Title Page
-
Date
-
Completed by
-
Location
Part 1
OFFICE AREA, PROJECT MANAGEMENT
-
Are the exits clear?
-
Is the housekeeping in good order?
-
Are the aisles ways clear off clutter and trip hazards?
-
Are heavy items stored properly and not over the shelf?
-
Are fire extinguishers inspected in the current/previous month?
-
Is fuse box clear of items?
OFFICE AREA, RECEPTION & MANUFACTURING
-
Are the exits clear?
-
Is the housekeeping in good order?
-
Is the staircase clear and the handrails secure?
-
Are the aisles ways clear off clutter and trip hazards?
-
Are heavy items stored properly and not over the shelf?
-
Is the first aid kit full of stock and signed off from the previous month?
-
Are fire extinguishers (two) inspected in the current/previous month?
OFFICE AREA, PURCHASING
-
Are the exits clear?
-
Is the housekeeping in good order?
-
Are the aisles ways clear off clutter and trip hazards?
CAFETERIA
-
Are the exits clear?
-
Is the housekeeping in good order?
-
Are fire extinguishers inspected in the current/previous month?
-
Is the housekeeping in good order?
OFFICE AREA, ENGINEERING
-
Are the exits clear?
-
Is the housekeeping in good order?
-
Are the aisles ways clear off clutter and trip hazards?
-
Are heavy items stored properly and not over the shelf?
-
Are fire extinguishers inspected in the current/previous month?
OFFICE AREA, AMB
-
Are the exits clear?
-
Is the housekeeping in good order?
-
Are the aisles ways clear off clutter and trip hazards?
-
Are heavy items stored properly?
-
Are fire extinguishers inspected in the current/previous month?
DRY COIL AREA
-
General Checks:
-
Are all employees wearing safety shoes and safety glasses in the area?
-
Do all slings have a proper tag attached?
-
Is the Visitors PPE station supplied with ear protection and safety glasses?
-
Are ALL the hoists in the area in good working order?
LOOP WINDER
-
Are all the shelves in good order and everything stored properly?
-
Is the housekeeping in good order?
-
Are the compressed gases stored properly and chained?
-
Floor clear of clutter?
COTTON TAPE
-
Is the floor clear of clutter and trip hazards?
-
Are waste tape boxes cleaned off?
-
Is Material stored properly? (not inside the yellow guard rail)
SKINNING / PRIMARY PRESS
-
Are all tools stored properly? (No tools on the floor or over the machine)
-
Is methanol + water tank labeled?
-
Are tools, brooms & other cleaning items stored properly? Not everywhere.
-
Are garbage and unwanted items removed?
-
Is the floor clear of spilled chemical/clutter/trip hazards?
-
Is the housekeeping in good order?
COIL FORMING MACHINE
-
Is the floor clear of clutter and trip hazards?
-
Is the housekeeping in good order?
-
Are all unwanted items removed or disposed of, if not required?
-
Is the safety light curtain working?
PRETAPE
-
Is the floor clear of clutter and trip hazards?
-
Are all tools stored properly? (Nothing on the floor)
-
Are all unwanted boxes and material removed?
-
Are waste tape boxes cleaned off?
-
Are garbage and unwanted items removed?
TAPE MACHINE
-
Are all tools stored properly?
-
Is the light curtain working?
-
Are tools, brooms and other cleaning items stored properly?
-
Are garbage and unwanted items removed?
-
Are items stored properly so that they are not leaning to the wall?
-
Is the floor clear of clutter and trip hazards?
-
Are there any electrical cords that need replacement?
-
Is the housekeeping in good order?
-
Are operators clear of jewelry when using electrical and rotating equipment?
FINAL TAPE
-
Applicable?
-
Is the floor clear of clutter and trip hazards?
-
Are all unwanted boxes and material removed?
-
Are all wooden blocks stored in the container/box (Not everywhere)?
-
Are waste tape boxes cleaned off?
-
Are tools, brooms & other cleaning items stored properly?
-
Are garbage and unwanted items removed?
-
Is Material stored properly? (not inside the yellow guard rail near panels)
-
Employee Concerns (List the name(s) of the employee(s)) – Review with at least THREE employees.
EMERGENCY DIFIBRULATOR – Near the Telephone
-
Is there a green light on the AED?
-
Is there a correct and updated emergency phone numbers list?
-
Is the Date on the Electrode inside AED current?
-
Employee Concerns (List the name(s) of the employee(s)) – Review with at least THREE employees.
-
Please proceed to the next section.
-
Part 2
-
Report Hazards and Near misses to your Supervisor / Team Leader / HSE Manager.
Testing / ECP / Packing Area / Brushless
-
General Checks:
-
Are all employees wearing safety shoes and safety glasses in the area?
-
Do all slings have a proper tag attached?
-
Are ALL the hoists in the area in good working order?
-
Are employees wearing proper hearing protection if coils being loaded/unloaded?
ECP Area
-
Is the floor clear of clutter/ trip hazards?
-
Are all the paints/chemicals stored in the yellow safety cabinet?
-
Are tools, brooms and cleaning supplies stored properly? (Not everywhere)
-
Is there easy access to the electrical panels?
-
Is the main aisle clear of obstructions?
-
Are the exits clear?
-
Are all wooden blocks stored in the container/box (Not everywhere)?
-
Are the flammable cabinets clears on items being stored on top?
Test Cage / Packing Area
-
Is the floor clear of clutter/trip/dampness/water hazards?
-
Do all door interlocks and red lights work?
-
Are the safety devices being used during coil testing?
-
Is there adequate signage and warning about electrical hazards?
-
Is all electrical equipment firmly secured to the surface?
-
Are all electrical controls sufficiently illuminated?
-
Are all electrical equipment disconnects legibly marked?
-
Are all tools, brooms & cleaning supplies stored properly? (Not everywhere)
-
Are all wooden blocks stored in the container/box (Not everywhere)
-
Are all testing equipment’s in good clean working order?
-
Are the walls of the test cage clear of items leaning against it?
Strand to Strand Area
-
Are all tools stored properly? (No tools on the floor or over the machine)
-
Are guard rails properly secured and chained?
-
Are sign for “Electrical Hazards” posted and visible?
-
Is the floor clear of clutter/trip hazards?
Brushless / Jumpers Area
-
Is the floor clear of clutter and trip hazards?
-
Is the floor clear of any spills?
-
Is there clear access to the electrical panels?
-
Did the JHSC member initial the spill tag?
Final Press / VPI / Remove Mylar
-
General Checks:
-
Are all employees wearing safety shoes and safety glasses in the area?
-
Do all slings have a proper tag attached?
-
Are ALL the hoists in the area in good working order?
-
Are employees wearing proper hearing protection while using Air Guns?
FINAL PRESS
-
Are all tools, brooms and cleaning supplies stored properly? (Not everywhere)
-
Are chemicals and waste containers identified properly?
-
Are tools, brooms and cleaning supplies stored properly? (Not everywhere)
-
Are items stored over the flammable cabinet and spill kits?
-
Are spill kits inspected by JHSC and easy to use?
-
Is the floor clear of clutter (rags, spilled styrene, chemicals, etc.)?
-
Is the floor clear of trip hazards?
-
Is the floor clear of spills?
-
Are the exits clear?
-
Are employees lifting press tooling with a helper (buddy system)?
-
Are employees using ear protection while using Air Guns?
VPI AREA
-
Are the exits clear?
-
Is the Confined Space Entry Permit being properly filled out?
-
Are employees using a respirator while cleaning the tank?
-
Is there a WHMIS & Waste Label on the chemical & waste drums/containers?
-
Is there any spill on the floor?
-
Is the containment pit in good condition and free of cracks in the floor
REMOVE MYLAR AREA
-
Are all tools, brooms and cleaning supplies stored properly? (Not everywhere)
-
Are chemicals and waste containers identified properly?
-
Are tools, brooms and cleaning supplies stored properly? (Not everywhere)
-
Are there any electrical cords that need replacement?
-
Are items stored over the flammable cabinet and spill kits?
-
Are spill kits inspected by JHSC and easy to use
-
Is the floor clear of clutter (rags, spilled styrene, chemicals, etc.)?
-
Is there only one coil on the working bench where the operator can easily reach from both sides to remove Mylar to avoid flipping of the coil?
-
Is the emergency eyewash station functioning properly and inspection sheet filled out?
CHEMICAL ROOM
-
Are electrical grounds properly hooked up to all open containers?
-
Are there sufficient ground straps?
-
Are all the chemical containers properly labeled?
-
Is the floor clear of trip hazards?
-
Is the housekeeping in good order and spill kit complete? Did the JHSC member initial the spill tag?
-
Is the access clear and accessible by firefighters?
-
Is the room well ventilated, with cool and dry air?
-
Is the room free from ignition sources?
-
Is the floor clear of any spills from leaking containers?
-
Are there any incompatible chemicals being stored together that should not be? (resins Part A and B, an oxidizer with flammable liquids)
-
Is the checklist signed by the Team Leader at least once every working day?
MAINTENANCE SHOP
-
Is the floor clear of clutter and trip hazards?
-
Is the area cleaned off item cutting dust?
-
Are there any electrical cords that need replacement?
-
Are all the shelves in good order and everything stored properly?
-
Are the exits clear?
-
Is the housekeeping in good order?
-
Are all required guards on all the machines?
-
Are the guards being used when the machines are on?
-
Are Aisle Saw and Cutting Saws locked out?
Warehouse Side
-
General Checks:
-
Are ALL the hoists in the area in good working order?
-
Are all employees wearing safety shoes and safety glasses in the area?
-
Do all slings have a proper tag attached?
STOCK ROOM / COLD STORAGE
-
Is the floor clear of clutter and trip hazards?
-
Is the area free of chemicals?
-
Are all the shelves in good order and everything stored properly?
-
Is the housekeeping in good order?
-
Are skids strapped properly
-
Are the exits clear?
-
Are the storage racks in good condition?
Incoming Inspection Area
-
Is the floor clear of clutter and trip hazards?
-
Is the housekeeping in good order?
-
Are fire extinguishers inspected in the current/previous month?
-
Are all items stored properly and organized?
-
Are all items stored on the shelving safely and shelves secured?
Voltage Endurance Room
-
Is the floor clear of clutter and trip hazards?
-
Are the doors locked when no one is in the room?
-
Are there any electrical cords, which need replacement?
-
Does the red “Power On” sign work?
-
Is the housekeeping in good order?
-
Are conductors or other electrical exposed to excessive temperature?
-
Is all equipment grounded with 3-pronged cords?
-
Is there adequate signage and warning about electrical hazards?
-
Is all electrical equipment firmly secured to the surface & mounted?
-
Are all electrical controls sufficiently illuminated?
-
Are all electrical equipment disconnects legibly marked?
OIL VE Test Cage
-
Is the floor clear of clutter and trip hazards?
-
Is the cage locked when no one is in the room?
-
Are there any electrical cords, which need replacement?
-
Does the red light for the power on work?
-
Are the exits clear?
-
Is the housekeeping in good order?
-
Are conductors or other electrical exposed to excessive temperature?
-
Is all equipment grounded with 3-pronged cords?
-
Is there adequate signage and warning about electrical hazards?
-
Are all electrical controls sufficiently illuminated?
-
Are all electrical equipment disconnects legibly marked to identify their purpose?
MEZZANINE
-
Are the exits clear?
-
Is the housekeeping in good order?
-
Is the staircase clear and is the handrails secure?
-
Are fire extinguishers inspected in the current/previous month?
-
Are all items stored properly and organized?
-
Are there any items in unstable condition?
TRAINING ROOM
-
Is the floor clear of clutter and trip hazards?
-
Is the housekeeping in good order?
-
Are fire extinguishers inspected in the current/previous month?
-
Are the exits clear?
SHIPPING / RECEIVING
-
Is the floor clear of clutter, trip hazards, and water?
-
Is the shipping bay fence and gate in use and in good order?
-
Are wheel chocks available for use at the shipping dock?
-
Is the entrance to the stockroom clear?
-
Is the Exit sign above the emergency exit door legible and working?
-
Are there any broken skids or loose strapping lying on the floor?
-
Is access to the electrical panels blocked or impeded?
-
Are all items stored on the shelving safely and shelves secured?
-
Is the spill kit in place and did the JHSC member initial the spill tag?
-
Are the exits clear?
-
Is the staircase clear and is the handrail secure?
-
Is the daily lift truck safety log being properly maintained?
-
Are chemicals properly labeled and stored while waiting for transport?
-
Are items stored leaning to the wall or column?
-
Are garbage removed and not overflowing?
CRANES & HOISTS
-
Are all cranes and hoists in good working order?
-
Are all hoses and controls in proper condition?
-
Are all the straps, lifting devices and hooks in good condition?
CARPENTER SHOP
-
Is the floor clear of clutter, trip hazards, and water?
-
Are all guards on the saws/grinders in proper working condition?
-
Is housekeeping in good order?
-
Is there a list posted of qualified operators?
-
Is there a lockout/tag out program in place and posted?
-
If anyone is working, have they qualified to the operator the equipment?
-
Are any items blocking electrical panels?
KIT PACKING AREA
-
Is the spill kit in good condition and signed off from the previous month?
-
Is anything blocking the electrical panel?
-
Housekeeping in good order?
-
Is the floor clear of clutter and trip hazards?
-
Is the eyewash station functioning properly? Inspection sheet filled out?
FIRST AID ROOM
-
Are all necessary first aid supplies on hand?
-
Is the emergency eyewash and shower check-off sheets up-to-date?
-
Are the sink, magnifying glass and lighting in good working order?
-
Are first aid forms available?
OUTSIDE THE BUILDING
-
Is the parking lot free of nails and other tire hazards?
-
Are the walkways clear of obstacles and in good condition?
-
Exits clear of objects (snow) that would hinder the doors from opening?
-
Is the fire safety plan box locked and contents complete?
-
Has the snow been properly removed?
-
Are all chemical containers properly marked and stored?
-
Employee Concerns (List the name(s) of the employee(s)) – Review with at least THREE employees.
Completion
-
General Notes
-
Sign Off