Clyde

Observer NameBilly Bob
Date06/18/2024
LocationClyde
DepartmentTEST
ShiftSecond
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PERSONAL PROTECTIVE EQUIPMENT
PPE is adequate and worn correctlySafe
ERGONOMICS
Loading, bending over & twistingSafe
Overstretching, pulling & pushingSafe
SAFETY PROCEDURES
They are known and respectedUnsafe
FLOOR, AISLES & WORK AREAS
Floor free of spills and without tripping hazardsNot Applicable
SAFETY IN MACHINERY
Safety guards installedUnsafe
Interlocks are present, light curtains, emergency stops are workingNot Applicable
POWERTOOLS AND HANDTOOLS
They are in good conditions and they are adequate for the type of jobNot Applicable
AT THE FIRE LINE
Trapping - pinching points & being hit by an objectNot Applicable
OTHER QUESTIONS
Task or work area observed

JUST A TEST

Describe the unsafe act or unsafe condition observed as well as the behavior observed, including the immediate countermeasures taken
If a follow up is required, describe the actions to be taken