Webforge/Locker Observation Checklist

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  Media

• Safety Observation Checklist

• Location
  Address

• Conducted on

  Date

• Prepared by

• Choose the business unit from the list shown

  Select Grating Saws Handrail Despatch Stanchion Forgewelder CNC Bender Administration office

  • Grating
  • Saws
  • Handrail
  • Despatch
  • Stanchion
  • Forgewelder
  • CNC Bender
  • Administration office

• Choose number of people being observed

  Select one person Two people three people

  • one person
  • Two people
  • three people

"At Risk" answer to the following questions requires immediate action! Please list those as shown in item 10.

1. UNSAFE ACTIONS - PERSONAL & PROTECTIVE EQUIPMENT

• 1.1 - Eye/Face Protection

  Safe

  At Risk

  N/A

• 1.2 - Hearing protection

  Safe

  At Risk

  N/A

• 1.3 - Gloves<br>

  Safe

  At Risk

  N/A

• 1.4 - Steel Cap Footwear<br><br>

  Safe

  At Risk

  N/A

• 1.5 - Appropriate working attire- long trousers, hi- vis shirt<br><br><br>

  Safe

  At Risk

  N/A

• 1.6 - Respiratory Protection / Air Monitoring<br><br>

  Safe

  At Risk

  N/A

• 1.7 - Fall protection if over 1.2 metres<br><br>

  Safe

  At Risk

  N/A

2. UNSAFE ACTIONS - BODY POSITION / BODY MECHANIC

• 2.1 - Clear of "Line of Fire"

  Safe

  At Risk

  N/A

• 2.2 - Clear of pinch points, sharp objects and hot surfaces<br>

  Safe

  At Risk

  N/A

• 2.3 - Eyes on path of work<br>

  Safe

  At Risk

  N/A

• 2.4 - Ascending or descending stairs, steps, or fixed ladder

  Safe

  At Risk

  N/A

• 2.5 - Body mechanics when lifting or reaching<br>

  Safe

  At Risk

  N/A

• 2.6 - Body mechanics when pulling,pushing, or carrying<br>

  Safe

  At Risk

  N/A

• 2.7 - Working at appropriate pace<br><br>

  Safe

  At Risk

  N/A

• 2.8 - Action to protect others<br>

  Safe

  At Risk

  N/A

• 2.9 - Adequate personnel for the job<br>

  Safe

  At Risk

  N/A

3. UNSAFE ACTIONS - PROCEDURES

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• 3.1 - Procedures available

  Yes

  No

  N/A

• 3.2 - Procedures adequate<br>

  Yes

  No

  N/A

• 3.3 - Procedures known <br>

  Yes

  No

  N/A

• 3.4 - Adequate hazard controls in place<br>

  Safe

  At Risk

  N/A

• 3.5 - Awareness of hazards<br>

  Safe

  At Risk

  N/A

• 3.6 - Procedures are followed<br>

  Safe

  At Risk

  N/A

• 3.7 - Operator trained and signed off<br>

  Yes

  No

  N/A

4. UNSAFE ACTIONS - ORDERLINESS

• 4.1 - Standards Known<br>

  Yes

  No

  N/A

• 4.2 - Standard Understood

  Yes

  No

  N/A

• 4.3 - Standard Followed<br>

  Yes

  No

  N/A

5. UNSAFE ACTIONS - MANUAL HANDLING

• 5.1 - Physial limitations known<br>

  Safe

  At Risk

  N/A

• 5.2 - Awkward Postures<br>

  Safe

  At Risk

  N/A

• 5.3 - Repetitive Motion<br>

  Safe

  At Risk

  N/A

• 5.4 - Overextension<br>

  Safe

  At Risk

  N/A

6. UNSAFE CONDITIONS - TOOLS AND EQUIPMENT

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• 6.1 - Tools right for the job

  Safe

  At Risk

  N/A

• 6.2 - Tools used correctly<br>

  Safe

  At Risk

  N/A

• 6.3 - Tools in safe condition<br>

  Safe

  At Risk

  N/A

7. - STRUCTURES AND WORK AREAS

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• 7.1 - Are they clean

  Safe

  At Risk

  N/A

• 7.2 - Are they orderly

  Safe

  At Risk

  N/A

• 7.3 - Are they right for the job<br>

  Safe

  At Risk

  N/A

• 7.4 - Are they in safe condition

  Safe

  At Risk

  N/A

9. - ORDERLINESS

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• 9.1 - S1 SORTING

  Yes

  No

  N/A

• 9.2 - S2 STRAIGHTEN

  Safe

  At Risk

  N/A

• 9.3 - S3 SWEEPING

  Yes

  No

  N/A

• 9.4 - S4 STANDARDISATION

  Yes

  No

  N/A

• 9.5 - S5 SUSTAINING

  Yes

  No

  N/A

10. DISCUSSIONS , OBSERVATIONS AND PROBLEMS IDENTIFIED

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