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

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