Safety Observation Tours

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Information

• Business Team

  Select GF6 Transmissions GSC HFV6 HR Maintenance Quality RE&F V8 East V8 West

  • GF6 Transmissions
  • GSC
  • HFV6
  • HR
  • Maintenance
  • Quality
  • RE&F
  • V8 East
  • V8 West

• Department

  Yes

  No

  N/A

Health and Safety Culture

• Does the business team manager attend the PSRB?

  Yes

  No

  N/A

• Are safety observation tours (SOT) conducted?

  Yes

  No

  N/A

• Are safe operating procedures posted?

  Yes

  No

  N/A

• SPQRCe boards up to date?

  Yes

  No

  N/A

• Employee safety concers being tracked?

  Yes

  No

  N/A

Risk Control - Energy Control

• Performing lockout & test?

  Yes

  No

  N/A

• Personal safety locks?

  Yes

  No

  N/A

• ELC, CAP and ASA placards in place and legible?

  Yes

  No

  N/A

• Using ESWP equipment and tools?

  Yes

  No

  N/A

• Guards in place and secure?

  Yes

  No

  N/A

Risk Control - Personal Protective Equipment

• Head - Hard Hats

  Yes

  No

  N/A

• Eyes - Safety Glasses

  Yes

  No

  N/A

• Hearing - Ear plugs / Muffs

  Yes

  No

  N/A

• Fall Protection (verify annual inspection)

  Yes

  No

  N/A

• Hands & Arms Gloves / Sleeves

  Yes

  No

  N/A

• Legs & Feet - Safety Shoes / Boots

  Yes

  No

  N/A

Risk Control - Vehicle Pedestrian Safety

• Wearing Seat Belts

  Yes

  No

  N/A

• Vehicle Pre-op Inspection?

  Yes

  No

  N/A

• Obeying stop signs?

  Yes

  No

  N/A

• Appropriate use of yellow walkways?

  Yes

  No

  N/A

• Exits / entrances unobstructed?

  Yes

  No

  N/A

• Adhering to Orange Crush Zone requirements (orange vests)?

  Yes

  No

  N/A

• Obeying 2 foot rule with vehicles?

  Yes

  No

  N/A

• No walking and talking on PTT / cell phones?

  Yes

  No

  N/A

Risk Control - Fall Protection

• Wearing fall protection (> 3 m)?

  Yes

  No

  N/A

• Ladder properly positioned and tied off?

  Yes

  No

  N/A

• Fall protection worn in EWP.

  Yes

  No

  N/A

Risk Control - Hazardous Materials Program

• Products labelled appropriately?

  Yes

  No

  N/A

• Products stored properly?

  Yes

  No

  N/A

• Decanted / transferred products labeled?

  Yes

  No

  N/A

• Containers closed?

  Yes

  No

  N/A

• Container grounded?

  Yes

  No

  N/A

• Proper disposal of material?

  Yes

  No

  N/A

Workplace Organization

• Area free of slip and trip hazards?

  Yes

  No

  N/A

• Oil or coolant leaks contained?

  Yes

  No

  N/A

• Tools and equipment in good condition?

  Yes

  No

  N/A

Sign-off

• Auditor's signature

  Sign