Safety Check

PPE (Personal Protective Equipment)

    PPE
  • Did you observe anyone NOT wearing their PPE?

  • Name of person? What PPE were they NOT wearing? What is their reason for not wearing it? How did you resolve the issue?

Housekeeping

    Housekeeping
  • Did you observe any housekeeping issues?

  • What is the housekeeping issue? Please include photo(s) if possible. How did you resolve the issue?

Hazards (Unsafe Conditions & Unsafe Behaviours)

    Hazards - Unsafe Conditions
  • Did you observe any unsafe conditions that could cause injury? (e.g. broken equipment/machinery, defective tool, etc.)

  • What is the unsafe physical condition? Please include photo(s) if possible. How did you resolve the issue?

  • Hazards - Unsafe Behaviours
  • Did you observe any unsafe behaviours that could cause injury? (e.g. throwing things, speeding, poor ergonomics, etc.)

  • Name of person? What were they doing? How did you resolve the issue?

Safety Concerns

    Safety Concerns
  • Did anyone express any health & safety concerns to you?

  • What is the health and safety concern? How did you resolve the issue?

Incident Reports

    Incidents
  • Did anyone in your area of responsibility have a near miss or injury?

  • Name of person? What happened? What actions were taken to help prevent re-occurrence? Were the required incident reports filled out and signed? Was the incident documented in intelex within 2 hours?

Exemplary Behaviours

    Exemplary Behaviours
  • Did you observe any exemplary behaviours that contribute to health & safety in the workplace?

  • Name of person? What did they do?

Safety Ideas

    Safety Ideas
  • Did anyone express any ideas for improving safety in the workplace?

  • Name of person? What is their idea? Should it be implemented? Why or why not? If yes, how could it be implemented?

Safety Summary & Sign-Off

  • What went well today in your area of responsibility? What could be improved? Any reminders/communications to the team?

  • Leader's Signature

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