Information
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Employee Name
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Manager Name
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Document No.
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Location
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MU
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Date of Observation
Thumbs Up
Potential Source of Unsafe Behavior
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1) Flipping boxes onto packer.
2) Retrieving frame from top of cans on pallet.
3) Handling shells.
4) Manipulating shells at denester.
5) Removing wrappers from can lids while at high height.
6) Placing and removing tanks in tank wash.
7) Handling tanks
8) Retrieving frame from
Corrective Actions and Behaviors
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Adjust lift table height before retrieving boxes.
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Cut tape on bottom of box before removing box from case.
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Slide frame across pallet to minimize reach distance.
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Use handholds when handling totes.
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Move fewer shells at one time from lift table to denester.
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Work with the hands in a thumbs up position to minimize wrist deviation.
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Handle items below waist and elbow height.
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Wait until the can lids have lowered before removing the wrappers.
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Raise lift table to elbow height before cutting shrinkwrap.
Score
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Comments
Elbows In
Potential Source of Unsafe Behavior
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1) Handling stacks of shells on denester line.
2) Reaching to palm buttons.
3) Reaching to tanks on pallets.
4) Removing wrappers from can lids while at high height.
5) Move fewer shells at one time from lift table to denester.
6) Carrying broken down boxes to bin.
7) Sliding shells across pallet.
Corrective Actions and Behaviors
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Move fewer shells at one time from lift table to denester.
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Adjust lift table height to slide shells directly onto denester line.
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Walk around pallets when retrieving items.
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Wait until can lid height decreases to remove wrapper.
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Use a cart to push broken down box to recycle bin.
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Ensure that pallets are repaired when needed to avoid trauma to the elbow/shoulder while in awkward position.
Score
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Comments
Spine In Line
Potential Source of Unsafe Behavior
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1) Twisting rather than taking a step when retrieving items from pallet.
2) Pushing shells along line at denester.
3) Twisting to load cases from pallet onto packer.
4) Reaching to retrieve tanks from tank wash build up area.
Corrective Actions and Behaviors
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Stand close to pallet while loading/unloading.
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Keep load in line with spine.
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Position shoulders over the toes while handling loads.
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Stand close to product when placing/retrieving.
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Take a step rather than twisting the back.
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When pushing shells down line, stack several columns of shells so as to not push as far.
Score
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Comments
Comfort Zone
Potential Source of Unsafe Behavior
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1) Looking up to displays located above eye height.
2) Looking at nest stacked above eye height.
Corrective Actions and Behaviors
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Stand on appropriate catwalk to work with controls and displays.
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Handle smaller stacks of nest to avoid looking above line of sight.
Score
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- At Standard
- At Standard w/ Corrective Action
- Below Standard
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Comments
Keep It Close
Potential Source of Unsafe Behavior
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1) Reaching across pallets to retrieve tanks.
2) Reaching across pallets at depalletizers and denesters.
3) Loading cases onto packer.
4) Reaching across pallet on palletizer to reach shells.
Corrective Actions and Behaviors
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Stand close to pallet while loading/unloading.
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Keep load in line with spine.
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Position shoulders over the toes while handling loads.
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Rotate between tank set up, loading, and unloading (Tasks with dissimilar risks).
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Slide cases across packer and onto belt.
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Walk to the side of pallet to reach shells, instead of reaching.
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Ensure that pallets are repaired when needed.
Score
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Comments
Keep It In Sight
Potential Source of Unsafe Behavior
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1) Load totes from floor height to tote wash belt.
2) Loading tanks to and from pallet at tank wash.
3) Loading cases onto packer.
4) Handling empty pallets.
Corrective Actions and Behaviors
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Place totes on a cart to keep height between knee and shoulder.
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Keep several totes stacked to minimize bending while retrieving them.
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Stand close to pallet while loading/unloading.
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Keep load in line with spine.
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Slide cases across packer and onto belt.
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Walk to side of pallet to reach items, rather than reaching.
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Ensure that pallets are repaired when needed to avoid trauma to the elbow and shoulder.
Score
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Comments
Results
Top Three Improvement Objectives (Be Specific)
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1)
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2)
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3)
Summary
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At Standard
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At Standard w/ Correction
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Below Standard
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Employee Signature
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Manager Signature