Title Page

  • Conducted on

  • Prepared by

  • Location

Reviewed Department

  • Which department are you reviewing?

Line Roll

  • Are two people rolling the home (Operator and spotter)?

  • Are two people raising and lowering catwalks?

  • Are mobile catwalks moved before roll?

  • Is the station cleared of all obstacles (air hoses, cords, ...)?

  • Are team members standing between homes while rolling?

  • Was the safety cone moved by the team members rolling the home?

  • Did the team members rolling the home warn everyone in the area before movement?

  • If a multi-home roll is performed, is there two people per home rolled?

  • Are line roll chains disconnected and stored properly when line roll is complete?

  • Is the station cleaned before each roll?

Signature

  • Supervisor's Signature

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