Information
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Any issues identified that must be tracked to closure.
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Date / Time of Walk starting
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Observer(s)
- Ruiz
- Cashin
- Kehoe
- Moss
- Wilson
- Johnson
- Glover
- Duffy
- Castelli
- Pontbriand
- Zhou
- Araya
Disciplinary Action given
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First and last name of worker
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Description of violation
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Level of severity (could be escalated if additional violations exist in the disciplinary log)
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Employer
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Foreman Signature indicating the violation was explained to the worker and understood.
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.
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Corrective Action
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Area Location
- sub fab
- pyrophorics bunker
- mezzanine (equipment platform)
- interstitial
- L3
- L4
- Cleanroom
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Insert Column Location or other Comments Here for Clarification
-
Detail issue
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Owning contractor
- Brandt
- Beard
- Rozell
- Kleeberg
- Coghlin
- Air Products
- TFSM
- KM Kelly
- Burt
- M+W
- Selby & Smith
- Ovivo
- George Martin Electric
- Turner Scope
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Photo if applicable
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Owner of corrective action
-
Detail Corrective Action needed
-
Due date
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Check box if verified complete
-
Time of walk finishing
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Name of Auditor and Signature