Weekly Safety Walk Audit - 2021

WEEKLY SAFETY WALK AUDIT

• Wilmington

• Atlanta

• Chicago

• Tampa

• Philadelphia

• PDX

• Conducted on

  Date

• Prepared by

1.0 - Previous inspection

• 1.1 - Has the last inspection been reviewed and communicated to employees?

  Yes

  No

  N/A

• 1.2 - Are there no outstanding actions, or have all the previous week’s misses been addressed or scheduled to be addressed?

  Yes

  No

  N/A

• Create an action item with a plan and date when the outstanding action item will be completed.

2.0 Personal Protective Equipment (PPE) * Safety glasses, steel-toe shoes/boots, and hearing protection are required

• 2.1 - Employees wearing company issued eye protection (safety glasses)?

  Pass

  Failed

  N/A

• Note employee name for documentation purposes. What type of corrective action was taken?

  Verbal warning

  1st written warning

  2nd written warning

• 2.2 - Employees wearing company issued hearing protection?

  Pass

  Failed

  N/A

• Note employee name for documentation purposes. What type of corrective action was taken?

  Verbal warning

  1st written warning

  2nd written warning

• 2.3 - Respirators cleaned after each use and stored as noted in our Respiratory Protection Safety Program?

  Compliant

  Non-Compliant

  N/A

• Identify the respirator user and note corrective action in the text field.

• 2.4 - Task specific gloves being worn to support the posted PPE by job function?

  Pass

  Failed

  N/A

• What type of corrective action was taken?

• 2.5 - Welders donning welding helmets at ALL times when performing mig welding functions? (THIS INCLUDES TACK WELDING)

  Pass

  Failed

  N/A

• Note employee name for documentation purposes. What type of corrective action was taken?

  Verbal warning

  1st written warning

  2nd written warning

• 2.6 - Welders donning fire retardant (includes uniforms) or protective sleeves when performing welding operations?

  Pass

  Failed

  N/A

• Note employee name for documentation purposes. What type of corrective action was taken?

  Verbal warning

  1st written warning

  2nd written warning

• How many welders observed during the audit?

• 2.7 - Shear operators donning Kevlar sleeves when performing sheet metal shearing operations?

  Pass

  Failed

  N/A

• Note employee name for documentation purposes. What type of corrective action was taken?

  Verbal warning

  1st written warning

  2nd written warning

• How many shear operators observed during audit?

• 2.8 - Aprons (leather or denim) being worn as posted at each job functions?

  Pass

  Failed

  N/A

3.0 Safe Work Practices

• 3.1 - Pre-operation forklift checks being performed on all powered industrial trucks?

  Pass

  Failed

  N/A

• What type of corrective action was taken?

• 3.2 - Proper lifting techniques being performed?

  Pass

  Failed

  N/A

• Note the employee name for documentation purposes and advise what type of corrective action was taken?

• 3.3 - No food or open containers witnessed while performing this safety audit?

  Pass

  Failed

  N/A

• 3.4 - Work stations or areas organized?

  Pass

  Failed

  N/A

• 3.5 - Forklift operators wearing seatbelts when driving the lifts?

  Pass

  Failed

  N/A

• Note employee name for documentation purposes. What type of corrective action was taken?

  Verbal warning

  1st written warning

  2nd written warning

• How many forklift operators were observed driving a lift during the audit?

• 3.6 - Confirm all LP tanks are stored and secured when not in use.

  Pass

  Failed

  N/A

• What type of corrective action was taken?

• 3.7 - All containers labeled with contents?

  Pass

  Failed

  N/A

• What type of corrective action was taken?

• 3.8 - Work areas clear of all potential tripping hazards.

  Pass

  Failed

  N/A

• What type of corrective action was taken?

• 3.9 - Welding screens positioned correctly to protect others from arc flash? ANY DAMAGED SCREENS SHOULD BE REPLACED OR REPAIRED

  Pass

  Failed

  N/A

• What type of corrective action was taken?

• 3.10 - Expanded Polystyrene (EPS) stored away from ignition sources like open sparks and flames?

  Pass

  Failed

  N/A

• This is a fire hazard! What plan do you have that can eliminate the hazard?

• 3.11 - No employees using a cell phone on the production floor. CELL PHONES ARE PROHIBITED IN MANUFACTURING AREAS. REINFORCE TO ALL HMF EXPRESS ASSOCIATES THAT IF AN EMERGENCY ARISES AND THEY MUST ANSWER OR RETURN A CALL, RELOCATE TO A CELL PHONE APPROVED AREA.<br>One verbal warning will be given per employee. On the 2nd offense a written warning will be issued for violating company safety policy.

  Pass

  Failed

  N/A

• Note employee name for documentation purposes and respond with the type of corrective action you administered?

  Verbal warning

  1st written warning

  2nd written warning

• 3.12 - Eye wash stations cleaned and tested weekly?

  Compliant

  Non-Compliant

  N/A

• This is an OSHA requirement and inspections must be dated on the card attached to the eye wash station.

• How many eye wash stations inspected during audit?

• 3.13 - Confirm nothing is leaning on tables, racks, or machines that could fall and cause an accident.

  Pass

  Failed

  N/A

• What type of corrective action was taken?

• 3.14 - Aisles clear, marked and unobstructed?

  Pass

  Failed

  N/A

• What type of corrective action was taken?

• 3.15 - All hazardous liquids e.g. paints, thinners, adhesives protected by spill containment, are aerosols stored or in their proper place?

  Compliant

  Non-Compliant

  N/A

• This is an OSHA requirement. What steps are you taking to get compliant?

• 3.16 - Paint booth and or glue booth filter change out schedules being followed, are filters providing adequate protection?

  Pass

  Failed

  N/A

• What type of corrective action was taken?

• 3.17 - Exits and exit doors unobstructed?

  Compliant

  Non-Compliant

  N/A

• What type of corrective action was taken?

• 3.18 - Fire extinguisher inspections current and extinguishers accessible and clearly marked?

  Compliant

  Non-Compliant

  N/A

• This is an OSHA requirement. What steps are you taking to get compliant?

• 3.19 - All exits signs working properly and under power?

  Compliant

  Non-Compliant

  N/A

• This is an OSHA requirement. What steps are you taking to get compliant?

• How many exits signs were inspected during the audit?

• 3.20 - All welding gas cylinders secured by chain?

  Pass

  Failed

  N/A

• What type corrective action was taken?

  Date

• 3.21- Are all E-Stop daily checklists being performed on all equiment?

  Pass

  Failed

  N/A

• What type corrective action was taken?

  Date

4.0 Housekeeping

• 4.1 - Tools properly stored when not in use and extension cords unplugged from outlets and rolled up at the end of every shift?

  Pass

  Failed

  N/A

• What type corrective action was taken?

• 4.2 - Floor free of debris, clutter/tripping hazards?

  Pass

  Failed

  N/A

• 4.3 - Trash cans being used / emptied when full? ALL trash to be emptied before end of business on Friday.

  Pass

  Failed

  N/A

• 4.4 - Scrap metal in proper bins and emptied daily? COMPANY POLICY IS TO EMPTY DAILY

  Pass

  Failed

  N/A

5.0 Tools / Machinery / Power Panels

• 5.1 - All electrical boxes unobstructed and clearly marked with purpose? 36 IN. clearance required.

  Compliant

  Non-Compliant

  N/A

• This is an OSHA violation. What type of corrective action was taken to get compliant?

• How many disconnects or panels were observed during the audit?

• 5.2 - Air hoses and electrical cords not in the way of operators?

  Pass

  Failed

  N/A

• 5.3 - Air gun nozzles meet OSHA standard for housekeeping/cleaning? < 30 psi with proper PPE being donned.

  Compliant

  Non-Compliant

  N/A

• 5.4 - Extension cords and foot pedals in good condition, with no exposed wires or modifications making them unsafe?

  Pass

  Failed

  N/A

• Machine or tool should be taken out of service until the issue is addressed. Confirm this is the case for this situation.

  Yes

  No

  N/A

• 5.5 - All machine guards, safety barriers, installed light curtains etc., functioning properly?

  Compliant

  Non-Compliant

  N/A

• Machine should be LOTO until safety device is functioning as it was designed. Confirm this is the case for this situation.

  Yes

  No

  N/A

6.0 - Sign Off

• Supervisor, Line Leader, or witness

  Sign

• Auditor's Name

  Sign