Title Page

  • Area of the building audited

  • Client / Site

  • Conducted on

  • Prepared by

UNSAFE CONDITIONS IDENTIFIED

  • We're unsafe conditions identified?

  • What did you find?

  • Add photos of unsafe conditions

CORRECTING AT RISK BEHAVIORS

  • - Coach associates on their at risk behaviors as you see them.

  • Did you coach an IA on at risk behaviors?

  • At risk behaviors corrected.

COMMEND SAFE BEHAVIORS

  • - Compliment IA's when you observe them using safe behaviors.

  • Did you commend at risk behaviors?

  • What safe behaviors did you commend?

5S/HOUSEKEEPING/AMNESTY

  • - Escalate concerns that we do not own.
    - Encourage/promote a "you see it, you own it" attitude.
    - Identify and address concerns as they arise.

  • Did you address any of these issues on your safety walk?

  • What did you find?

  • Add media

ATTEND GEMBA

  • - Identify and address concerns.
    - Notate any upcoming changes that could impact safety.

  • Did you attend GEMBA?

  • Notes

SHADOW IA'S IN THE PROCESS PATH.

  • - Solicit feedback on their job.
    - Any specific safety concerns.
    - Ideas they have to make processes better.

  • Did you shadow an IA?

  • Notes

VOA

  • - Monitor the VOA board for safety issues.
    - Address any safety concerns.

  • Did you review the VOA board?

  • Notes

ATTEND STAND-UP

  • - Listen for safety issues that may be addressed.

  • Did you attend stand-up?

  • Notes

SHADOW COACHES DURING SBA COMPLETION.

  • - Interact with the coach and associate.
    - Solicit feedback from the associate.
    - Provide "tips of the trade" to associates.

  • Did you shadow a coach?

  • Notes

SHADOW SCC'S DURING SAFETY ACTIVITIES.

  • - Shadow Coach while creating safety case/completing investigation and provide guidance.
    - Shadow Coach while they complete connects.

  • Did you shadow a coach?

  • What feedback was provided?

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