| Observer Name | Shana Martin |
|---|---|
| Date | 07/21/2025 |
| Location | Fraser |
| Department | Molding |
| Shift | Second |
| Before Picture |  |
| PERSONAL PROTECTIVE EQUIPMENT | |
| PPE is adequate and worn correctly | Not Applicable |
| ERGONOMICS | |
| Loading, bending over & twisting | Unsafe |
| Overstretching, pulling & pushing | Unsafe |
| SAFETY PROCEDURES | |
| They are known and respected | Unsafe |
| FLOOR, AISLES & WORK AREAS | |
| Floor free of spills and without tripping hazards | Unsafe |
| SAFETY IN MACHINERY | |
| Safety guards installed | Not Applicable |
| Interlocks are present, light curtains, emergency stops are working | Not Applicable |
| POWERTOOLS AND HANDTOOLS | |
| They are in good conditions and they are adequate for the type of job | Not Applicable |
| AT THE FIRE LINE | |
| Trapping - pinching points & being hit by an object | Not Applicable |
| OTHER QUESTIONS | |
| Task or work area observed | F 3 has oil leaking |
| Describe the unsafe act or unsafe condition observed as well as the behavior observed, including the immediate countermeasures taken | Oil |
| If a follow up is required, describe the actions to be taken | Clean up |
