Tetra Pak - Safety Inpection/Observation Checklist

• Safety Inspection/Observation Title

• Document No.

• Client

• Personnel

• Location
  Address

• Conducted on

  Date

• Prepared by

Site rules

• Site safety rules understood and followed

  Safe

  At Risk

  N/A

• Site hygiene rules understood and followed

  Safe

  At Risk

  N/A

Emergency Preparedness

• Site evacuation procedure understood

  Safe

  At Risk

  N/A

• Emergency exit locations known

  Safe

  At Risk

  N/A

• Emergency contacts known

  Safe

  At Risk

  N/A

• First aider contact procedure known

  Safe

  At Risk

  N/A

PPE Correct

• Head Protection

  Safe

  At Risk

  N/A

• Eye/Face Protection

  Safe

  At Risk

  N/A

• Hand/Foot Protection

  Safe

  At Risk

  N/A

• Hearing Protection

  Safe

  At Risk

  N/A

• Clothing

  Safe

  At Risk

  N/A

• Respirator

  Safe

  At Risk

  N/A

Manual Handling

• Correct body position

  Safe

  At Risk

  N/A

• Help for heavy items

  Safe

  At Risk

  N/A

• Hand placement

  Safe

  At Risk

  N/A

• Weight known

  Safe

  At Risk

  N/A

• Use of equipment

  Safe

  At Risk

  N/A

Line of Fire

• Hand/Body position

  Safe

  At Risk

  N/A

• Overhead hazards

  Safe

  At Risk

  N/A

• Rotating equipment

  Safe

  At Risk

  N/A

• Eyes on work or path

  Safe

  At Risk

  N/A

• Sharp edges identified & protected

  Safe

  At Risk

  N/A

• Rushing/Time pressures

  Safe

  At Risk

  N/A

Housekeeping

• Waste/Debris control

  Safe

  At Risk

  N/A

• Cord/lead control

  Safe

  At Risk

  N/A

• Protruding items

  Safe

  At Risk

  N/A

• Correct barricades

  Safe

  At Risk

  N/A

Fall protection

• Slip/Trip hazard

  Safe

  At Risk

  N/A

• Fall arrest equipment use

  Safe

  At Risk

  N/A

• Ladder use

  Safe

  At Risk

  N/A

Tool Use

• Correct tool

  Safe

  At Risk

  N/A

• Used correctly

  Safe

  At Risk

  N/A

• Material secured

  Safe

  At Risk

  N/A

• Guards in place

  Safe

  At Risk

  N/A

Chemical use

• Storage and handling

  Safe

  At Risk

  N/A

• Chemical hazards understood

  Safe

  At Risk

  N/A

• PPE available and used

  Safe

  At Risk

  N/A

• Spillage control measures available and understood

  Safe

  At Risk

  N/A

Equipment/Vehicle Use

• Inspection completed

  Safe

  At Risk

  N/A

• Seat belt use

  Safe

  At Risk

  N/A

• Equipment used properly

  Safe

  At Risk

  N/A

• Reversing

  Safe

  At Risk

  N/A

Adjacent Work

• Equipment startup

  Safe

  At Risk

  N/A

• Vehicle/traffic

  Safe

  At Risk

  N/A

• Work scope known

  Safe

  At Risk

  N/A

• Crane/Hoist use

  Safe

  At Risk

  N/A

Procedures

• Lockout tag out

  Safe

  At Risk

  N/A

• Hot work

  Safe

  At Risk

  N/A

• Confined space

  Safe

  At Risk

  N/A

• Other procedure

  Safe

  At Risk

  N/A

Other

• Item # - What is positive or at risk? / Corrective action or commendation?

• Item # - What is positive or at risk? / Corrective action or commendation?

• Item # - What is positive or at risk? / Corrective action or commendation?

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