CATEGORY A - PERSONAL PROTECTIVE EQUIPMENT

  • EYES AND FACE

  • EARS

  • HEAD

  • HANDS AND ARMS

  • FEET AND LEGS

  • RESPIRATORY SYSTEM

  • TRUNK

CATEGORY B - POSITIONS OF PEOPLESTRIKING

  • STRIKING AGAINST

  • STRUCK BY

  • CAUGHT BETWEEN

  • FALLING

  • TEMPERATURE EXTREMES

  • ELECTRICAL CURRENT

  • INHALING

  • ABSORBING

CATEGORY C - REACTIONS OF PEOPLE

  • ADJUSTING PERSONAL - PROTECTIVE EQUIPMENT

  • CHANGING POSITIONS

  • REARRANGING JOB

  • STOPPING JOB

  • ATTACHING GROUNDS

  • HIDING, DODGING

  • CHANGING TOOLS

CATEGORY D - TOOLS AND EQUIPMENT

  • RIGHT FOR JOB?

  • USED CORRECTLY?

  • IN SAFE CONDITION?

  • SEAT BELTS IN USE?

  • BARRICADES OR WARNING LIGHTS?

  • CHOCKS/RESTRAINTS PROPERLY USED?

CATEGORY E - PROCEDURES

  • IS STANDARD PRACTICE ADEQUATE FOR JOB?

  • IS STANDARD PRACTICE ESTABLISHED?

  • IS STANDARD PRACTICE BEING MAINTAINED?

  • WORK PERMIT PROPER?

  • FIRE WATCH ADEQUATE?

  • GAS TEST (if needed) SATSIFACTORY?

CATEGORY F - ORDERLINESS

  • STANDARDS ESTABLISHED?

  • STANDARDS UNDERSTOOD?

  • OBSTRUCTION IN PASSAGEWAYS

  • DISORGANIZED TOOLS, MATERIALS

  • OBSTRUCTIONS BY STAIRS/PLATFORMS

NOTES

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.