Safety Cones

• Conducted on

  Date

• Prepared by

• Location
  Address

Reviewed Department

• Which department are you reviewing?

  Select Frame Floor Wall Top Electrical Exterior Front Door Moulding Final Finish Shipping/Receiving Cabinet

  • Frame
  • Floor
  • Wall
  • Top
  • Electrical
  • Exterior
  • Front Door
  • Moulding
  • Final Finish
  • Shipping/Receiving
  • Cabinet

Safety Cones

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Signature

• Supervisor's Signature

  Sign