Serious Seven - S4 – Electrical Safety

• PREPARED BY:

• Date

  Date

• MANUFACTURING LINE

  Select Line 1 Line 2 Common System

  • Line 1
  • Line 2
  • Common System

• LOCATION / AREA

• NAME OF EQUIPMENT

• JOB DESCRIPTION (DESCRIBE SPECIFIC TASK)

• NAME OF ADDITIONAL OBSERVERS

• NUMBER OF IMERYS EMPLOYEES OBSERVED

• NUMBER OF CONTRACTORS OBSERVED

• Additional comments

• PICTURE OF THE SYSTEM / EQUIPMENT DURING THE INSPECTION

  Media

• Was a pre-job safety assessment properly completed for the job being observed?

  Yes

  No

  N/A

• Was the equipment locked out and tagged as required by the site LOTO procedure?

  Yes

  No

  N/A

• Was the appropriate personal protective equipment being used to protect against electrical?

  Yes

  No

  N/A

• Are live conductors property insulated to prevent accidental contact.?

  Yes

  No

  N/A

• Have overhead power lines been de-energized and guarded properly?

  Yes

  No

  N/A

• Is the electrical equipment labeled to identify the voltage / amperage?

  Yes

  No

  N/A

• Were all extension cords observed in use for less than 90 days?

  Yes

  No

  N/A

• Has a ground continuity measurement been conducted and within the last 12 months?

  Yes

  No

  N/A

• Arc Flash Protection - Are flash protection boundaries identified and protected if an arc flash hazard exist?

  Yes

  No

  N/A

• Are there at least two individuals working on the equipment when arc flash clothing is required (Level 2 or greater)?

  Yes

  No

  N/A

• Does the list include all electrical issues identified this observation?

  Yes

  No

  N/A

SAFETY VISIT CARD

• CHECKLIST # 1 - MARK ALL BEHAVIOURS THAT APPLY

  Select Climbing or Standing on Equipment Climbing through Equipment (Awkward Position) Ascending/Descending (Stairs, Ladders, Platforms) Ergonomics (Position/Posture) (Pushing & Pulling) Eyes on Task Line of Fire (Being Struck By Something) Electrical Hazards (Following Safe Work Practices) Isolation (Installation of Lockout/Tagout / Try) Ergonomics (Lifting/Carrying) Line of Fire (Caught Between Something)

  • Climbing or Standing on Equipment
  • Climbing through Equipment (Awkward Position)
  • Ascending/Descending (Stairs, Ladders, Platforms)
  • Ergonomics (Position/Posture) (Pushing & Pulling)
  • Eyes on Task
  • Line of Fire (Being Struck By Something)
  • Electrical Hazards (Following Safe Work Practices)
  • Isolation (Installation of Lockout/Tagout / Try)
  • Ergonomics (Lifting/Carrying)
  • Line of Fire (Caught Between Something)

• CHECKLIST # 2 - MARK ALL BEHAVIOURS THAT APPLY

  Select Stepping Over or Under Equipment (Awkward Position) Climbing Over Handrails Isolation (Securing or Bleeding Off Stored Energy) Personnel Protective Equipment (All Needed for Job) Vehicles & Driving (Securing Parked Vehicles) Vehicles & Driving (Maintaining an appropriate Speed) Proper Chemical Handling (Labeling, Storage, Use) Tools/Equipment (Correct For Job & Proper Use) Tools/Equipment (Good Condition or Properly Stored) Are Hazards Controlled (Eliminated/Barricading)

  • Stepping Over or Under Equipment (Awkward Position)
  • Climbing Over Handrails
  • Isolation (Securing or Bleeding Off Stored Energy)
  • Personnel Protective Equipment (All Needed for Job)
  • Vehicles & Driving (Securing Parked Vehicles)
  • Vehicles & Driving (Maintaining an appropriate Speed)
  • Proper Chemical Handling (Labeling, Storage, Use)
  • Tools/Equipment (Correct For Job & Proper Use)
  • Tools/Equipment (Good Condition or Properly Stored)
  • Are Hazards Controlled (Eliminated/Barricading)

• CHECKLIST # 3 - MARK ALL BEHAVIOURS THAT APPLY

  Select Reaching through Handrails Interaction with Vehicles Have Hazards/Risks been Communicated with Others Are there any Balance Traction Grip Issues Pre Job Safety Assessment Used Work at Heights (Protecting from Fall Hazards) Confined Spaces (Following Safe Work Practices) Work Environment (Hot, Cold, Wet, Etc.) Are Safe Work Practices being used?

  • Reaching through Handrails
  • Interaction with Vehicles
  • Have Hazards/Risks been Communicated with Others
  • Are there any Balance Traction Grip Issues
  • Pre Job Safety Assessment Used
  • Work at Heights (Protecting from Fall Hazards)
  • Confined Spaces (Following Safe Work Practices)
  • Work Environment (Hot, Cold, Wet, Etc.)
  • Are Safe Work Practices being used?

HAZARDS & RISK ASSESMENT

ASSESMENT

• Select the level of risk: Low, Medium, High

  Low

  Medium

  High

• Is there a way to do the job/task "Better" and/or "Safer"?

• Feedback Given:

• Follow Up Action required ? (if any, submit action plan)

  Yes

  No

  N/A

ENDING TIME

• ENDING TIME

  Date