Title Page
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Conducted on
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Name
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Position
Vantage Point One
Vantage Point One
Culture
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Safety Signage<br> -Signage is in good condition and identifies hazards.
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Safety Communication (General) <br> - Safety board is present.<br> - Safety board info is relevant and current.<br> - Meeting regularly and publishing minutes.<br>
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Cast Engagement Questions (General)<br> - Do you know where the safety board in the shop is<br> - Do you know how to report a near miss?<br> - In an emergency, what is your evacuation route?
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Other Culture Categories (General)<br> - Safety recognition<br> - Near miss reporting<br> - Emergency Preparedness
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Comments
High Frequency Hazards
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Ladders<br> - Ladders are secure and properly stored.<br> - Markings and inspection labels are present and legible.
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Hazcom/Chemical Handling<br> - Containers are properly labeled and stored.<br> - Flammables are stored appropriately in flammable storage cabinets.<br> - SDS information is available and accessible.<br> - Safety shower/eyewash stations are accessible.
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Ergonomic Training and Awareness<br> - Evidence that SIM is being communicated and promoted in the area.<br> - Workstation layout conducive for repetitive motion and material handling.
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5S Workplace Organization <br> - Storage areas clean and organized.<br> - Racking/shelving is in good condition, organized and appropriately labeled. <br> - Aisles and pathways are clean, clear, and visible.
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Cast Engagement Questions (General)<br> - Where is the nearest fire extinguisher/eye wash/safety shower?<br> - Do you know where the SDS is in your area?
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Other High Frequency Categories<br> - Pedestrian safety<br> - Food safety<br> - Vehicle/delivery safety <br> - FOS Construction Sites
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Comments
High Severity Hazards
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Electrical Safety<br> - EERs are locked and panels are appropriately labeled.<br>
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Machine Guarding <br> - Machine guards are in place and properly utilized.
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Powered Industrial Trucks<br> - Labels, instructions, and operator inspections are up to date.
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Other High Severity Categories<br> - Fall Protection<br> - Ride Motion Protection<br> - Confined Spaces <br> - Aerial Work Platforms<br> - PTVs<br>
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Comments
Vantage Point Two
Vantage Point Two
Culture
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Safety Signage<br> -Signage is in good condition and identifies hazards.
-
Safety Communication (General) <br> - Safety board is present.<br> - Safety board info is relevant and current.<br> - Meeting regularly and publishing minutes.<br>
-
Cast Engagement Questions (General)<br> - Do you know where the safety board in the shop is<br> - Do you know how to report a near miss?<br> - In an emergency, what is your evacuation route?
-
Other Culture Categories (General)<br> - Safety recognition<br> - Near miss reporting<br> - Emergency Preparedness
-
Comments
High Frequency Hazards
-
Ladders<br> - Ladders are secure and properly stored.<br> - Markings and inspection labels are present and legible.
-
Hazcom/Chemical Handling<br> - Containers are properly labeled and stored.<br> - Flammables are stored appropriately in flammable storage cabinets.<br> - SDS information is available and accessible.<br> - Safety shower/eyewash stations are accessible.
-
Ergonomic Training and Awareness<br> - Evidence that SIM is being communicated and promoted in the area.<br> - Workstation layout conducive for repetitive motion and material handling.
-
5S Workplace Organization <br> - Storage areas clean and organized.<br> - Racking/shelving is in good condition, organized and appropriately labeled. <br> - Aisles and pathways are clean, clear, and visible.
-
Cast Engagement Questions (General)<br> - Where is the nearest fire extinguisher/eye wash/safety shower?<br> - Do you know where the SDS is in your area?
-
Other High Frequency Categories<br> - Pedestrian safety<br> - Food safety<br> - Vehicle/delivery safety <br> - FOS Construction Sites
-
Comments
High Severity Hazards
-
Safety Signage<br> -Signage is in good condition and identifies hazards.
-
Machine Guarding <br> - Machine guards are in place and properly utilized.
-
Powered Industrial Trucks<br> - Labels, instructions, and operator inspections are up to date.
-
Other High Severity Categories<br> - Fall Protection<br> - Ride Motion Protection<br> - Confined Spaces <br> - Aerial Work Platforms<br> - PTVs<br>
-
Comments
Vantage Point Three
Vantage Point Three
Culture
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Safety Signage<br> -Signage is in good condition and identifies hazards.
-
Safety Communication (General) <br> - Safety board is present.<br> - Safety board info is relevant and current.<br> - Meeting regularly and publishing minutes.<br>
-
Cast Engagement Questions (General)<br> - Do you know where the safety board in the shop is<br> - Do you know how to report a near miss?<br> - In an emergency, what is your evacuation route?
-
Other Culture Categories (General)<br> - Safety recognition<br> - Near miss reporting<br> - Emergency Preparedness
-
Comments
High Frequency Hazards
-
Ladders<br> - Ladders are secure and properly stored.<br> - Markings and inspection labels are present and legible.
-
Hazcom/Chemical Handling<br> - Containers are properly labeled and stored.<br> - Flammables are stored appropriately in flammable storage cabinets.<br> - SDS information is available and accessible.<br> - Safety shower/eyewash stations are accessible.
-
Ergonomic Training and Awareness<br> - Evidence that SIM is being communicated and promoted in the area.<br> - Workstation layout conducive for repetitive motion and material handling.
-
5S Workplace Organization <br> - Storage areas clean and organized.<br> - Racking/shelving is in good condition, organized and appropriately labeled. <br> - Aisles and pathways are clean, clear, and visible.
-
Cast Engagement Questions (General)<br> - Where is the nearest fire extinguisher/eye wash/safety shower?<br> - Do you know where the SDS is in your area?
-
Other High Frequency Categories<br> - Pedestrian safety<br> - Food safety<br> - Vehicle/delivery safety <br> - FOS Construction Sites
-
Comments
High Severity Hazards
-
Electrical Safety<br> - EERs are locked and panels are appropriately labeled.<br>
-
Machine Guarding <br> - Machine guards are in place and properly utilized.
-
Powered Industrial Trucks<br> - Labels, instructions, and operator inspections are up to date.
-
Other High Severity Categories<br> - Fall Protection<br> - Ride Motion Protection<br> - Confined Spaces <br> - Aerial Work Platforms<br> - PTVs<br>
-
Comments
Vantage Point Four
Vantage Point Four
Culture
-
Safety Signage<br> -Signage is in good condition and identifies hazards.
-
Safety Communication (General) <br> - Safety board is present.<br> - Safety board info is relevant and current.<br> - Meeting regularly and publishing minutes.<br>
-
Cast Engagement Questions (General)<br> - Do you know where the safety board in the shop is<br> - Do you know how to report a near miss?<br> - In an emergency, what is your evacuation route?
-
Other Culture Categories (General)<br> - Safety recognition<br> - Near miss reporting<br> - Emergency Preparedness
-
Comments
High Frequency Hazard
-
Ladders<br> - Ladders are secure and properly stored.<br> - Markings and inspection labels are present and legible.
-
Hazcom/Chemical Handling<br> - Containers are properly labeled and stored.<br> - Flammables are stored appropriately in flammable storage cabinets.<br> - SDS information is available and accessible.<br> - Safety shower/eyewash stations are accessible.
-
Ergonomic Training and Awareness<br> - Evidence that SIM is being communicated and promoted in the area.<br> - Workstation layout conducive for repetitive motion and material handling.
-
5S Workplace Organization <br> - Storage areas clean and organized.<br> - Racking/shelving is in good condition, organized and appropriately labeled. <br> - Aisles and pathways are clean, clear, and visible.
-
Cast Engagement Questions (General)<br> - Where is the nearest fire extinguisher/eye wash/safety shower?<br> - Do you know where the SDS is in your area?
-
Other High Frequency Categories<br> - Pedestrian safety<br> - Food safety<br> - Vehicle/delivery safety <br> - FOS Construction Sites
-
Comments
High Severity Hazards
-
Electrical Safety<br> - EERs are locked and panels are appropriately labeled.<br>
-
Machine Guarding <br> - Machine guards are in place and properly utilized.
-
Powered Industrial Trucks<br> - Labels, instructions, and operator inspections are up to date.
-
Other High Severity Categories<br> - Fall Protection<br> - Ride Motion Protection<br> - Confined Spaces <br> - Aerial Work Platforms<br> - PTVs<br>
-
Comments
Vantage Point Five
Vantage Point Five
Culture
-
Safety Signage<br> -Signage is in good condition and identifies hazards.
-
Safety Communication (General) <br> - Safety board is present.<br> - Safety board info is relevant and current.<br> - Meeting regularly and publishing minutes.<br>
-
Cast Engagement Questions (General)<br> - Do you know where the safety board in the shop is<br> - Do you know how to report a near miss?<br> - In an emergency, what is your evacuation route?
-
Other Culture Categories (General)<br> - Safety recognition<br> - Near miss reporting<br> - Emergency Preparedness
-
Comments
High Frequency Hazards
-
Ladders<br> - Ladders are secure and properly stored.<br> - Markings and inspection labels are present and legible.
-
Hazcom/Chemical Handling<br> - Containers are properly labeled and stored.<br> - Flammables are stored appropriately in flammable storage cabinets.<br> - SDS information is available and accessible.<br> - Safety shower/eyewash stations are accessible.
-
Ergonomic Training and Awareness<br> - Evidence that SIM is being communicated and promoted in the area.<br> - Workstation layout conducive for repetitive motion and material handling.
-
5S Workplace Organization <br> - Storage areas clean and organized.<br> - Racking/shelving is in good condition, organized and appropriately labeled. <br> - Aisles and pathways are clean, clear, and visible.
-
Cast Engagement Questions (General)<br> - Where is the nearest fire extinguisher/eye wash/safety shower?<br> - Do you know where the SDS is in your area?
-
Other High Frequency Categories<br> - Pedestrian safety<br> - Food safety<br> - Vehicle/delivery safety <br> - FOS Construction Sites
-
Comments
High Severity Hazards
-
Electrical Safety<br> - EERs are locked and panels are appropriately labeled.<br>
-
Machine Guarding <br> - Machine guards are in place and properly utilized.
-
Powered Industrial Trucks<br> - Labels, instructions, and operator inspections are up to date.
-
Other High Severity Categories<br> - Fall Protection<br> - Ride Motion Protection<br> - Confined Spaces <br> - Aerial Work Platforms<br> - PTVs<br>
-
Comments
