Ankeny
| Observer Name | Sheila Siler | 
|---|---|
| Date | 06/07/2025 | 
| Location | Ankeny | 
| Department | Production | 
| Shift | Third | 
| Before Picture | |
| PERSONAL PROTECTIVE EQUIPMENT | |
| PPE is adequate and worn correctly | Safe | 
| ERGONOMICS | |
| Loading, bending over & twisting | Not Applicable | 
| Overstretching, pulling & pushing | Not Applicable | 
| SAFETY PROCEDURES | |
| They are known and respected | Safe | 
| 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 | Production floor by team member hallway door | 
| Describe the unsafe act or unsafe condition observed as well as the behavior observed, including the immediate countermeasures taken | Broom left in walkway with debris from partial sweeping | 
| If a follow up is required, describe the actions to be taken | Finished sweeping area, swept debris to trash compactor, disposed of debris and stored broom at compactor | 
