Keystone Safety Audit - Roll Room

• Hello! Welcome to the Keystone Safety Audit! These are important tools we will use at our plant to keep our fellow team members and ourselves safe throughout the workday. We want you to leave in the same condition you arrived! Doing an inspection in a zone outside of your normal work environment will help spot hazards with fresh eyes. Do not use this tablet while walking. Get verbal confirmation of your presence in any PIT environment.

  

• Inspection Completed by:

• What zone do you work in?

  Select

• Please complete an audit for a different zone than you work in.

• Inspection Conducted on:

  Date

• Shift Inspected:

  1ST Shift

  2ND Shift

  3RD Shift

General

• Are any operational/mechanical repairs needed?

  Yes

  No

• MVP Work Request #

• Are all doors and emergency exits closed and free from obstructions?

  Yes

  No

• Action Taken:

• Are emergency signs, lighting, and equipment in good working order? (test lights)

  Yes

  No

• MVP Work Request #

• Are all PIT perimeter lights working?

  Yes

  No

• MVP Work Request #

• Is there anything stored in red zones blocking access to fire extinguishers or electrical equipment?

  Yes

  No

• Action taken:

Housekeeping

• Are all work areas neat and clean?

  Yes

  No

• Action taken:

• Are tools, PPE, and equipment properly stored when not in use? Are tool boards stocked and organized?

  Yes

  No

• What is missing?

• Are trash receptacles in acceptable condition? Emptied regularly? Overfull?

  Yes

  No

• Action Taken:

• Are hoses and cords properly stored when not in use?

  Yes

  No

• Action Taken:

• Are consoles and tables clean, organized, and free from clutter?

  Yes

  No

• Action Taken:

• Are blades properly disposed of in red sharps containers? (not in trash cans or on surfaces)

  Yes

  No

• Action Taken:

Walking/Working Surfaces

• Are there loose sheets, trash, or other debris on the floor?

  Yes

  No

• Action Taken:

• Are walkways and paths kept clear?

  Yes

  No

• Action Taken:

• Are metal bands, paper, peel waste, and other tripping hazards properly disposed of?

  Yes

  No

• Action Taken:

• Are there surface contaminates such as oil, grease, starch, or water that create slip hazards?

  Yes

  No

• Action Taken:

• Are stairs and catwalks free from obstructions and tripping hazards?

  Yes

  No

• Action Taken:

• Are there any surface irregularities that could create a trip hazard?

  Yes

  No

• MVP Work Request #

Chemicals

• Are all chemicals in properly marked containers?

  Yes

  No

• Action Taken:

• Are chemicals returned to proper storage location when not in use?

  Yes

  No

• Action Taken:

Pest Management

• Are any pest management devices blocked, missing, or damaged?

  Yes

  No

• Are there any signs (droppings, gnaw marks, etc.) of pest intrusion or activity?

  Yes

  No

Behaviors

• Are team members wearing appropriate PPE?

  Yes

  No

• Are drivers using horns?

  Yes

  No

• Are team members keeping cell phones and food in the Safe Zones?

  Yes

  No

• General observations:

• How do you feel about overall Keystone safety?

• I pledge to be safe!

  Sign