Safety Walk

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Are there any "old" issue that you checked on today for resolution?

  Yes

  No

  N/A

Safety Concerns

• What safety concerns did you notice while walking the facility?

• Did any associates stand out on conducting unsafe behavior?

  Yes

  No

  N/A

Safety Accolades

• Where there any areas, that stood out as "above standard" on being hazard free?

  Yes

  No

  N/A

• Where there any associates that stand out on conducting safe behavior?

  Yes

  No

  N/A

Associate Interaction

• What associates did you interact with today, including having safety conversations with?

• What safety topic was discussed?

• Anything else to add regarding todays safety walk?

  Yes

  No

  N/A