SWM FORM
DECR
PITO
Observations
DOK
6 SWM
100

What does SWM stand for?

Safe Work Methods

100

When is DECR sheet filled out? 

Pre-Sort and Post-Sort

100

At minimum, how often must an observation be completed on each employee? 

Once a month. 

100

Explain what you would do a if package is generating smoke, fumes, or otherwise irritating? 

Treat as hazmat, Don’t touch, Secure area, Notify designated responder

100

Mentally ready and Physically ready fall under which of the 6 SWM

Job Set-Up

200

Minimum number of “N”s needed an n SWM form? 

Four

200

If equipment is being written up on bottom of sheet, an item must be marked as <blank> above

Not OK

200

Name two types of feedback. 

Appreciative and Constructive. 

200

Define Egress

A Clear path to, through, and away from an exit in case of an emergency. 

200

Pushing preferred falls under which SWM

Pushing and Pulling

300

If a method is not observed, what is mark in box? 




“R” 

300

Boxes that are hilighted are not seen in some areas. If not in area, what must be marked in the boxes. ? 

“N” “A”

300

If 15 Safe behaviors, and 4 At Risk behaviors and you give appreciative feedback below.  What do you write in Apprecitive feedback box above next to slashes?

15

300

Vehicles must be equipped with what three things that help provide 360 degrees of visibility? 

Headlights, hazard lights and reflective material. 

300

Ascending and descending ladders fall under which SWM

Slips and Falls

400

List the 5 reasons to perform SWM forms

Annual, New Employee, Job Change, After an Injury, Return to work after TAW/Lost Time

400

What does PITO stand for? 

Powered Industrial Truck Operator

400

Based on Form.com data,  how many injuries has the day sort had in the last six months? 

8

400

Conveyor securing components are checked to make sure they are working properly. Name three components...

Button, securing latch, secured sticker

400

Yard Control and conveyors fall under which SWM

Powered Equipment

500

What does ESTA stand for? 

Employee Safety Training Assesment 

500

What does DECR stand for? 

Daily Equipment Condition Report. 

500

When the new observations  are uploaded online, who tabulates and controls the data?  

Liberty Mutual

500

What was yesterdays safety activity? 

Seeking Help with Irregular boxes over 70lbs activity. 

500

Know emergency plan and Keep work area clean fall under which SWM

Plan for the Unexpected. 

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