SWACO Fleet Observation Report

• Employee name:

• Unit number and or equipment type:

• Location:

  Landfill

  Jackson Pike

  Morse rd

  Fleet

  Operations

• Conducted on:

  Date

• Procedure being done:

• Prepared by:

• Document No.

Protective Equipment

• Wears eye protection? (goggles, safety glasses)

  Yes

  No

  N/A

• Wears face protection? (face shield over goggles and glasses)

  Yes

  No

  N/A

• Wears cut and moisture-resistant gloves?

  Yes

  No

  N/A

• Wears hearing protection when required?

  Yes

  No

  N/A

• Does not wear loose clothing or jewelry?

  Yes

  No

  N/A

• Wears class 2 high visibility clothing when on road calls or working outside of shop?

  Yes

  No

  N/A

• Wears hard hat when required?

  Yes

  No

  N/A

• 6" high work boots are being worn?

  Yes

  No

  N/A

Fire prevention

• Keeps fire exits and paths clear?

  Yes

  No

  N/A

• Completes and follows hot work permits?

  Yes

  No

  N/A

• Combustibles removed ,or protects it with fire resistant barriers?

  Yes

  No

  N/A

• Cordons off area before wielding or cutting?

  Yes

  No

  N/A

Slips, Trips and Falls

• Uses stairway handrails?

  Yes

  No

  N/A

• Keeps walk area clear?

  Yes

  No

  N/A

• Reports any spills immediately?

  Yes

  No

  N/A

• Walks does not run?

  Yes

  No

  N/A

• Watches where stepping?

  Yes

  No

  N/A

Ergonomics

• Gets close to equipment to minimize reaching?

  Yes

  No

  N/A

• Avoids twisting back motions or excessive back bending?

  Yes

  No

  N/A

• Lifting technique? ( bends at the knees and lifts)

  Yes

  No

  N/A

• Unsafe acts not covered above? ( please write in notes column)

  Yes

  No

  N/A

• Unloads vehicle safely?

  Yes

  No

  N/A

• Follows rule prohibiting scavenging?

  Yes

  No

  N/A

• Turns off truck to avoid leaving it idle?

  Yes

  No

  N/A

Lift truck/Heavy equipment

• Only operates if trained by a SWACO trainer?

  Ok

  Needs Attention

  N/A

• Wears seatbelt as required by SWACO policy?

  Ok

  Needs Attention

  N/A

• Checks both ways and to rear before operating any motorized equipment?

  Ok

  Needs Attention

  N/A

• Sounds horn when backing and at all blind spots?

  Ok

  Needs Attention

  N/A

• Does not lift more than truck can safely carry?

  Yes

  No

  N/A

Lock-Out / Tag-Out

• Follows equipment specific lockout procedures?

  Yes

  No

  N/A

• Applies locks and or tags as required? (SWACO SOP)

  Yes

  No

  N/A

Supervisor/Safety comments and signatures. Mechanics/Employee comments and signatures.

• Mechanics comments:

• Mechanics signature:

  Sign

• Supervisor/Safety comments:

• Supervisor/Safety signature

  Sign

• Corrective action required? ( Explain any action and date when to be completed by)

• Add any Pictures Relevant to Observation

  Media