<br>Do the panels have the ESA sticker on it (look for small metallic sticker-usually near the top right corner)?<br>Do the panels have 3 feet of clearance in front of them? If not, take a picture and note the line/station if possible.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the pre-use inspection sheets available for the grinders, lathes and drill presses? Ask maintenance or EI if unsure where to find the sheets.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all liquid wastes stored on secondary containment skids?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the aerosol drums and the oily rag drums grounded? Check for grounding wire.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• If any equipment is being repaired, ensure it is de-energized with proper lockout. Ask maintenance if unsure.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• In maintenance, are all the welding cylinders secured from tipping and do they have a proper cylinder cap on it?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• The following questions may require assistance from a maintenance team member.

• Have the chuck keys been removed from the machinery? Chuck keys should be kept outside of the machines unless someone is adjusting the machine.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the grinder properly guarded? There should be no more than a 3mm gap on a grinding wheel.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the fall arrest harnesses in good condition? Ask a maintenance employee to see harness.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

Restrooms/Locker Rooms - West Side

• Are the washrooms clean and tidy? Is the housekeeping adequate? (i.e. no tissue or debris on floor, toilets are in good order etc.)

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are locks on the stalls working properly? Are the toilet paper dispensers in good condition? Check to see if anything needs repair.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are sinks and floor drains clear and free from blockages?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the taps and sinks in good condition? are the soap dispensers filled and working?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

Restrooms/Locker Rooms - East Side

• Are the washrooms clean and tidy? Is the housekeeping adequate? (i.e. no tissue or debris on floor, toilets are in good order etc.)

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are locks on the stalls working properly? Are the toilet paper dispensers in good condition? Check to see if anything needs repair.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are sinks and floor drains clear and free from blockages?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the taps and sinks in good condition? are the soap dispensers filled and working?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

Central Stores

• Check the yellow flammable cabinet:<br>-it must be grounded (check for grounding wire)<br>-it should only contain flammable substances (no rags, cardboard, plastic etc.)<br>-all chemicals should be properly labelled

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the spill kit accessible? If unsure where the spill kit is, look for the sign hanging above the ceiling or reference the H&S Equipment map (available on the safety boards).

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• At the spill kit, are the emergency contact numbers, spill kit inventory list and spill response plan posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the fire extinguishers present and inspected monthly? Are the signs visible? (All fire extinguishers have signs and red stripes on the wall/column above where they are hung. The inspection tags should be signed off monthly by Vipond)

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the racking in good condition with no visible damage? Is the material on the shelves at least 18" away from the sprinkler heads?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• At the fire alarm panel (by the door), is the Fire Chief binder and megaphone available?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• In the "Temporary Hazardous Material Storage Area", check that only aerosols, batteries, paint and ink are in the containers.<br>Check that the containers are properly labelled. All material must be transferred to the hazardous materials waste monthly.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

Dortec 2 Questions

ECU Area

• Are the daily pre-start inspection sheets completed and signed for the shift? These are located on the line's communication board inside of the orange folder. Note: if the inspection sheets are not signed, please take a picture of the sheet and kindly follow up with the team leader. The sheet may not be complete if it is close to the beginning of shift - please ask the team leader for details.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the walkway in and around the work cells a minimum of 1.5 feet wide?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are work stations and barriers free from sharp or broken edges?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• If there are any chemicals on the line:<br>-are they stored safely?<br>-are they properly labelled?<br>-are the containers free from leaks?<br>-if necessary, are the containers grounded? <br>Ask maintenance, a team leader or EHS if you are unsure about a chemical.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are cords, wires, totes, mats, rolling carts and boxes stored safely? Ensure there are no trip hazards.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are lockout/tag out placards on each line? Note: There should be a main information sheet on the line with lockout points identified on it. Each lockout point will then have an individual label corresponding tot he main information sheet.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are guarding and interlocking doors working properly and in good condition? Guards or interlocking doors should not be left open without anyone there or removed for any reason.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are racks and shelves in good conditions? Are they secure from tipping over? are they in a good location (not obstructing aisles or limiting worker movement?)

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all electrical panels, outlets and boxes accessible?<br>Are the doors closed?<br>Do the panels have the ESA sticker on it (look for small metallic sticker-usually near the top right corner)?<br>Do the panels have 3 feet of clearance in front of them? If not, take a picture and note the line/station if possible.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Do main electrical panels have the Arc Flash sticker on it? Look for a large orange and white sticker with the words Arc Flash on it

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• At a laser station (P107-Air Dam):<br>Are the class 4 laser warning signs posted on the laser?<br>Are exhausts working properly? Make a note if there are any odours or fumes in the area.<br>Are rags, cardboard and chemicals kept out of the laser cells?<br>Are the laser doors shut?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the emergency stops or pulls visible, accessible and easy to engage? Are they within operator reach?<br>Do the e-stop buttons have the yellow CSA background on them?<br>

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• On robot cells:<br>-is the Robot Emergency Entrapment Procedure posted?<br>-is the robot cell free from rags, loose parts, chemicals?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all conveyors guarded to prevent injury?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

Maintenance Area (under mezzanine and behind ECU area):

• Is the housekeeping acceptable?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Check a yellow flammable cabinet:<br>-it must be grounded (check for grounding wire)<br>-it should only contain flammable substances (no rags, cardboard, plastic etc.)<br>-all chemicals should be properly labelled

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• If there are any ladders nearby, are they stored properly (unable to tip or fall) and are ladder inspection tags present and completed for the day? <br>Ladder inspection tags should be filled out every time someone uses the ladder.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all electrical panels, outlets and boxes accessible?<br>Are the doors closed?<br>Do the panels have the ESA sticker on it (look for small metallic sticker-usually near the top right corner)?<br>Do the panels have 3 feet of clearance in front of them? If not, take a picture and note the line/station if possible.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all liquid wastes stored on secondary containment skids?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the aerosol drums and the oily rag drums grounded? Check for grounding wire.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

Warehouse

• STOP: you must have a high visibility vest to enter the warehouse! Please contact the warehouse supervisor or team leader so you can safely enter the warehouse.

• Is the battery charging area free from combustibles or cardboard?<br>Is the PPE board up to date and not missing any equipment?<br>Check the eye wash station to make sure it is clean and working properly. Test by pushing on the lever - please ensure it is fully closed before leaving area

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are weight limits posted on the end of each rack?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is there a minimum of 18 inch clearance between the top of the racking or material and the sprinkler heads?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Check the sprinkler riser near the greaser barrels (northwest corner of building near EI shop). Is it free from obstructions and accessible within 3 feet? Ensure it is not leaking and does not have garbage on the floor.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• If the barrel greaser is being used, is the material handler wearing hearing protection?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all warehouse employees and warehouse visitors wearing high visibility shirt/vest/straps?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Speak to a lift truck driver - ask to see their forklift license/certification. Remember to take note of the employee's name and clock number.

• Are daily circle checks completed for tuggers, walkies and lift trucks? As an operator to see one and take a photo.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the fire extinguishers present and inspected monthly? Are the signs visible? (All fire extinguishers have signs and red stripes on the wall/column above where they are hung. The inspection tags should be signed off monthly by Vipond)

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

Outside

• Are the trailer jacks and wheel chocks being used? <br>A minimum of one wheel chock should be on each trailer and the trailer jack should be under the front of the trailer (usually with about an inch gap)

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are the railings, stairs and sipping docks in safe condition? Is the driver entrance sign posted?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all the scrap bins covered? Ensure there are no pieces of scrap on the ground.

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are all storage containers stored away from emergency doors, fire routes and equipment? Are they stored safely?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Is the walkway maintained in good condition? No snow, ice or debris in the way?

  Yes

  No

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

• Are there any other issues or employee concerns? Take detailed notes for HR/EHS to follow up

  No

  Yes

  Corrected Immediately

  N/A

• What is the hazard rating?<br>Note: this rating classifies hazards for risk potential. All hazards/safety concerns are tracked and priority is assigned by risk potential.

  A - immediate response needed

  B - follow up required within 48h

  C - no immediate threat

Signoff

• Thank you - the inspection is complete. Please hit the "Mark as Complete" button on the lower right hand side and return the iPad to the HR office immediately for charging. Please make sure your name is on this inspection or else you may not get credit for your work!

• Add signature

  Sign