J.W. Williams Waller, TX 070

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Check if safe

• Check if at risk

Initial Actions

• Eyes on task(s)/Mind on Task(s)

• Not Rushing

• Balance, Traction, Grip (falling, slip/trip, skid etc....)

Line-Of-Fire

• Position of People (striking against, struck by, caught, falling, contacting, temp. extremes, electricity, inhaling, absorbing, swallowing)

• PPE (incl. safety glasses, face shield)

• Safeguards in Place

• Workplace Design (physical layout, strength/extension, conflicting activities)

• Critical Procedures (incl. LOTO, trenching, confined space, hydro or pneumatic testing, hot taps, sour gas, elevated work, pressurizing systems)

Body Mechanics (Ergonomics)

• Lifting Bending, Twisting

• Repetitive Motion (rotating forearms)

• Reaching, Pulling, Pushing

• Standing, Sitting (Long periods)

• Comfortable (vs. awkward position)

Procedures and Standards

• Available, Adequate, Understood

• Followed (including documentation)

• Orderliness (housekeeping, storage, access)

Tool and Equipment

• Pre-Use Inspection

• Correct for Task

• Safe Use