Transnet Workplace Safety

• Name of Employee

• SAP number

• Grade

• Department

• Location
  Address

• Conducted on

  Date

• Assessor

Safety Messaging

• What is the safety tip of the day?

  1 Poor

  2

  3

  4

  5 Excellent

• Do you have pre-shift meetings and is safety message included?

  1 Poor

  2

  3

  4

  5 Excellent

• Do you have monthly safety meetings?

  1 Poor

  2

  3

  4

  5 Excellent

• Why is safety important to you?

  1 Poor

  2

  3

  4

  5 Excellent

• Why is safety important to your supervisor?

  1 Poor

  2

  3

  4

  5 Excellent

PPE

• When have you been trained on the proper use of PPE?

  1 Poor

  2

  3

  4

  5 Excellent

• Do you know what the proper PPE is for your job?

  1 Poor

  2

  3

  4

  5 Excellent

PPE Observation

• Is your co-worker wearing proper PPE?

  1 Poor

  2

  3

  4

  5 Excellent

• Can employee demonstrate proper use of PPE?

  1 Poor

  2

  3

  4

  5 Excellent

Fire safety

• Can you tell me how to use a fire extinguisher?

  1 Poor

  2

  3

  4

  5 Excellent

• What is your role in case of a fire?

  1 Poor

  2

  3

  4

  5 Excellent

Emergency response

• Do you know how, and to whom you would report an emergency?

  1 Poor

  2

  3

  4

  5 Excellent

• Could you tell me what you would do if anyone was injured?

  1 Poor

  2

  3

  4

  5 Excellent

• Tell me if you or anyone you work with has experienced an injury?

  1 Poor

  2

  3

  4

  5 Excellent

Safety recognition

• Have you or anyone else been recognized for safe behavior recently?

  1 Poor

  2

  3

  4

  5 Excellent

• Tell me some things you would do to help us achieve our goal where NOBODY GETS HURT TODAY?

  1 Poor

  2

  3

  4

  5 Excellent

• Employee safety recommendations.

• I have been trained and reviewed on Safety. I also understand that I am to report any accident to the supervisor and office immediately.

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