Title Page
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Client / Site
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Conducted on
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Prepared by
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Personnel
Safety Snapshot
Leadership (General Manager, Production Manager, etc)
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General comments regarding leadership (Please identify any coaching and/or training opportunities, positive findings, etc)
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Please include any photos or other documentation necessary.
Processes
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Review one process (clean up, etc) and identify any opportunities for coaching and/or training.
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Please include any photos or other documentation necessary.
Systems
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Safety Systems (SBO's, SQBA's, JTA's, etc) are an integral part of our safety culture. Please provide your impression of these systems.
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Please include any photos or other documentation necessary.
Safety Committee
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Is the local Safety Committee effective?
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Please include any photos or other documentation necessary.
Behaviors
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Please include items from the SQBA in this section.
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Please include any photos or other documentation necessary.
Work Environment (Regulatory Compliance/Rinker Policy/Best Practice)
Regulatory Compliance
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Are fire extinguishers current on inspections (annual by 3rd party and monthly in-house)?
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Are LO/TO/TO instructions clearly posted for each piece of equipment and up to date?
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Are monthly and annual crane inspections documented?
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Are identified deficiencies corrected?
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Are JTA's being completed per task requirement and are they available to EE's?
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Please enter any identified housekeeping issues
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Please utilize this section to identify any other items of concern
Rinker Policy
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Are all air hoses equipped with check valves and/or anit-whip devices?
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Is New Employee Induction being completed and followed up with (30 day, 60 day, 90 day, etc) completed?
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Is visitor and vendor induction completed?
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Please identify any Critical Safety Rule concerns.
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Use this area for any pictures or other media regarding Critical Safety Rule concerns.
Environmental
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Please identify any environmental concerns. These may include: lack of secondary containment, oil spills in the yard
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Use this area for any pictures or other media regarding Environmental Concerns
OSHA Logs
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Does the facility have the last 5 years of OSHA Logs available for review?
Best Practice
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Please identify any best practices observed during your site visit that can/should be shared with other facilities.
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Please include any photos or other documentation necessary.