Wheeler - CAT

  • I am responsible for my safety.
    I have the right and responsibility to stop work if I feel it is unsafe.

  • Task:

TRACK

  • THINK through the Task: What steps do I need to take to complete this task safely?

  • RECOGNIZE the Hazards: What could injure me or others?

  • ASSESS the Risk: How likely is an accident and how sever could it be?

  • Likelihood

  • Consequence

  • CONTROL the Hazards: How can I eliminate or reduce the risks involved with performing this task?

  • Please indicate how you have controlled each hazard from the "RECOGNIZE" section above.

  • Hazard Control
  • Select a Hazard Control

  • What can be done to eliminate the hazard?

  • What can be substituted to control the hazard?

  • What engineering measures can be taken to control the hazard?

  • What administration procedures can be taken to control the hazard?

  • What Personal Protection Equipment can be used to control the hazard?

  • Keep Safety First

  • Am I fit for duty, free from injury and illness that may affect my safety?

  • Please contact your Supervisor

  • Do I know where my safety rendezvous point is in the event of an emergency?

  • Please contact your Supervisor immediately!

  • Do I know who my First Responder is?

  • Please contact your Supervisor immediately!

  • I will look up the Material Safety Data Sheet (MSDS) for any chemicals I may use.

  • Please contact your Supervisor immediately!

  • I will review my lift plans and SOP's for each task.

  • Please contact your Supervisor immediately!

  • I will follow lock out tag out (LOTO) procedures to isolate all energy sources before beginning each task (mechanical, thermal, electrical, gravitational, pressure, etc.).

  • Please contact your Supervisor immediately!

  • Do I have the right tools with the proper guarding for the task and are they in safe working condition?

  • Please contact your Supervisor immediately!

  • Have I checked weather conditions that may affect my safety?

  • Please contact your Supervisor immediately!

  • TRACK Comments:

CARDINAL RULES

  • I am not working under the influence of alcohol or illegal drugs.

  • Please contact your Supervisor immediately!

  • I will not use technology while I am driving.

  • Please contact your Supervisor immediately!

  • I will abide by Lock Out/Tag Out.

  • Please contact your Supervisor immediately!

  • I will not pass under any suspended loads.

  • Please contact your Supervisor immediately!

HAZARD TYPES - Below are the main categories of hazards that might harm me:

  • PPE: Usually safety glasses only are required unless the employee will be doing more than just passing through (i.e. they must leave marked walkways and enter a steel toe shoe required area or an area where hearing protection is required and they will be in that area for more than just a few minutes.)

    Slips / Trips / Falls

    Forklifts / Parts Scooter: Watch for traffic and make sure to make eye contact with the driver to ensure they see you.

    Cranes: Watch for cranes being used in the area and communicate with the crane operators if you will need to enter the area or path of the crane before doing so.

    Vendor/Employee Traffic: Watch for vendors, visitors and other employees moving in and around the area.

    Welding, Cutting, Grinding and Brazing: Avoid areas where these operations are taking place or make arrangements with the area supervisor or leadman if you need to pass through an area where these processes are actively underway.

    Shards: Shard producing work process will be indicated by a cone or sign to help employees stay out of those areas.

    Harmful Chemicals or Substances (HAZCOM): Watch out for chemicals being used and use our Material Safety Data Sheets (MSDS) to review precautions if you come into direct contact with chemicals you are unfamiliar with to ensure your safety.

    Lifting

    Electronic Distractions

    Ergonomics / Other:

  • List Other:

  • From the descriptions above check the main categories of hazards that might harm me:

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.