Receiving Safety Walk (TX)

• Conducted on

  Date

• Conducted by

• Department

  Select

Housekeeping & General Work Environment

• 1. Walking-working surfaces are kept clean, orderly, and free of debris?<br>(Walking-working surfaces: any horizontal vertical surface on or through which a worker walks, works, or gains access to a work area or workplace location)

  yes

  No

  n/a

• Specify work station(s)

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• 2. Access to and from work areas and work areas are a minimum of 24 inches, free of obstructions and constantly accessible?

  yes

  No

  n/a

• Specify work station(s)

  Select

• 3. Work area are free of trash accumulation, clean, tidy, well organized and free of trip hazards?

  yes

  No

  n/a

• Specify work station(s)

  Select

• 4. Storage areas are clean, orderly and tidy?

  yes

  No

  n/a

• Specify work station(s)

  Select

• 5. Are employees addressing housekeeping issues as they see them?

  yes

  No

  n/a

• Specify work station(s)

  Select

• 6. Emergency routes and emergency doors are kept clear and fully accessible at ALL TIMES?

  yes

  No

  n/a

• Specify work station(s)

  Select

• 7. Emergency equipment (Fire Extinguishers, eyewash stations etc) free from obstructions and are constantly accessible?

  yes

  No

  n/a

• Specify work station(s)

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• 8. Sufficient access and working space is provided and maintained around all electrical equipment to permit safe operations and maintenance?<br>(Clear space is maintained in front of electrical panels; minimum 3 feet in front, and at least the width of the panel, but not less than 2 ½ feet?)

  yes

  No

  n/a

• Specify work station(s)

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• 9. Material and equipment is stored in such a way that projections do not interfere with walkways?

  yes

  No

  n/a

• Specify work station(s)

  Select

• 10. Aisles and walkways between materials are arranged so employees are not subjected to potential hazards?

  yes

  No

  n/a

• Specify work station(s)

  Select

• 11. Fan blades are protected with a guard having openings no larger than l/2 inch when operating within 7 feet (2.1336 meters) of the floor or working level.

  yes

  No

  n/a

• Specify work station(s)

  Select

• 12. Are pallets and materials laying flat and stacked securely and neatly?

  yes

  No

  n/a

• Specify work station(s)

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• 13. Are pallets that are in use in good condition?

  yes

  No

  n/a

• Specify work station(s)

  Select

Facility Security: Visitor Management

• 1. Contractors & Visitors are signing in and out of facility as required per Visitor Management Procedure?

  Yes

  No

  n/a

• Provide Name and Company of each

• 2. Contractor & Visitor Badges worn as required per Visitor Management Procedure?

  Yes

  No

  n/a

• Provide Name and Company of each

General EHS Rules

• 1. Employees wearing ID Badges as required per EHS General Rules?

  Yes

  No

  n/a

• Specific Area(s)

  Select

• List employees not wearing PPE

• Are Red or Pink Badge employees operating equipment alone, with another Red or Pink Badge Employee or without supervision?

  *YES

  no

  n/a

• List employees

• 2. Forklift Operators are wearing Forklift ID Badges & training is current?

  Yes

  No

  n/a

• List employees not wearing Forklift ID Badges

• 3. Are employees adhering to cell phone and earbud policy?

  yes

  No

  n/a

• Specify work station(s)

  Select

• 4. Are proper lifting procedures being followed?

  yes

  No

  n/a

• Specify work station(s)

  Select

Personal Protective Equipment (PPE)

• 1. Are employees wearing appropriate PPE?

  yes

  No

• Specify lack of or inappropriate PPE

  Select Safety Glasses/Goggles Rx Safety Glasses/Over the Glasses Safety Glasses Face Shields Steel Toes Gloves Respiratory Protection

  • Safety Glasses/Goggles
  • Rx Safety Glasses/Over the Glasses Safety Glasses
  • Face Shields
  • Steel Toes
  • Gloves
  • Respiratory Protection

• Enter names of employees not wearing PPE

• 2. Is PPE being worn correctly?

  yes

  No

  n/a

• Enter names of employees

• 3. Is PPE maintained in a sanitary condition and ready for use?

  yes

  No

  n/a

• Specify work station(s)

  Select

UNIVERSAL WASTE

Aerosol Can Disposal

• 1. Are aerosol cans punctured and emptied before disposal?

  Yes

  No

• Specify work station(s)

  Select

• 2. Is the lever and containment cover in good working condition?

  Yes

  No

• 3. Is lid of puncturing unit closed when not in use?

  Yes

  No

• Specify work station(s)

  Yes

  No

  n/a

• 4. Is a sticker stating "Lid must remain closed when not in use" on the lid of the drum?

  Yes

  No

• 5. Are aerosol cans placed in proper disposal bins after cans are punctured and emptied?

  Yes

  No

• Specify work station(s)

  Select

• 6. Is a Hazardous Waste Label present on drum?

  Yes

  No

• a) Accumulation start date indicated on the label?

  Yes

  No

  n/a

• Enter the Accumulation Start Date as MM/DD/YYYY

• b) Waste shipped offsite within 1 year of accumulation start date?

  Yes

  No

  ?

  n/a

Battery Disposal

• 1. Adequate signage to indicate location of disposal?

  Yes

  No

• 2. Are batteries (lead acid, rechargeable) properly stored?

  Yes

  No

• 3. Are waste batteries stored in closed container(s)?

  Yes

  No

• 4. Are containers in good physical condition?

  Yes

  No

• 5. Is lid secured to the container(s)?

  Yes

  No

• 6. Is the handle working properly?

  Yes

  No

• 7. Are waste batteries packaged so terminals will not come in contact with each other? (positive ends taped (Scotch) to prevent fire)

  Yes

  No

• 8. Is Universal Waste Label present on used batteries container(s)?

  Yes

  No

• a) Accumulation start date indicated on the label?

  Yes

  No

  n/a

• Enter the Accumulation Start Date as MM/DD/YYYY

• b) Waste batteries shipped offsite within 1 year of accumulation start date?

  Yes

  No

  ?

  n/a

• 9. Are spill kit(s) accessible and stocked appropriately for waste batteries storage?

  Yes

  No

Waste Lamps / Fluorescent Light Bulbs

• 1. Adequate signage present to indicate location of disposal?

  Yes

  No

• 2. Are broken lamps stored separately in sealed container labeled with contents?

  Yes

  No

• 3. Is container kept closed unless lamps are being added or removed?

  Yes

  No

• 4. Are containers in good physical condition?

  Yes

  No

• 5. Is Is Universal Waste Label present on waste lamp container(s)?

  Yes

  No

• a) Accumulation start date indicated on the label?

  Yes

  No

  n/a

• Enter the Accumulation Start Date as MM/DD/YYYY

• b) Are waste lamps shipped offsite within 1 year of accumulation start date?

  Yes

  No

  ?

  n/a

• 6. Are spill kit(s) accessible and stocked appropriately for waste lamp storage?

  Yes

  No

• 1. GHS Labels are kept on shipped containers; including: product identifier, signal word, hazard statement(s), pictogram(s), precautionary statement(s), and supplier information.

  yes

  No

  n/a

• Specify work station(s)

  Select

• 2. GHS Compliant Labels on workplace containers where required (e.g., chemicals received in large containers that are transferred to smaller containers such as pails, vats, storage tanks etc).

  yes

  No

  n/a

• Specify work station(s)

  Select

• 3. All spray bottles are labeled with a GHS Compliant Label.

  yes

  No

  n/a

• Specify work station(s)

  Select

• 4. Employees understand labels received on shipped containers and details of the workplace labeling system. (e.g., where to get GHS Labels for spray bottles)

  yes

  No

  n/a

• Specify work station(s)

  Select

• 5. Employees understand SDS and where to find them.

  yes

  No

  n/a

• Specify work station(s)

  Select

• 6. Chemicals are kept in closed containers when not in use.

  yes

  No

  n/a

• Specify work station(s)

  Select

• 1. Disconnecting switches and circuit breakers are labeled to indicate their use or equipment served.

  yes

  No

  n/a

• Specify work station(s)

  Select

• 2. Cables and/or flexible cords with exposed wiring, frayed or deteriorated insulation, splices or taps present in work area.

  *YES

  no

  n/a

• Specify work station(s)

  Select

• 3. Flexible cords are only used in continuous lengths without splice or tap.

  yes

  No

  n/a

• Specify work station(s)

  Select

• 4. Strain reliefs are free of exposed wiring, frayed/deteriorated insulation, splices or taps.

  yes

  No

  n/a

• Specify work station(s)

  Select

• 5. Electrical enclosures such as switches, receptacles, junction boxes, etc., equipped with tight-fitting covers or plates.

  yes

  No

  n/a

• Specify work station(s)

  Select

• 6. Multiple plug adaptors (e.g., power strips) are not used.

  yes

  No

  n/a

• Specify work station(s)

  Select

• 7. All extension cords are equipped with grounding conductor.

  yes

  No

  n/a

• Specify work station(s)

  Select

• 8. Extension cords are being used as permanent powers sources.

  *YES

  no

  n/a

• Specify work station(s)

  Select

Sign-off

• Auditor

  Sign

• Plant Manager

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• Plant EHS

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• Additional Personnel

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• Additional Personnel

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