Title Page

  • Conducted on

  • Prepared by

  • Location

Reviewed Department

  • Which department are you reviewing?

Safety Cones

  • Is a orange cone located at the hitch of the home?

  • Is the cone placed on the ground when a team member is under the home?

  • Did the team member under the home affix their name badge to the cone?

  • Did the team member under the home re-place the cone on the hitch when not under the home?

  • Was the line rolled while a cone was on the ground?

Signature

  • Supervisor's Signature

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