Stave Prep

• Location

  Select

• Completed by

• Conducted on

  Date

PPE

• If Team Member(s) do not have correct PPE, ensure they retrieve it immediately.

• Do all Team Members have on the correct PPE? (i.e. Gloves, Ear Plugs, Safety Glasses, etc...)

  Yes

  No

  N/A

First Aid

• Is the First Aid box properly stocked?

  Yes

  No

  N/A

• Is the First Aid box properly mounted and in good repair?

  Yes

  No

  N/A

• Is there an adequate number of First Aid trained Team Members available?

  Yes

  No

  N/A

Walking & Working Surfaces

• Are all Walking and Working Surfaces clear of obstructions and slip, trip, fall hazards? (i.e. Water in Floor, High Volumes of Dust, Staves, Floor Bolts, etc...)

  Yes

  No

  N/A

• Are all Holes covered or repaired on the walking surface?

  Yes

  No

  N/A

Fire Protection

• Are all Fire Doors clear from obstruction?

  Yes

  No

  N/A

• Are all Fire Extinguishers the appropriate type and properly mounted in an accessible location?

  Yes

  No

  N/A

• Did all Fire Extinguisher in this department pass inspection? (i.e. Arrow in the Green, No Major Dents, No Rust, etc...)

  Yes

  No

  N/A

General Working Environment

• Are all Equipment Gauges clearly visible and free of cracks?

  Yes

  No

  N/A

• Are JSAs posted?

  Yes

  No

  N/A

• Are SOPs posted?

  Yes

  No

  N/A

• Are there any leaking Hydraulic lines?

  Yes

  No

  N/A

• Are there any leaking Air lines?

  Yes

  No

  N/A

• Is the Workplace clean and sanitary? (i.e. Garbage / Trash)

  Yes

  No

  N/A

• Proper housekeeping? (i.e. workplace is organized, free of tripping hazards, and other problems associated with a messy workplace do not exist)

  Yes

  No

  N/A

• Are there any areas in need of a crossover?

  Yes

  No

  N/A

Egress and Evacuation Routs

• Are escapeway Maps clearly marked if applicable?

  Yes

  No

  N/A

• Are all Egress and Evacuation Routs free of obstruction and clearly marked?

  Yes

  No

  N/A

• Are Exits labeled with an exit sign and properly illuminated so they are always visible?

  Yes

  No

  N/A

Ladders

• Are all Ladders in good working condition and receive proper maintenance when necessary?

  Yes

  No

  N/A

• Have all Team Members received training about how to properly and safely use ladders?

  Yes

  No

  N/A

Hand Tools & Power Tools

• Are all Hand and Power Tools in good condition and functioning properly?

  Yes

  No

  N/A

• When not in use, are Tools properly stored?

  Yes

  No

  N/A

Machine Guarding

• Are all safety cages, or applicable machines, equipped with safety interlocks and or light curtains? (i.e. Monnots)

  Yes

  No

  N/A

• Have all Hazards, at the point of operation, been guarded against? (i.e. Pinch Points, Ingoing Nip Points, Rotating Parts, etc...)

  Yes

  No

  N/A

• Are all Machine hazards identified with proper warning decal? (i.e. Pinch Points, Moving Parts, Keep Hands Clear, etc...)

  Yes

  No

  N/A

• Is all Machine Guarding in place and secured?

  Yes

  No

  N/A

• Are E-Stops and power shut-offs within reach of the Machine Operator?

  Yes

  No

  N/A

• Are all Emergency Stop Buttons red?

  Yes

  No

  N/A

• Is there any area in need of Machine Guarding?

  Yes

  No

  N/A

Lockout Tagout

• Have Team Members received LOTO Training?

  Yes

  No

  N/A

• Are Authorized Team Members trained on how to de-energized and lockout their equipment?

  Yes

  No

  N/A

• Are LOTO stations properly stocked? (i.e. Locks, Tags, Hasps, etc...)

  Yes

  No

  N/A

• Are their LOTO procedure for all equipment that requires LOTO?

  Yes

  No

  N/A

Forklifts

• Are Team Members who operate forklifts properly trained on the vehicles they use?

  Yes

  No

  N/A

• Are Forklifts equipped with all safety parameters? (i.e. Functioning Horn, Back-Up Alarm, Blue Spotlight, etc...)

  Yes

  No

  N/A

• Has Pre-Operations Inspection been completed before the forklift is operated?

  Yes

  No

  N/A

Environmental Controls

• Do all work areas have adequate Lighting?

  Yes

  No

  N/A

• Do all work areas have appropriate ventilation systems?

  Yes

  No

  N/A

• Are all Hazardous Materials properly Identified?

  Yes

  No

  N/A

• Is there an adequate drinking water dispenser located close to operators?

  Yes

  No

  N/A

HAZCOM & Handling Combustible / Flammable Materials

• Are there proper storage containers and methods used to prevent spontaneous combustion of materials?

  Yes

  No

  N/A

• Are propane cages locked and secured?

  Yes

  No

  N/A

• Are all combustible waste, debris, and scrap stored in metal containers and appropriately removed from the workplace?

  Yes

  No

  N/A

• Are Team Members trained so they will understand the hazards of the materials? (i.e. Read SDSs, Properly Handling Techniques, etc...)

  Yes

  No

  N/A

• Is proper PPE provided when handling certain hazardous materials?

  Yes

  No

  N/A

• Is there a comprehensive list of hazardous substances in the workplace, and their corresponding SDS?

  Yes

  No

  N/A

• Have Team Members been trained to understand OSHAs bloodborne pathogen standard?

  Yes

  No

  N/A

Electrical

• Has all electrical equipment been appropriately installed and receives regular maintenance?

  Yes

  No

  N/A

• Are the appropriate labels used for all devices that pose an electrical hazard? (i.e. Electrical / Breaker Boxes)

  Yes

  No

  N/A

• Have all Team Members that work on or near electrical equipment received the proper training?

  Yes

  No

  N/A

• Is all temporary wiring properly ran to not cause a tripping hazard? (i.e. Extension Cords)

  Yes

  No

  N/A

• Are there any extension cords that are in place for permanent use?

  Yes

  No

  N/A

• Please any Notes and Comments: