SONOCO

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Observation card form

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1.0Slips, Trips, & Falls Safe Risk
Three Point Contact
1.1
Eyes on Path
1.2
Work Pace
1.3
Housekeeping (floors)
1.4
2.0Equipment & Tools Safe Risk
Use / Correct Selection
2.1
Guards & Pinch Points
2.2
Inspection / Condition
2.3
Energy Control (LO/TO)
2.4
3.0Food Safety Safe Risk
Rotation (FIFO) / Storage
3.1
Cross Contamination
3.2
Cooking / Hold Temps
3.3
Defrosting
3.4
4.0PPE Safe Risk
Hand Protection
4.1
Hearing Protection
4.2
Eye/Face Protection
4.3
Head Protection
4.4
Foot Protection
4.5
Work Clothing
4.6
Face Covering
4.7<
5.0Body Use & Position Safe Risk
Line of Fire
5.1
Proper Lifting
5.2
Heavy Weight (>50lbs)
5.3
6.0Environmental Safe Risk
Concerns
6.1
Name*
MM slash DD slash YYYY
Location*
Details Yes No
Near Miss
Stop Work Auth.
Intervention