MSS - Safety Patrol

• Document No.

• MSS-IN Safety Patrol

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

5-S

• Are 5S standards being followed? (Especially the proper placement of all items, proper trash/waste handling/storage, etc...)

  Yes

  No

  N/A

• Are Floors Clean, Aisles Clear?

  Yes

  No

  N/A

• Are Materials properly stored?

  Yes

  No

  N/A

• Are Aisles properly marked by width in storage areas?

  Yes

  No

  N/A

Fire Protection Equipment

• Are Locations identified?

  Yes

  No

  N/A

• Completion By

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Select date

  Date

• Is equipment accessible?

  Yes

  No

  N/A

• Has equipment been properly inspected?

  Yes

  No

  N/A

• Are Exit Signs visible?

  Yes

  No

  N/A

• Are there emergency back up lights?

  Yes

  No

  N/A

• Are exit doors clear of obstructions?

  Yes

  No

  N/A

• P.I.V. Locked and clear of obstacles?

  Yes

  No

  N/A

Machinery

• Are LO/TO Points identified?

  Yes

  No

  N/A

• Is Machinery clean and organized?

  Yes

  No

  N/A

• Are Guards provided where necessary?

  Yes

  No

  N/A

• Are Guards in place and properly adjusted?

  Yes

  No

  N/A

• Are LO/TO placards available?

  Yes

  No

  N/A

Condition of Outside of Building

• Is Parking Lot Clean, and grass area spill's?

  Yes

  No

  N/A

• Are Exit Doors clear of obstructions outside?

  Yes

  No

  N/A

• Outside Trash Compactor?

  Yes

  No

  N/A

Portable Tools

• Conditions of Tools (i.e. extension cord, Power Cords)?

  Yes

  No

  N/A

• Are Storage?

  Yes

  No

  N/A

Flammables

• Minimum amount on hand?

  Yes

  No

  N/A

• Are flammables in Proper Containers, with Proper Labeling?

  Yes

  No

  N/A

• Are Flammable Cabinets adequately bonded and grounded?

  Yes

  No

  N/A

• Are materials stored in cabinets verified?

  Yes

  No

  N/A

• Does the Diesel Fuel Tank Possess any Leaks or Spills?

  Yes

  No

  N/A

Gas Cylinders

• Are they Secured?

  Yes

  No

  N/A

• Issues with Condition of equipment?

  Yes

  No

  N/A

• Properly Stored?

  Yes

  No

  N/A

Electrical Equipment

• Is equipment in good condition (i.e. not broken, damaged, frayed, cut, sliced, etc...)?

  Yes

  No

  N/A

• Present near Hazards (i.e. water)?

  Yes

  No

  N/A

• Clear on all sides by 36" of clearance?

  Yes

  No

  N/A

• Possess identification labels?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• PPE hazard assessments/posting?

  Yes

  No

  N/A

• PPE condition?

  Yes

  No

  N/A

• Conditions of Fall Harnesses?

  Yes

  No

  N/A

Working Environment

• Emergency Eye Wash Area clean and inspected?

  Yes

  No

  N/A

• Proper Ventilation provided?

  Yes

  No

  N/A

Employee Information Posted

• Are evacuation routes and sever weather actions posted?

  Yes

  No

  N/A

• Is there a master workplace Chemical List?

  Yes

  No

  N/A

• Are PPE checklists for each work assignment documented

  Yes

  No

  N/A

• Safety and Health Topic?

  Yes

  No

  N/A

Hazard Communication

• Are SDS Logs kept onsite and updated?

  Yes

  No

  N/A

• Are all containers labeled (i.e. Primary & Secondary)?

  Yes

  No

  N/A

• Are TM's aware of the hazards in the workplace?

  Yes

  No

  N/A

Ergonomics

• Are job assists used properly?

  Yes

  No

  N/A

• Work Area?

  Yes

  No

  N/A

• Team Member perform task?

  Yes

  No

  N/A

Miscellaneous

• Are Arc welder cables in good condition?

  Yes

  No

  N/A

• Are ladders and portable stairs in good conditions?

  Yes

  No

  N/A

• Are wheel chocks available, being used, and in good condition?

  Yes

  No

  N/A

• Are safety signs legible and in place?

  Yes

  No

  N/A

• Are cranes and hoists in good working condition and being signed off on?

  Yes

  No

  N/A

• Is Mobile Powered Equipment in good working condition and being signed off on?

  Yes

  No

  N/A

• Are bloodborne pathogen kits available and accessible?

  Yes

  No

  N/A

• Oil Water Separator?

  Yes

  No

  N/A

• Do you observe suspended coils?

  Yes

  No

  N/A

• Rack System (6x6) and are heavier coils placed on lighter coils?

  Yes

  No

  N/A

• Is the proper distance between rows being observed?

  Yes

  No

  N/A

• Pyramid Coils?

  Yes

  No

  N/A

• Maintenance repairs or new items?

  Yes

  No

  N/A

Spill Kits

• Properly Stocked?

  Yes

  No

  N/A

• Spill Prevention?

  Yes

  No

  N/A

• Proper Location?

  Yes

  No

  N/A

• Properly Sealed?

  Yes

  No

  N/A

Waste Containers

• Properly Closed?

  Yes

  No

  N/A

• Properly Labeled?

  Yes

  No

  N/A

• Good Condition?

  Yes

  No

  N/A

Quality Concerns

• Calibration Checks?

  Yes

  No

  N/A

• Temp - Humidity Wheel?

  Yes

  No

  N/A

• Tape Measure Sign Off?

  Yes

  No

  N/A

• Check Sheets for crane, forklift, and extension cards?

  Yes

  No

  N/A

MSS Procedures

• Hot Work Procedures?

  Yes

  No

  N/A

• Observe crane operations by TM?

  Yes

  No

  N/A

• Observe forklift procedures by TM?

  Yes

  No

  N/A

• Truck Traffic Flow and outside parking procedures?

  Yes

  No

  N/A

• ISO 14001 Procedures?

  Yes

  No

  N/A

• TS/16949 Procedures

  Yes

  No

  N/A

• MSS Safety Procedures?

  Yes

  No

  N/A

• Outside Contractors?

  Yes

  No

  N/A

• Hearing Conservation?

  Yes

  No

  N/A

• Recycle Material?

  Yes

  No

  N/A