Housekeeping

  • Was the housekeeping organized and safe for the work being conducted?
    Skip boxes or garbage bins available on site?
    Are walk pants clear?

  • Add media

Access and Egress

  • Access clearly defined?
    Adequate access for task being performed?
    Slip and trip hazards removed around site?

  • Add media

Hazard Recognition

  • Is the JHA with the operation?
    JHA and work plan reflect the work being conducted?
    Is the JHA specific?
    Are there issues with the PPE on site?

  • Add media

Team Attitudes

  • Crew and supervisor interaction good?
    Crew has safety ownership?
    Able to intervene on an unsafe act or condition?

  • Add media

Engagement/Involvement

  • Has everyone on the crew completed an engagement card last week?
    Does the crew look out for one another?
    Does the crew look out for our Partners?

  • Add media

WHAT WE DO WELL

ITEMS WE NEED TO IMPROVE

Crew Members:

General Comments:

  • General Superintendent Signature

  • Manager signature

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