Safety Walk Through - Delta Services

Date

Location

Walk through performed by

Email(s) to send a copy of the report:

Foreman for site:

Good use of lifting and ergonomic practices

Safe
At Risk
Not Applicable

Employees were focused on the task at hand and not distracted*

Safe
At Risk
Not Applicable

Safe Plan of Action has been completed, is appropriate and being followed.*

Safe
At Risk
Not Applicable

First Aid Supplies, bloodborne pathogen kits, and eye wash adequate for site and staff*

Safe
At Risk
Not Applicable

Fire Extinguisher present and functioning*

Safe
At Risk
Not Applicable

Housekeeping*

Safe
At Risk
Not Applicable

Cords and hoses strung to prevent trip hazards

Safe
At Risk
Not Applicable

Walkways and stairs kept clear of material and debris?

Safe
At Risk
Not Applicable

Materials stored properly and safely?

Safe
At Risk
Not Applicable

Power and hand tools in good condition, guards in place, cords free of damage and being used properly?

Safe
At Risk
Not Applicable

Extension cords are in good condition and used properly?

Safe
At Risk
Not Applicable

Lockout/Tagout is used as necessary and only applied by authorized/trained employees?

Safe
At Risk
Not Applicable

Silica controls devices are being used when necessary*

Safe
At Risk
Not Applicable

Ladders are being used properly, in good condition and being inspected before each use.

Safe
At Risk
Not Applicable

Fall protection is being used when necessary, is in good condition and all employees using it have been trained.*

Safe
At Risk
Not Applicable

Employees on site have required training (Aerial lift, fork lift, etc)*

Safe
At Risk
Not Applicable

All arc flash gear is in good condition and gloves have been inspected in the past 6 months.*

Safe
At Risk
Not Applicable

Is PPE being used properly and in good condition?*

Safe
At Risk
Not Applicable

Do the foreman and all employees know the site emergency procedures and nearest clinic or procedures to summon emergency care?*

Safe
At Risk
Not Applicable

Is/are Foreman receiving EHS emails?*

Yes
No

Foreman Email Address

Comments and notes on site:

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