SUPERVISOR
WSPS.CA
130-BPS-08-IGOT © 2024, Workplace Safety & Prevention Services (WSPS)
1 877 494 WSPS (9777) | 905 614 1400
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© 2024 Workplace Safety & Prevention Services (WSPS)
Workplace Safety & Prevention Services (WSPS) grants permission to approved end users to reproduce this document in whole or in
part, provided its intended use is for non-commercial, educational purposes and that full acknowledgement is given to WSPS.
WSPS reserves the right to extend this permission to other stakeholders and interested parties by express written permission upon
application. WSPS extends no warranty to materials amended or altered by the end user. Under no circumstances is this document, or
any portion thereof, to be duplicated for purposes of sale or for external reproduction or distribution. The information contained in this
reference material is distributed as a guide only. It is generally current to the best of our knowledge as at the revision date, having been
compiled from sources believed to be reliable and to represent the best current opinion on the subject. No warranty, guarantee,
or representation is made by WSPS as to the absolute correctness or saliency of any representation contained in this reference material.
WSPS assumes no responsibility in connection therewith; nor can it be assumed that all acceptable safety measures are contained in
this reference material, or that other or additional measures may not be required in particular or exceptional conditions
or circumstances.
ITEMS TO BE INSPECTED YES NO N/A COMMENTS
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Is housekeeping in good condition? Area
around conveyors clear of any trip or fall
hazards which may cause workers to fall
into the conveyor?
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No loose clothing or long/ loose hair
around conveyors?
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Are workers locking out conveyors and
equipment before unjamming, cleaning,
or performing maintenance? Is lockout
equipment and energy isolation
devices available?
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Signs of wear or tear, strange noises,
debris buildup etc.? (Lockout required
to fix items)
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When applicable, are start up lights and
horns visible and audible?
OTHER OBSERVATIONS AND CORRECTIVE ACTIONS:
