Title Page

  • Conducted on

  • Prepared by

  • Location

Reviewed Department

  • Which department are you reviewing?

PPE

  • Are bump hats properly worn with no modification (example: additional stickers, markings, ...)?

  • Are Z87 rated safety glasses properly used by all team members (includes prescription safety glasses with side shields)?

  • Is hearing protection (ear plugs/ear muffs) properly used by all team members?

  • Are cut resistant gloves used on the free hand of the team member while using utility knives?

  • Are cut resistant gloves used while handling glass or metal materials?

  • FRAME SHOP - Are welders using PAPR welding hoods?

  • FRAME SHOP - Are welders wearing 100% cotton clothing or FR rated clothing?

  • FRAME SHOP - Are welders wearing long sleeve shirts and full length pants?

  • FRAME SHOP - Are welders wearing steel toe boots with metatarsal guards?

  • FRAME SHOP - Are welders wearing heat and cut resistant gloves?

Signature

  • Supervisor's Signature

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