| System |
| UnitID |
1 |
1 |
| Date |
2001/5/4 |
2001/5/4 |
| Started |
14:41 |
14:54 |
| Finished |
14:54 |
15:02 |
| Employment |
| Employer |
Ajax Mart |
Ajax Mart |
| Contact |
Jim Check |
Jim Check |
| Employee |
Sally Newjob |
Bill Smith |
| AgeYears |
<18 |
>25 |
| Position |
Checkout |
Storeman |
| Experience |
No |
Yes |
| NumberofYears |
0 |
11 |
| Supervisor |
Jan Super |
Jack Man |
| Date |
2001/5/4 14:44 |
2001/5/4 14:56 |
| Policies |
| Laws |
Yes |
Yes |
| Regulations |
Yes |
Yes |
| SafetyRepresentative |
Yes |
Yes |
| SafetyCommittee |
Yes |
Yes |
| RighttoRefuseWork |
Yes |
Yes |
| InjuryManagement |
Yes |
Yes |
| ReportingHazardsto |
Jan Super |
Jack Man |
| Manual Handling |
| Bending |
Yes |
Yes |
| Lifting |
Yes |
Yes |
| Loads |
Yes |
Yes |
| Weights |
Yes |
Yes |
| RepetitiveMovement |
Yes |
Yes |
| Symptoms |
Yes |
Yes |
| SafeWorkPractice |
Yes |
Yes |
| MechanicalAssistance |
Yes |
Yes |
| PastTraining |
No |
Yes |
| Electricity |
| ResidualCurrentProtection |
Yes |
Yes |
| LockingOutTagging |
Yes |
Yes |
| CordsLeadsPlugs |
Yes |
Yes |
| ElectricalMaintenance |
Yes |
Yes |
| WetAreas |
Yes |
Yes |
| WorkNearPowerLines |
N/A |
Yes |
| Mechanical |
| HandHeldEquipment |
N/A |
Yes |
| Machinery |
Yes |
Yes |
| LaddersSteps |
Yes |
Yes |
| GoodsLiftingEquipment |
N/A |
Yes |
| Vehicles |
N/A |
Yes |
| Other |
Trolleys |
|
| Maintenance |
Yes |
Yes |
| QualificationsCertificates |
No |
Yes |
| Workstation |
| Chair |
Yes |
Yes |
| Desk |
Yes |
Yes |
| Keyboard |
Yes |
Yes |
| Monitor |
Yes |
Yes |
| Documents |
Yes |
Yes |
| Layout |
Yes |
Yes |
| ReachZones |
Yes |
Yes |
| Environment |
Yes |
Yes |
| BreaksandExercises |
Yes |
Yes |
| Haz. Substances |
| MaterialSafetyDataSheets |
N/A |
Yes |
| Chemicals |
N/A |
Yes |
| Solvents |
Yes |
Yes |
| SyntheticFibres |
N/A |
N/A |
| SilicaDust |
N/A |
N/A |
| Asbestos |
N/A |
N/A |
| Herbicides |
N/A |
Yes |
| SubstancesOther |
|
|
| SymptomsSubstances |
No |
Yes |
| SafeWorkPracticeSubstances |
No |
Yes |
| Hazards(Other) |
| SlipTripFalls |
Yes |
Yes |
| FallsHeight |
N/A |
Yes |
| FallsDepthVoid |
N/A |
N/A |
| FallingObjects |
Yes |
Yes |
| ConfinedSpaces |
N/A |
Yes |
| NoiseVibration |
N/A |
Yes |
| Biological |
N/A |
Yes |
| ViolenceAggression |
Yes |
Yes |
| FireExplosions |
Yes |
Yes |
| PPE |
| Availability |
N/A |
Yes |
| Suitability |
N/A |
Yes |
| MaintenancePPE |
N/A |
Yes |
| Training |
N/A |
Yes |
| Emergency |
| Procedures |
Yes |
Yes |
| ExitsEvacuation |
Yes |
Yes |
| PersonneltoContact |
Yes |
Yes |
| Telephone |
Yes |
Yes |
| FirstAid |
Yes |
Yes |
| Training Program |
| ManualHandling |
Checkout Manual Handling |
Heavy Manual Handling |
| CompletedMH |
|
|
| MachineryVehicles |
|
Forklift Certificate |
| CompletedMach |
|
|
| PPE |
|
|
| CompletedPPE |
|
|
| EmergencyFirstAid |
Basic Demonstration |
|
| CompletedEmergency |
|
|
| TrainingOther |
Violence/Hold Up |
|
| CompletedOther |
|
|