SII Safety Leadership Visit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Site

  Tanner

  Orizon

  Waterfront

  AIT-Spring

• Activity

  Select General Tour Hazard Hunt Behavioral Assessment Safety Meeting Client Tour Incident Investigation Investigation Review JSA Participation Toolbox Talk Participation Other

  • General Tour
  • Hazard Hunt
  • Behavioral Assessment
  • Safety Meeting
  • Client Tour
  • Incident Investigation
  • Investigation Review
  • JSA Participation
  • Toolbox Talk Participation
  • Other

Observations

• PPE

  Safe

  At Risk

  N/A

• Body use and position

  Safe

  At Risk

  N/A

• Tool and equipment use

  Safe

  At Risk

  N/A

• Personal awareness

  Safe

  At Risk

  N/A

• Procedures and practices

  Safe

  At Risk

  N/A

• Confined space procedures

  Safe

  At Risk

  N/A

• Fall protection procedures

  Safe

  At Risk

  N/A

• Material handling procedures

  Safe

  At Risk

  N/A

• Electrical equipment and inspections

  Safe

  At Risk

  N/A

• Barricades

  Safe

  At Risk

  N/A

• Elevated work

  Safe

  At Risk

  N/A

• Tool and equipment condition

  Safe

  At Risk

  N/A

• Housekeeping and storage

  Safe

  At Risk

  N/A

• General environment and lighting

  Safe

  At Risk

  N/A

• Scaffolds

  Safe

  At Risk

  N/A

• Welding, cutting, and grinding

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Interventions

• List any interventions made

Synopsis

• Describe the overall impression of your vist