EHS - Operations Site Walk

EHS - Operations Site Walk
Duke Patient Bed Tower
MonthDayYear
Operations Personnel:*
Select Name
Additional Operations Personnel :
Select Name
EHS Professional:*
Select Name
Additional EHS Professional:
Select Name
Additional Personnel:
First NameLast Name
Additional Personnel:
First NameLast Name
Additional Personnel:
First NameLast Name
Areas of Observation:*
Tasks and DHAs Observed:*
Hazards Observed:*
COVID-19 High Exposure RiskCOVID-19 Low Exposure RiskCOVID-19 Medium Exposure RiskChemicalsCompressor / Air Pneumatic ToolsConfined SpaceDropped ObjectsElectrocution / ShockFall From HeightFlying ObjectsHazardous MaterialHazardous SoilHeat IllnessHotwork (Burning / Welding / etc.)Impalement hazardsInadequate IlluminationLead ExposureLifting Equipment other than cranesLockout / TagoutMobile Elevated Work PlatformsNoise ExposurePickup Trucks / Flat TrucksPower / Hand Tool InjuriesRigging Failure (Sling / Shackles / Taglines)ScaffoldsSilica Dust ExposureSlips, Trips & FallsSpill / LeakStairways and LaddersStrains & Pulled MusclesStruck By / Caught BetweenTemporary WorksTrain / Train TracksTrenching & Excavation Cave-In / Utilities
Observations / Findings / Corrections*
Observations / Findings / Corrections*
additional notes can be added here
Controls Observed*
Positive Observations*
Add a Photo*
Photo Notes
Optional Photo
Photo Notes
Optional Photo
Photo Notes
Should be Empty: