Title Page
-
Site conducted
-
Value Stream
-
Cell
-
Cell
-
Cell
-
Cell
-
Cell
-
Cell
-
Cell
-
Cell
-
Cell
-
Cell
-
Area
-
Conducted on
-
Performed By
Facility Requirements
-
Yellow PPE pictogram posted in work cell
-
Safety Glasses with sideshields used (Note employees observed in non-compliance)
-
Safety Toed Shoes used (Note employees observed in non-compliance)
Task Specific Requirements
-
Glove use meets task requirements
-
Proper Apron / Coveralls use
-
Welding Clothing / High Visibility Clothing
-
Sleeves (Above Elbow & Covering Wrist)
-
Head Protection
-
Face Shield / Goggles
-
Respirator Use & Storage
-
Hearing Protection
Inspect PPE for the Following
-
All PPE used is free from defects
-
PPE protects from existing hazards