Torque Tube and Drive Safety Inspection
Site
Date/Time
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
24-Hour Time Minutes
Safety Inspector
First Name
Last Name
Foreman/Lead
First Name
Last Name
Machine #1 Operator
First Name
Last Name
Machine #1
Machine #2 Operator
First Name
Last Name
Machine #2
Machine #3 Operator
First Name
Last Name
Machine #3
Job Safety Briefing performed for the crew?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Job Hazard Analysis performed?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Does the JHA Process Form match the work?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Is the JHA Form complete and with hazards and mitigation?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Forklift Operator has competency?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Spotter used when forklift is operating?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Forklift has daily inspection completed?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Forklift maneuver area clear?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Loads are properly secured for movement?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Loads are properly separated from packaging using safe techniques?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
PPE matches the cutting device?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Packaging is secured from becoming wind driven?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Heavy loads are team lifts?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Slings and chains inspected?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Piles have aligned bearing tops?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Drives are aligned on piles?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Panel brackets are mounted on torque tubes?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Submit
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