Title Page
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Conducted on
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Site of inspection
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Prepared by
Check list
Review
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Has previous report been reviewed?
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Has corrective actions been initiated?
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Which actions have been done?
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Which actions need to be done?
Equipment Inspection
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Are the saw/guards in good condition?
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Foot pedals and two-handed controls secure and operable?
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Are clamps in good condition?
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Are the punches in good condition?
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Are the stakers/guards in good condition?
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Are the rolling tables in good condition?
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Are start/stop switches operational?
Safety
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All employees have required PPE and are in good condition?
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All temps/new hires posses safety vests?
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All tools in use are appropriate for the tasks being performed?
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Adequate lighting in area and in good condition?
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Are emergency switches in reach and operational?
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Pinch/nip/shear/rotation points identified and properly guarded?
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Are floors clear and level?
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Are egress (+22”) assessable and clear?
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Are egress properly marked?
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Fire extinguisher accessible?
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Emergency exits marked and in good condition?
House Keeping
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Work environment is clean and orderly?
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Floors are swept and tidy?
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All slip/trip hazards identified and proper safety measures taken?
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Under the rolling tables are clear?
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Trash cans are in good condition?
PIV Review
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Forklift inspection completed?
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Forklift traffic separate from production?
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“SAFE” forklift operation witnessed?
Fall Protection
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Dock guards in place and secure?
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Ladder inspection up to date?
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Overhead hazards identified and safety measures taken?
Tractor Trailer
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Trailer wheels locks engaged?
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Trailer post in place?
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Trailer entry forms completed?
Other corrective action
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Other issues seen
Confirmation of inspection
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