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Site harvest checklist

Harvest walk through

このフォームの内容

このフォームには18つのセクションがあります：

Ergonomy

Manual labor:

Forklift

Safe Speed:
Seat belt used consistently:
Safe load handling:
Daily safety inspection documented:
FA trained and certified:
Pedestrian/Forklift traffic control:
Direction of travel with load:
Operator physical range of motion when traveling in reverse:

Work at Heights

Task Description:
Precautions appropriate to the task:
Pre-Work safety inspecction:
Work area safe:
Adequate PPE provided and used correctly:
Training verified and docunmented:
EWP: appropriate devices-
EWP: Permit-
EWP: Unguarded hazard-

Chemical Management

Storage (placement & security);
Usage per MSDS observed:
Labeling in general:
MSDS availability:

Personal Protective Equipment:

Appropriate for applications observed:
Correctly used;
Availability:
Employer provided:
Storage and maintenance;

Confined Space Entry

Entry permit used for classified entry;
Entry log used for re-classified entries:
Air monitoring meters used:
Calibration of meters;
Area ventilation and lighting:
Appropriate PPE, used correctly:
Required signage:

Poorly Ventilated Space:

Mitigation control:
Air monitoring meters used:
Calibration of meters:
PVS signage:

Contractors & Vendors

Names of and type of vendors present during observation:
Activities being conducted:
PPE:
HSE compliant:

Lock Tag Clear Try

HSE policy and procedures followed:
Locks used per HSE:
Tags/signage used per HSE:
Permit required during process:

Standard Operating Procedures

SOP documentation available for tasks observed:
Employee knowledge of SOP including safety precautions:

Site Tours

Procedures for guest safety exist and are followed:
restricted areas adequately marked and blocked:
Guest induction required and documented consistently:

Hot Work

Permit properly executed if required;
Permit posted as required:
Protective barriers utilized where necessary:
PPE maintenance and use:

Fire Extinguishers

Inspected monthly:
Recharged annually:
Employee training verified and documented:
Emergency exit signage posted:

House Keeping

Clear pathways - ingress & egress:
Walkways free of obstacles:
Proper storage practices within production areas:
Trip hazards observed:

Pressurized Gas Cylinders

Stored per regulation:
Valve capped when not in use:
Cylinder condition:
Regulator used on cylinders in all applications:

Machine Guarding

Appropriate for the potential hazard:
Properly mounted and maintained in effective condition:
Un-guarded potential hazards observed:
Documented cleaning & clearing guarded equipment SOP:
Documented removal/disable guarded equipment SOP:

Emergency Eye Wash & Shower station

Readily accessible per regulation:
Condition maintained per regulation:
Flow rate compliant to regulation:
Inspected periodically:

Material Storage & Handling

Safely stored from damage or from hazard to pedestrians:
Within HSE weigh limitation if manually handled:
If stacked, kept at least 18" from fire sprinkler heads:
If manually stacked, kept within HSE manual height stack limits:
If stacked or stored at height, adequately secure:

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