Title Page
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Company:
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Week Ending:
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Reviewed By:
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Foremen:
Safety Documentation Checklist
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Have all foreman submitted at least one Workplace Inspection Checklist?
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How many Workplace Inspection Checklists were submitted?
- 0
- 1
- 2
- 3
- 4
- 5
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Were any At-Risk items noted?
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Have all foremen submitted at least one toolbox talk per work day?
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List the number of toolbox talks missing:
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Have all foreman submitted at least one OBS?
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How many OBS were submitted?
- 0
- 1
- 2
- 3
- 4
- 5
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Were any At-Risk behaviors noted?
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List details of any At-Risk behaviors:
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Have all foreman submitted at least one Vehicle Inspection Report?
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How many Vehicle Inspection Reports were submitted?
- 0
- 1
- 2
- 3
- 4
- 5
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Were any deficiencies identified?
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List the vehicle and deficiencies identified:
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Were deficiencies reported to Management?
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Were any other tool or equipment inspection checklists submitted this week?
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Select any other inspection reports that have been submitted:
- Forklift Inspection(s)
- Tool/Equipment Inspection(s)
- PPE Inspection(s)
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List any other documents that have been submitted this week:
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Weekly Safety Documentation Review Acceptable?
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List any concerns:
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Signature
