• Liaison Name:

  • Date and Time

  • Shift

  • Team Member Name:

  • Department:

  • Supervisor of Team Member

  • Objective: To engage in a personal, face-to-face, conversation with an operator or maintenance team member regarding safety. It should emphasize the behavior aspects of safety. Focus on SafeStart States (Rushing, Frustration, Fatigue, Complacency) and Critical Errors (Eyes Not on Task, Mind Not on Task, Line of Fire, Loss of Balance, Traction or Grip).

  • Scope: This "Touch Audit" is to be conducted once per shift on all new Team Members with less than 30 days on the shop floor.

  • Task being performed during the Touch Audit

  • States

  • Critical Errors

  • Desired Behaviors Exhibited During Audit:

  • Add media

  • Concerns Identified During Audit:

  • Add media

  • Agreed Upon Changes:

  • Add media

  • I agree to exhibit the desired behaviors and agreed upon changes as identified above:

  • Team Member Signature

  • Liaison Signature

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