Title Page
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Site conducted
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Site conducted
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Conducted on
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Prepared by
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Location
Location
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Is safety team Members Present
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IS MBUSI Rep Present
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Are all employees wearing the proper PPE?
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Were PPE issues addressed
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Are all employees wearing PPE properly?
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Is the area clear of any trip hazards?
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Are floor mats taped down to avoid tripping?
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Are totes stacked in the station in a manner to prevent falling?
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Is safety netting secure above workers?
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Can the worker perform standardized work without entering mobile traffic aisles on foot?
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Are racks all in good condition ( No bends, loose/missing bolts, damaged ) ?
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Is this a new rack issue?
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Are guard rails in place to protect all work areas?
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Is the area free of head strike hazards?
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Is all wiring in good condition and not in a pinch/cut position?
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Were damaged wires removed from the work area?
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Can the worker perform standardized work without ergonomic strain?
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Are all stands, tables, and racks bolted down?
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Please list Column & location
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Does the presentation of all parts prevent them from falling against or on a worker?
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Is the area clear of all pinch points?
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Are all dolly trains in good working condition and undamaged?
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Is the area clear of sharp objects?
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Are all chemicals clearly marked with a safety identification label?
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Are all dolly tongues left in an upright position when not in use?
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The work area is free of knives, box cutters or other unapproved cutting instruments?
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Can work be performed without a risk of striking another worker with a tool or part?
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Workers are aware of their emergency gathering place in case of fire?
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Are workers able to show you where to find this information?
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Workers are aware of their emergency gathering place in case of tornado?