Information

  • Any issues identified in the TDC daily area inspection must be tracked to closure. At the conclusion of the walk, the document must be emailed to the EHS PM so the information can be captured in the log.

  • Date / Time of Walk starting

  • Observer(s)

  • Disciplinary Action given
  • First and last name of worker

  • Description of violation

  • Level of severity (could be escalated if additional violations exist in the disciplinary log)

  • Employer

  • Foreman Signature indicating the violation was explained to the worker and understood.

  • M+W signature

Check the area in accordance with the below criteria. Any corrective actions should be documented in the next section. Any marked "No" should have a detailed explanation.

    Area walked
  • Area Location

  • M+W Area Superintendent participating in Walk?

  • If yes, type name here

  • All PTPs checked for completeness

  • All personnel protected from potential falls

  • All holes adequately covered and labeled

  • All personnel wearing required PPE

  • All barricades in place appropriate with up to date signage

  • Housekeeping up to client expectations

  • Cords inspected and elevated above walking surfaces

  • Material stored off ground in yellow rope areas with signs

  • Walking surfaces in acceptable condition

  • Access and egress sufficient

  • All equipment inspections current

  • Secondary containment in place under equipment

  • Other deficiency not captured on the list above

  • Comments on the area

  • Corrective Action
  • Area Location

  • Insert Column Location or other Comments Here for Clarification

  • Detail issue

  • Detail Corrective Action needed

  • Identify M+W action item owner

  • Due date

  • Check box if verified complete

  • Time of walk finishing

  • Name of Auditor and Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.