Title Page
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Date & Time
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Shift
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Prepared by
Safety Scan
Tools and Materials Stored Correctly
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Materials and Tools are Stored Properly: Brooms, Safety Knives, Labels, Corrugate, ect.?
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Are storage solutions available (Broom Racks, Tool Hooks, Shadow Boards, ect.)?
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Create a defect for the deficiency found and write-down needed storage solutions
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Attach pictures here
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Ladders are Locked or have Ladder Permit?
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Return ladders to proper storage areas and secure them.
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Attach pictures here
Machine Guarding
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ALL machine guarding is in place and adequately covering equipment? i.e. not being able to place any part of the body into the equipment while operating
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Shut down the equipment and contact Maintenance immediately to replace/repair missing guard.
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Attach pictures here
Housekeeping
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The area is clean and free of trip/slip hazards: Hoses on the ground, electric cords, caps, pallet/wood pieces, plastic wrap, ect.
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Were unnecessary items remove?
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Attach pictures here
Personal Protective Equipment Compliance
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Employees Are Wearing Appropriate PPE (Hairnet/Beardnet, Bump Cap, Gloves, Eye Protection, Ear Plugs, Safety Toed Shoes)
Electrical Panels
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Are all Electrical Panels closed and secured?
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Contact Electrician to have the panel closed and secured.
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Attach pictures here
Safety Concerns
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Are any safety concerns present that require immediate attention?
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Describe the condition or concern here
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Describe what was done to immediately improve, correct or respond to the observation
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Attach pictures here
Accomplishments
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Describe below any examples of excellent work practices that were noted on this safety walk.
