Wise Plastics - Safety Committee

• Building Number

  Select

• Area Being Inspected

• Conducted on

  Date

• Prepared by

Part 1: Hazard Identification

Emergency

• Are means of egress clear and unobstructed?ise

  Yes

  No

  N/A

• Is access to fire extinguishers and emergency equipment clear and unobstructed?

  Yes

  No

  N/A

• Are fire extinguishers and eyewash stations currwnt on inspections?

  Yes

  No

  N/A

• Are all entrance doors into stairwells & exterior exit doors identified with exit signage?

  Yes

  No

  N/A

Housekeeping

• Is the floor free of debris and slippery conditions?

  Yes

  No

  N/A

• Are items stored neatly to prevent hazards?

  Yes

  No

  N/A

• Does the housekeeping in the area meet site internal standards?

  Yes

  No

  N/A

Machine - Equipment - Tools

• Is all equipment in safe working condition?

  Yes

  No

  N/A

• Are tools and equipment being used properly?

  Yes

  No

  N/A

• Are proper guards in place on tools and equipment?

  Yes

  No

  N/A

Lockout Tagout

• During maintenance or potential exposure to hazardous energy, are all energy sources locked out?

  Yes

  No

  N/A

• Is one person - one lock on every point of power being locked out?

  Yes

  No

  N/A

• Are lockout procedures and equipment available?

  Yes

  No

  N/A

Electrical Safety

• Are all flexible cords and cables free of cracks, cuts, frays, and knots?

  Yes

  No

  N/A

• Are extension cords being used appropriately and only for temporary use?

  Yes

  No

  N/A

• Are all cords off the floor or inside of cord cover device

  Yes

  No

  N/A

• Are the faceplates on outlets and switches in good condition?

  Yes

  No

  N/A

Other

• Are all containers appropriately labeled? ( GHS Labels on secondary containers)

  Yes

  No

  N/A

• Is all mobile equipment in the area inspected and in good condition?

  Yes

  No

  N/A

• Are flammables stored properly and cabinets free of combustible materials with no items stored on top?

  Yes

  No

  N/A

Identified Hazards and Corrective Actions:

• Please list identified hazards and recommended corrective actions.

Part 2: Behavior Observation

PPE

• Is required PPE available and being worn?

  Yes

  No

  N/A

• Is PPE adequate for the job?

  Yes

  No

  N/A

• Is PPE in good condition?

  Yes

  No

  N/A

Safety Procedure

• Are procedures in place to protect people from injury?

  Yes

  No

  N/A

• Are safety procedures being followed?

  Yes

  No

  N/A

• Are safety procedures adequate.to protect employees?

  Yes

  No

  N/A

Position

• Is there a possibility of an employee being struck by or against any object?

  Yes

  No

  N/A

• Is there a possibility for the employee to be caught in or between an object?

  Yes

  No

  N/A

• Is there a possibility for the employee to fall?

  Yes

  No

  N/A

• Does the potential for injury exist from overexertion, awkward postures, or repetative motions?

  Yes

  No

  N/A

Reaction of People

• Do employees appear to have eyes on task?

  Yes

  No

  N/A

• Do employees appear to be rushing?

  Yes

  No

  N/A

Other

• Was there any other unsafe behavior observed during your inspection?

  Yes

  No

  N/A

• Recognized unsafe behavior...