Ohs-Pr-09-09-F31 (A) Leadership Safety Inspection & Walkthrough Form

 

_AHBV HBF EHJKAKV[ ZHEIV[ @MZ-_T-?;-?;-E:8 (H) AIHFITZMK_ ZHEIV[ KBZ_IJVK@B & WHALVMT@YGM WHALVMT@YGM E@TN @pirhtbg Hrih3

Fiphrnib3

_r`cij Bhni3 J`brhj`r Bhni3

_r`cij Vypi3

J`brhj B`.3

A@JHVK@B3

FHVI3

_ITZ@B AIHFKBG VMI KBZ_IJVK@B3 BHNIZ @E VIHN3

AIHFITZMK_ ZHEIV[ KBZ_IJVK@B / WHALVMT@YGM @DZITUHVK@BZ @DZITUHVK@BZ GYKFIAKBI ZKVI ZHEIV[ WHAL _T@V@J@A - (UKZKDAI EIAV AIHFITZMK_) Hb hrih kb wmkjm aihfirs/nhbhgirs jhb ihskay di siib dy haa t` hjviay supp`rt tmi @MZ pr`grhn dy aihfkbg h ”skti sheity kbspij`b/whaltmr`ugm‛. Zkti sheity kbspij`bs/whaltmr`ugms riqukri `ur aihfirs/nhbhgirs t` vkskt hrihs hbf sktis hbf `dsirvi @MZ hjvkis hbf fksjuss @MZ ixpijth`bs wktm skti inpa`yiis hbf ht tmi shni ni j`bfujbg hb kbspij`b `e ubshei j`bfk`bs.

Vmi F`‛s

Vmi F`b‛s



J`nnibt `b @MZ hjvkis, rij`gbkzi g``f pire`rnhbji hbf quis`b hrihs `e j`bjirb.



Fksjuss @MZ ixpirkibji hbf j`bjirbs wktm skti inpa`yiis, ispijkhaay kssuis hss`jkhtif wktm tmht spijkj hjvkty.



Ibghgi inpa`yiis hbf j`btrhjt`rs kb j`bvirsh`b hd`ut knp`rthbji `e @MZ t` tmi skti hbf aihrb er`n tmin wmht tmikr tm`ugmts hri e`r knpr`vinibt.

x

Hv` Hv`kf kf dahnk dahnkbg bg @ @MZ MZ f fij ijkib kibjki jkiss `b skti-d skti-dhsi hsif f inpa`y inpa`yiis iis..

x

Hv`kf nhlkbg mhsty cufgnibts hd`ut h jhusi `e h sheity pr`dain `dsirvif, j`bskfir supirvksk`b `b hbf pahbbkbg

x

ehjt`r tmht j`uaf mhvi j`btrkdutif. Hv`kf nhlkbg ixhnpais `e skti-dhsif inpa`yiis, rhtmir `ir j`bstrujvi j`nnibt furkbg hbf hir tmi sheity kbspij`b / whaltmr`ugm.

Wmh sm`uaf y`u `dsirvi `dsirvi furkbg mi sheiy kkbspijt`b/ bspijt`b/ whalmr`ugm W`rlkbg mhdkts / J`npitibjy / Dimhvk`rs

M`usiliipkbg / Finhrjh`b / W`rl Ibvkr`bnibt /Zthjlkbg hbf Zt`rhgi / Zkgbhgi

J`nnubkjh`b / _r`jifuris / TH / CZ_ / _VW / A@V@ / V``ad`x Vhals

Nhbuha Mhbfakbg & Irg`b`nkjs

_r`tij`b / __I / W`rl ht Mikgmts

_ahbt & Iqukpnibt & V``as

Mhzhrfs & Mhzhrf`us W`rl

Ekri _r`tij`b hbf _rivib`b

ZIJ Akei Zhvkbg Tuais

Wmht sm`uaf y`u fksjuss `b tmi sheity kbspij`b/whaltmr`ugms0 Fksjussk`b sm`uaf di `pib hbf m`bist. [`u hri tmiri t` akstib, fksjuss fk sjuss tmi kssuis hbf ghkb kbskgmt kbt` @MZ hspijts `e knpainibth`b `e tmi @MZ pr`grhn, kbjaufkbg j`bvirsh`bs wktm 6-= pi`pai. *

Vha Vhal l t` tmi inpa inpa`yi `yiis is hd hd`ut `ut tmi tmi @M @MZ Z pr`g pr`grhn rhn hbf hbf m` m`w w kt ks kn knpai painib nibtif tif `b `b skt skti. i.

*

Ekbf `ut hd`ut hd`ut hb hby y @MZ kkssui ssuiss tmht hri j` j`nn`b, nn`b, e`r ix ixhnpai hnpai thsls diib pire`r pire`rnif nif (CZ_), (CZ_), mhzhrfs itj.

*

Hsl m`w skti pirs`b pirs`bbia bia tmkbl tmkbl @MZ j`uaf j`uaf di diir knpr`vif knpr`vif , phrjuahr phrjuahr t` t` tmi skti skti supirvks supirvksk`b k`b hbf n nhbhgin hbhginibt ibt hj hjvkis. vkis.

*

Ekbf Ekbf `ut `ut w wmh mhtt ks w`rl w`rlkb kbg g wia wiaaa h hbf bf wmy. wmy.

*

Tij`rf Tij`rf haa ri riaiv aivhbt hbt @MZ kbe`r kbe`rnh nh`b `b tmht tmht inir inirgis gis furkbg furkbg ttmi mi skti skti shei sheity ty whal whaltmr tmr`ug `ugm. m.

Wmh ` f` hir mi sheiy kbspijt`b/whalmr`ugm kbspijt`b/whalmr`ugm 0

*

@bji y`u mhvi j`npaitif tmi sheity kbspij`b/whaltmr`ugm, y`u biif t` hssiss tmi kbe`rnh`b hbf tmi rksls hbf rij`rfif tmi rinifkha hj`bs, risp`bskdkakis hbf ja`si`ut fhtis `b tmi dhjl `e tmi e`rn.

*

Zmhri tmi aihrbkbg‛s `e y`ur sheity kbspij`b/whaltmr`ugm wktm tmi `tmir aihfirs, nhbhgirs hbf j`btrhjt`rs. Vmiri nhy di fiphrtnibt hbf skti spijkj kssuis tmht biif hffrisskbg.

*

Vmhbl haa kbv`avif kb pr`vkfkbg hjjiss hbf ehjkakthbg tmi skti kbspij`b/whaltmr`ugm.

Kt ks knp`rthbt t` kbv`avi supirvksk`b hbf j`btrhjt`rs kb tmi skti hrih sheity kbspij`b hbf whaltmr`ugm hbf rij`rf haa `dsirvh`bs nhfi. E`aa`w-hj`bs e`r @MZ kssuis sm`uaf di spijkif hbf rij`rfif e`r knpainibth`b dy hppr`prkhti pirs`bs kbv`avif wktm @MZ kkb b tmi a`jh`b `r skti. Tinindir tmht kfibeykbg hbf rip`rbg ks hs knp`rthbt hs rip`rbg `b tmkbgs tmht nust di knpr`vif.

@MZ E`rn E`rnss Aihfirsmkp Zheiy Kbspijt`b & Whalmr`ugm E`rn

_r`jifu _r` jifuri ri Tie Tieiribj ribji i @MZ-_T-?;-?;-E:8(H)

Tivk Tivksk sk` `b Bund Bundi ir ?

Tivksk vksk` `b Fh Fhi i NH[ 4?48

Hppr` ppr`vi vif f Dy @MZNZ

 

_AHBV HBF EHJKAKV[ ZHEIV[ @MZ-_T-?;-?;-E:8 (H) AIHFITZMK_ ZHEIV[ KBZ_IJVK@B & WHALVMT@YGM WHALVMT@YGM E@TN @pirhtbg Hrih3

Fiphrnib3

_r`cij Bhni3 J`brhj`r Bhni3

_r`cij Vypi3

J`brhj B`.3

B@VI3  8.

Hby `dsi `dsirvh`b rvh`b `e h vk`ah vk`ah`b `b `e tmi ZIJ Ake Akei i Zhvkbg Tuais Tuais nust di st`ppi st`ppif f hbf hj`bi hj`bif f knnif knnifkhtiay khtiay hs kt mhs tmi p`tibt p`tibtha ha e`r h ehthakty hbf/`r nhc`r hssist a`ss. Vmks ks h sir`us drihjm `e h ZIJ Zheity Tiguah`b wmkjm nust di nhbhgif tmr`ugm tmi ZIJ Munhb Tis`urjis Fiphrtnibt `r J`btrhjt`r Fksjkpakbhry J`fi `e _rhjji.

4.

Ke hby `tmir ubs ubshei hei hjt `r ubsh ubshei ei j`bfk`b j`bfk`b ks `dsi `dsirvif rvif furbkbg furbkbg tmi she sheity ity kbspij`b/ kbspij`b/ wh whaltmr`ug altmr`ugm m tmht mhs tmi p`t p`tibha ibha t` jhusi hb kbcury t` pirs`bia `r jhb risuat kb h nhc`r a`ss t` hssists, tmi tihn aihfir nust knnifkhtiay sheiay st`p tmi hjkvkty hbf riquist tmi knnifkhti supirvks`r `r nhbhgirs t` hffriss hbf rijey tmi p`tibkha mkgm rksl `dsirvh`b die`ri tmi hjvkty ks haa`wif t` pr`jiif. F` b`t whal phst kt .

G.K. B`

Fisjrkpt`b `e Zhbfhrf

8.8

Ea``rs, r`hfwhys, whalwhys mhvi diib jaihb hbf erii `e fkrt `r `tmir fhbgirs.

8.8

Ea``r `pibkbgs mhvi diib j`virif wktm stiia jmijlirif pahti, wktm b`ji "F@ B@V TIN@UI"

8.4

Haa hrihs (`ji /skti) mhvi hfiquhti akgmbg (bhturha `r hrjkha).

8.:

[

B

BH

J`nnibs

_m`` B`3

Hfiquhti vibah`b mhs diib pr`vkfif e`r haa `ji, dukafkbg, j`bbif sphji (Vubbia, dhsinibt ...)0

8.6

B` e``f kb ubhutm`rkzif hrihs i.g., A`jlirs, st`ri, kbskfi tmi skti, itj.,

8.5

Hri haa iaijtrkjha Fkstrkdu`b phbias, nijmhbkjha iqukpnibt, ri iqukpnibt mhs diib finhrjhtif0

8.5

B` iqukpnibt `dstrujtif tmi inirgibjy ixkt0

8.7

Hri haa nhtirkhas sthjlif pr`piray, sthdai hbf biht, hbf hrih finhrjhtif0

8.7

Hri st`ris iqukppif wktm pr`pir vibah`b hbf akgmbg systins0

8.7

Hri haa jyakbfirs, st`rif, sijuriay kb hb uprkgmt (virjha) p`sk`b hbf xif wktm jahnps hbf jmhkbs0

8.=

Hri skti, dukafkbg hbf `ji mhvi diib nhkbthkbif kb g``f m`usiliipkbg0

8.;

Hri sjrhp hbf rieusi dkbs mhvi diib pr`vkfif hs pir 9-sthr j`a`ur (yiaa`w, daui, `rhbgi, hbf rif)0

4.8

Haa mhzhrf`us n`vkbg nhjmkbi wktm sheiguhrf0

4.4

Hri A@V@ Zystin knpainibtif e`r ibirgkzif iaijtrkjha iqukpnibt (a`jl hbf Vhg pr`vkfif).

4.:

Hri haa Zwktjmis, ks`aht`rs hri kb g``f j`bfk`b0

4.6

Hri haa p`rthdai ahffirs kb g``f j`bfk`b0

4.6

Hri haa irijtif sjh`afkbg hbf n`dkai sjh`afkbg kbspijtif k bspijtif hbf thggif0

4.6

Hri Zthkrwhys tmht mhvi e`ur `r n`ri stips, mhvi diib pr`vkfif wktm mhbfrhka0

4.;

Hri haa n`dkai iqukpnibt, frkvir hbf `pirht`r mhvi h vhakf hbbuha tmkrf-phrty trhkbkbg/kbspij`b jirjh`b0

4.8:

Hri haa mhbf t``as st`rif pr`piray hbf kb h g``f j`bfk`b0

4.89

Ks sheity mianit kb g``f j`bfk`b0

4.85

Ks iyi hbf ehji pr`tijt`r pr`vkfif prk`r t` spijkj thsl0 @MZ E`rn E`rnss Aihfirsmkp Zheiy Kbspijt`b & Whalmr`ugm E`rn

_r`jifu _r` jifuri ri Tie Tieiribj ribji i @MZ-_T-?;-?;-E:8(H)

Tivk Tivksk sk` `b Bund Bundi ir ?

Tivksk vksk` `b Fh Fhi i NH[ 4?48

Hppr` ppr`vi vif f Dy @MZNZ

 

_AHBV HBF EHJKAKV[ ZHEIV[ @MZ-_T-?;-?;-E:8 (H) AIHFITZMK_ ZHEIV[ KBZ_IJVK@B & WHALVMT@YGM WHALVMT@YGM E@TN @pirhtbg Hrih3

Fiphrnib3

_r`cij Bhni3 J`brhj`r Bhni3

_r`cij Vypi3

4.87

Hri hppr`prkhti sheity sm`is mhvi diib pr`vkfif e`r w`rlirs0

4.8=

Hri haa w`rlirs usif hppr`prkhti ubke`rns0

4.8;

Hri w`rlirs usi rispkrht`rs iqukpnibt‛s sujm hs atir nhsl

4.4?

t` spijkj thsl0 Hri w`rlirs usi hppr`prkhti mihrkbg pr`tij`b (Ihr _aug `r Ihrnu) t` spijkj thsl0

4.48

Hri haa Zheity euaa D`fy mhrbiss kb h g``f j`bfk`b hbf hrrhbgif pr`piray0

4.44

Hri hppr`prkhti ga`vis usif dy w`rlirs hjj`rfkbg t` mhzhrf kbv`avif kb tmi hjvkty0

4.47

Hri haa ixjhvhtif tribjmis hbf fiip ixjhvh`b pr`vkfif wktm hfiquhti sm`rkbg, sa`pkbg0

4.47

Hri haa ixjhvhtif tribjmis hbf fiip ixjhvh`b pr`vkfif wktm hfiquhti pr`tijvi dhrrkirs hghkbst j`aahpskbg (j`bjriti dhrrkirs, pahsj jrusm dhrrkirs...)0

4.47

Hri haa ixjhvhtif tribjmis hbf fiip ixjhvh`b pr`vkfif wktm hfiquhti akgmbg hbf hfiquhti sujkibt bundirs `e skgbhgi‛s0

4.47

Hri haa ixjhvhtif tribjmis hbf fiip ixjhvh`b pr`vkfif wktm hfiquhti nihbs `e hjjiss hbf hgriis0

:.8

Hri haa ri ixbguksmir‛s a`jh`b jaihray vkskdai, finhrjhtif, hbf ub`dstrujtif0

:.:

Hri haa ri ixbguksmkbg mhvi diib kbspijtif ht h t aihst dy hbbuha dhsks dy tmkrf phrty0

:.6

Hri haa st`rhgi `e euia/ ixpa`skvi nhtirkhas mhvi diib pr`vkfif wktm smif, dubf whaa0

:.9

Ks hahrn Zystin w`rlkbg pr`piray0

:.7

Hri tmiri j`btr`a `e Ixkt hbf Ibtry e`r tmi pi`pai, vimkjai, iqukpnibt, itj.0

:.=

Hri inirgibjy ivhjuh`b pahb hvhkahdai0

6.4 9.9

J`brhj B`.3

Hri kbcurkis `r hjjkfibt sthsjs dikbg rij`rfif hbf fkspahyif kb 9-sthr b`ji d`hrf0 Hri V``ad`x Vhals dikbg fkspahyif dy fhkay dhsks kb tmi kb 9sthr b`ji d`hrf0

9.7

Hri bhnis hbf j`bthjts `e jirif Ekrst Hkfirs fkspahyif f kspahyif hbf upfhtif0

9.;

Hri 9-sthr grhfkbg d`hrf fkspahyif hbf upfhtif kb pr`cijt skti ibtrhbji0

9.48

Hri j`rrijt w`rl pirnkts diib priphrif, kssuif, hbf rijikvif dy jirif pirs`bbia0

9.48

Hri w`rl pirnkt supp`rtif wktm j`rrijt C`d Zheity _rhjjis (CZ_) hbf Tksl Hssissnibt (TH) e`r tmi hjvkty dikbg jhrrkif `ut, hbf pr`vkfif kb tmi w`rlpahji0

9.4:

Hri ZIJ MZI _`akjkis fkspahyif, j`nnubkjhtif, hbf ubfirsthbf dy tmi inpa`yiis0

GIBITHA

@MZ E`rn E`rnss Aihfirsmkp Zheiy Kbspijt`b & Whalmr`ugm E`rn

_r`jifu _r` jifuri ri Tie Tieiribj ribji i @MZ-_T-?;-?;-E:8(H)

Tivk Tivksk sk` `b Bund Bundi ir ?

Tivksk vksk` `b Fh Fhi i NH[ 4?48

Hppr` ppr`vi vif f Dy @MZNZ

 

_AHBV HBF EHJKAKV[ ZHEIV[ @MZ-_T-?;-?;-E:8 (H) AIHFITZMK_ ZHEIV[ KBZ_IJVK@B & WHALVMT@YGM WHALVMT@YGM E@TN @pirhtbg Hrih3

Fiphrnib3

_r`cij Bhni3 J`brhj`r Bhni3

_r`cij Vypi3

J`brhj B`.3

@VMIT KVINZ B@V NIBVK@BIF HD@UI3

A@ZZ _@VIBVKHA3

 Mkgm

 Nifkun

A`w

HJVK@B AIUIA3

Knnifkhi

9 Fhys

86 Fhys

KBZ_IJVK@B TI_@TV

J@TTIJVK@B TI_@TV

Bundir3 Fhi3 Kbspijif dy3 _m` ` B`

J`brhj`r3 Fhi3 J`rrijif dy3 _m`` die`ri

Tksl nhrkx

_m`` hir

Hjt`b hlib

 

@MZ E`rn E`rnss Aihfirsmkp Zheiy Kbspijt`b & Whalmr`ugm E`rn

_r`jifu _r` jifuri ri Tie Tieiribj ribji i @MZ-_T-?;-?;-E:8(H)

Tivk Tivksk sk` `b Bund Bundi ir ?

Tivksk vksk` `b Fh Fhi i NH[ 4?48

Hppr` ppr`vi vif f Dy @MZNZ

 

_AHBV HBF EHJKAKV[ ZHEIV[ @MZ-_T-?;-?;-E:8 (H) AIHFITZMK_ ZHEIV[ KBZ_IJVK@B & WHALVMT@YGM WHALVMT@YGM E@TN @pirhtbg Hrih3

Fiphrnib3

_r`cij Bhni3 J`brhj`r Bhni3

_r`cij Vypi3

J`brhj B`.3

 

_m` ` B`

_m`` die`ri

Tksl nhrkx

_m`` hir

Hjt`b hlib

 

@MZ E`rn E`rnss Aihfirsmkp Zheiy Kbspijt`b & Whalmr`ugm E`rn

_r`jifu _r` jifuri ri Tie Tieiribj ribji i @MZ-_T-?;-?;-E:8(H)

Tivk Tivksk sk` `b Bund Bundi ir ?

Tivksk vksk` `b Fh Fhi i NH[ 4?48

Hppr` ppr`vi vif f Dy @MZNZ

 

_AHBV HBF EHJKAKV[ ZHEIV[ @MZ-_T-?;-?;-E:8 (H) AIHFITZMK_ ZHEIV[ KBZ_IJVK@B & WHALVMT@YGM WHALVMT@YGM E@TN @pirhtbg Hrih3

Fiphrnib3

_r`cij Bhni3 J`brhj`r Bhni3

_r`cij Vypi3

J`brhj B`.3

 

@MZ E`rn E`rnss Aihfirsmkp Zheiy Kbspijt`b & Whalmr`ugm E`rn

_r`jifu _r` jifuri ri Tie Tieiribj ribji i @MZ-_T-?;-?;-E:8(H)

Tivk Tivksk sk` `b Bund Bundi ir ?

Tivksk vksk` `b Fh Fhi i NH[ 4?48

Hppr` ppr`vi vif f Dy @MZNZ