LP SOAR to

SAFETY
Print Name: _________________________

Date: _________________________

Not Wearing Proper PPE Hilo

Operation
○ Hearing ○ Speeding
○ Eye ○ Seat Belts
○ Hand ○ Forks
○ Armguards ○ Pedestrian
Awareness
○ No PPE ○ Mechanical Issue
○ Driving practices
Material Handling & Storage
○ Incoming Housekeeping
○ Outgoing ○ Ladder Storage
○ Scrap ○ Clutter
○ Trash ○ Tools
○ Chemical ○ General

Slip/ Trip/ Fall hazard Lifting

○ Water ○ Technique
○ Equipment ○ Excessive Weight
○ Pallet Debris
○ Metal Debris Plant
Procedures
○ Uneven Surface ○ Not Following
S.O.P.
○ Other ○ Safety Procedure

Blocked Safety Equip. Site

Procedures
○ Fire Extinguisher ○ W-Standards
○ Eyewash ○ Rules of Conduct

Hazard Communication Shock Hazard

○ Barriers / Signs Missing ○ Grounding
○ Insufficient Warning ○ Exposed Wires
○ Incorrect Warning ○ H2O Related

Miss./Broken Safety Equip.

○ Guards
○ Barriers
○ PPE
○ Obstructed
Egress
○ Inadequate Procedure ○ Broken
Equipment
○ Wrong / Broken Tool ○ Poor Lighting
○ Falling Object Hazard ○ Bump
Hazard
○ Sharp Edges / Surfaces ○ Fire Hazard
○ Un/Mislabeled Containers ○ Other
LP SOAR to
SAFETY
Stop
Observe
Act

Report
○ ACT
○ CONDITION

Observation:
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Corrective Action Specifics:

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Corrective Actions

○ Eliminated Hazard Myself

○ Notified Management

○ Decanning ○ Mill Loading ○ Mill

○ Ship/Recieve ○ Office Area ○ Lab

○ Outside ○ General