Title Page
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Audit Title
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Conducted on
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Prepared by
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Location
Royal Oak SAFE Observation Checklist
1.0 BODY MECHANICS
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1.1 Body Position/Line of Fire <br>
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1.2 Eyes on Path & Aware of Surroundings <br>
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1.3 Lifting/Lowering (proper lifting) <br>
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1.4 Pushing/Pulling/Carrying <br>
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1.5 Reaching/Overextension <br>
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1.6 Posture/Body Motion/Repetition <br>
2.0 ENVIRONMENT
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2.1 Housekeeping (free of tools/spills) <br>
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2.2 Evidence of proper training at location <br>
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2.3 Conveyor/Material handling (guards) <br>
3.0 TOOLS AND EQUIPMENT
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3.1 Eyes on Work (aware of hazards) <br>
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3.2 Selecting correct tools for the task <br>
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3.3 Tools in good working condition <br>
4.0 PPE
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4.1 Hand Protection <br>
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4.2 Eyes/Face/Head Protection <br>
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4.3 Body Protection <br>
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4.4 Feet Protection <br>
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4.5 Hearing Protection <br>
5.0 PROCEDURES
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5.1 Walkways and Doors <br>
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5.2 Guarding (all guards in place) <br>
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5.3 Seat Belt (Is operator wearing seatbelt) <br>
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5.4 Lock-out/Tag-out (performed correctly) <br>
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5.5 Written Documentation (available) <br>
6.0 FORKLIFT / LOADER
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6.1 Traveling at safe speeds <br>
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6.2 Load Handling (proper height/angle) <br>
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6.3 Safety/Loading SOP <br>
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6.4 Parking (safe location/securing vehicle) <br>
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6.5 Dock Operation (sound horn) <br>
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6.6 Aware of pedestrian traffic <br>
7.0 ELECTRICAL
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7.1 Panel condition (is panel unobstructed) <br>
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7.2 Accessing panels (employees allowed) <br>
8.0 MISCELLANEOUS
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8.1 Enter miscellaneous Items in notes section below.
