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Safety Training Manual
Safety Training Manual
SAFETY TRAINING
MANUAL
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Berry Global (Washington, GA)
TABLE OF CONTENTS
Berry Safety Absolutes 3
Hand Safety 5
Personal Protective Equipment 7
Hygiene Practices 10
Incident/Accident Reporting 12
Back Safety 13
Bloodborne Pathogens 14
Confined Space 18
Crane Hoist & Slings 22
Emergency Evacuation 24
Severe Weather 25
Ladders & Stairs 27
Fire Extinguisher 30
Hazard Communication 32
Hot Work 34
Daily Forklift Inspection 35
Pedestrian Safety Around Forklifts 37
Non-Routine Task Hazard Analysis Program 38
Work Area Housekeeping 39
Lockout/Tagout 40
Heat Stress 45
Job Safety Analysis (JSA) 47
Appendices 54
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Body parts shall not be placed in moving equipment unless following standard
operating procedures based upon a current documented risk assessment.
Only Berry trained and authorized individuals can operate powered industrial
trucks or any other motorized vehicles.
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2. Hand Safety
Injury Types:
- Burns
- Dermatitis
- Sprains and Strains
- Fractures
- Lacerations
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Scope: The policy applies to all Berry Global- SFD employees who use hand
tools.
Policy: All Berry Global – SFD employees must wear impact resistant gloves
when there is a potential for hand strikes due to high torque operations using hex
tools, pliers, ratchets, sockets, wrenches, pry bars, hammers, chisels, or
screwdrivers. One of the most common high torque operations is tightening or
loosening nuts and bolts.
Never wear gloves when working with, in, or around moving equipment.
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3.1 Training
- Each required employee shall be training to know at least the following:
o When PPE is necessary
o What PPE is necessary
o How to properly put on, take off, adjust, and wear PPE.
o Limitations of the PPE
o Proper car and maintenance, useful life and disposal of PPE.
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- If your hair falls below the collar line, it must be tucked or contained within a
hairnet. (Totally bald is the only exemption from the hairnet requirement) A
cap can be worn with a hairnet but not in place of the hairnet.
- Clothes that do not meet the professional standards of the job, are defined
as, but not limited to the following:
o Clothes with holes or ragged edges.
o Clothes of off-color or of sexual nature.
o No tank tops, or shirts that expose midriff.
o Clothes made of spandex.
o Excessively loose clothing.
o Shorts must be knee-length, shirts must have sleeves, shirttails
tucked.
o Button up shirts must be button up to the last two buttons.
o No sagging or hanging clothing that could become caught in
equipment.
o No metallic jewelry such as watches, bracelets, loose chains, rings, or
dangling/loop earrings are allowed.
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4. Hygiene Practices
4.1 Purpose
Purpose: The purpose of this procedure is to ensure that the product is
protected from possible contamination through the use of good hygiene
practices.
Scope: The scope of this procedure includes all employees and contractors
working at the Washington, GA facility.
4.2 Rules
4.2.1 Eating/Drinking
- Eating shall only be allowed in the designated areas:
o Offices (excluding team offices)
o Break rooms
o Conference rooms
o Outside the facility
- No candy, gum, lifesavers, etc. are permitted around the production lines.
- Hands must be washed prior to returning to work areas.
- Water is the only beverage allowed in the production areas and must be kept
in a closed container.
- Acceptable containers are bottles with caps and spill resistant plastic mugs or
cups.
4.2.4 Housekeeping
- All employees are responsible for the cleanliness and housekeeping of their
work area and the areas that they encounter during the course of a work day.
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4.2.7 Glass
- If an accidental glass breakage occurs, a functional leader will inspect to
make sure that all glass, etc. is cleaned up properly and has not
contaminated any product.
- All fluorescent lights in the facility use shatter-shield bulbs.
- Employee use of any glass (porcelain coffee cups, glass drink bottles, etc.) is
prohibited throughout the plant.
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5. Incident/Accident Reporting
5.2.2 Supervisor
- Assist employee with assessment of injuries and first-aid treatment
- Contact emergency response 911 in event of life-threatening injuries.
- Call and inform EHS & Management personnel of the incident.
- Ensure security of the incident/accident scene.
- Ensure personnel are available to assist with investigation.
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6. Back Safety
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- Do not touch or clean any blood from your fellow worker. For first aid
situations have a first responder assist you. -They have been trained to follow
universal precautions.
- “Universal Precautions” is the name used to describe a prevention strategy in
which all blood and potentially infectious materials are treated as if they are,
in fact, infectious, regardless of the perceived status of the individual source.
7.12 Summary
7.12.1 Feedback
- Your reported near miss and safety concern just might save someone else.
7.12.3 Training
- Ask questions if you feel you do not have all the training you need to safely
operate equipment.
- Always follow the correct procedure for the equipment you have been
authorized to use.
7.12.4 Be Aware
- Know where all the possible hazards are on the machines you are
using/working (pinch points, hot areas, moving parts).
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- Never use a machine with missing or damaged guards and never by-pass a
machine by reaching over, around, or through it.
7.12.5 Inspect
- Before you start, make sure that equipment and machinery is in good
operating condition.
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8. Confined Space
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o Equipment required
o Other pertinent safety information
o Any additional permits
Fatigue:
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- Tiredness
- Weakness
- Irritability
- Indecisive
- Uncommunicative
- Unable to recall details
8.5 Attendant Responsibilities
Attendants must:
- Maintain accurate count of entrants
- Accurately identify entrants
- Communicate with entrants
- Use roster or other tracking system
- Monitor activities inside and outside space
- Remain outside space during entry
- Be trained and quipped for rescues and relieved by another attendant before
entering space
- Alert entrant of evacuation
- Know the hazards that could be faced
- Understand behavioral effects of exposure
- Protect the permit space
Minimum Requirements:
- Contractor employee’s must review the visitor safety rules prior to their first
time entering the plant.
- All incidents and accidents shall be reported immediately to a member of
management.
- PPE required:
o Safety glasses with side shields
o Ear plugs
o Steel-toe shoes
o Cut resistant gloves (when using sharp instrument)
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9.4 Summary
- Inspect equipment before each use each shift.
- Follow all safe operating instructions
- Report and replace damaged equipment immediately.
- Never: Lift more than equipment rating.
- Never: Use damaged slings
- Never: Operate a crane or hoist over a person.
- Never: Allow anyone to ride a load.
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10.1 Instructions
- In the event of an emergency in or near the plant, an evacuation alarm will
sound.
- The alarm can be activated at one of the manual pull stations located at each
exit.
- Upon hearing the evacuation alarm, or visually detecting one of the strobes,
the Plant 1 supervisor or designate will check the alarm control panel to see
where the alarm was activated from and silence the alarm.
- The supervisor will then visually inspect or contact personnel in the area of
the alarm to identify if there is an actual emergency or false alarm.
- In the event of an actual emergency, the supervisor will sound the alarm a
second time.
- All employees are to assemble in the designated assembly areas as
indicated on the evacuation route maps posted throughout the plant.
- Evacuation leaders will confirm attendance of all personnel, so that he/she
can inform rescue workers of any missing personnel.
- Search and rescue operations will be conducted by the Fire
Department/Rescue workers ONLY. No one other than the fire department
search and rescue personnel is to reenter the evacuated building until the
Emergency Coordinator has communicated approval.
- Planned evacuation drills will be held once per year. Evacuation drills will be
performed at shift change. Shift personnel will evacuate the facility at the
sound of the alarm per their scheduled drill time and proceed to designated
assembly areas. Out going or incoming shift personnel will assume normal
duties are complete.
- Notice: the first alarm alerts all employees that there is potential for
Emergency Evacuation situation.
- The second alarm is indication to immediately evacuate the facility. All
employees will then proceed to the nearest exit in an orderly manner to their
designated area.
- If time permits, line teams should idle or shutdown their equipment without
risking their personal safety.
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11.2 Instructions
11.2.1 Watch
- Lab personnel shall monitor a weather radio for emergency weather watches
and warnings.
- When a severe weather WATCH is issue for the area, the lab personnel will
verbally notify appropriate shift/department personnel (EHS Coordinator, Shift
Supervisors, etc.) to be alert and on standby.
- Lab personnel will continue to monitor the weather broadcast for updates or
changes.
- Employees are not notified of the WATCH so as to minimize the number of
employees off task.
11.2.2 Warning
- When a WATCH is upgraded to a WARNING, the lab personnel will notify
appropriate shift/department personnel (EHS Coordinator, Shift Supervisors,
etc.) of the upgrade who will then monitor the broadcast and make the
decision when and if to have employees evacuate to the storm shelters
based on the weather conditions and reports.
- Once the decision has been made to evacuate employees to the storm
shelters, shift/department personnel (EHS Coordinator, Shift Supervisors,
etc.) will instruct ALL employees via the plant public address system, two
radios, and by verbal communication to follow instructions for each type
warning as stated above.
- When instructed all employees will proceed safely to the nearest designated
storm shelter. (List below)
- The lab personnel will transfer the weather radio into the storm shelter to
continue monitoring weather conditions.
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- Never exit the building when severe weather is approaching for any reason.
- In the event that an employee is caught off guard by the storm and can’t
reach a storm shelter. Take cover in an area that allows cover and protection
from the storm such as a closet, under a desk, or in a ditch if outside.
- If time permits, line teams should idle or shutdown their equipment without
risking their personnel safety.
- The weather conditions will continue to be monitored by weather radio from
the storm shelters and by computer internet connections in the electrical shop
for weather broadcast updates or changes.
- Once the warning is lifted or after an adequate amount of time has passed,
the EHS Coordinator or Shift Supervisor shall proceed to a safe area to
observe outside conditions.
- When all conditions are determined to be safe the EHS Coordinator or Shift
Supervisor will instruct all employees to resume normal duties.
- In the event that the building was damaged due to the storm, employees will
be instructed to follow standard Emergency Evacuation procedures and
assemble in the designated areas.
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12.1 Hazards
12.1.1 Stairs/Steps
- Clutter slippery surfaces
- Damage
- Poor lighting
- Unsafe work practices
12.1.2 Ladders
- Falls
- Slips
- Reaching too far
- Weather
- Oil or grease on a ladder
- Not secure
- Contact with electricity
- Objects that fall from ladders
12.3 Precautions
- Inspect the ladder for defects frequently and before use.
- Select the correct ladder for the job and load.
- Do not use metal ladders near electrical lines.
- Use ladders for their intended purpose only.
- Set up the ladder on a firm, solid surface.
- Keep ladders secured/barricaded.
- Keep areas around the top and bottom of the ladder clear.
- Open stepladders fully, and lock the spreaders.
- Set up straight ladders when ascending/descending.
- Use both hands to grip the side rails whenever possible.
- Only one person on a ladder at a time.
- Don’t stand on the top 2 steps of a stepladder.
- Never move a potable ladder with someone on it.
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- Hoist material up to you when you’ve reached the top of the ladder.
- Work within the side rails of man lifts and platforms.
- Store ladders back in their designated storage areas when not in use.
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o Debris
o Liquids
o Housekeeping and Safety go hand in hand.
12.8 Maintenance
- Remove ladders with structural defects, corrosion, or defective parts from
service immediately.
- Tag damaged ladders: “Do Not Use”
- Repair ladders to the original design
- Have qualified personnel make repairs
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the handle or trigger release with the other. (If the unit is a CO 2
extinguisher, do not grasp the plastic discharge horn, since it may freeze
your hand.) if the unit has no hose, direct the stream of extinguishing
agent by maneuvering the extinguisher.
4. Discharge the contents of the unit at the base of the flames with a back
and forth, sweeping motion. Sweep from the near edge to the rear of the
fire and then up the vertical surface. Always leave an escape route for
yourself when you are fighting a fire.
5. If the fire can not be controlled. Follow the escape route out of the
building. (Call 911-Fire department)
6. Return all used/spent fire or damaged extinguishers to the maintenance
department for replacement and refill.
13.3 P.A.S.S.
P... Pull he pin.
A... Aim extinguisher nozzle at the base of the flames.
S... Squeeze trigger while holding the extinguisher upright.
S... Sweep the extinguisher from side to side, covering the area of the fire
with the extinguishing agent.
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We must ensure:
- All employees who are exposed to chemical hazards will be made aware of
this program and all of its requirements.
- All employees will be informed of their right to receive information about
hazardous materials which they may encounter in the workplace.
- All employees will receive the information prior to their exposure to these
materials.
- The information provided and reviewed will all employees in both written and
oral form, through training, overhead slides, Safety Data Sheets and labeling.
- All manufacturers and in-house containers must be appropriately labeled.
- Safety Data Sheets made readily available for all hazardous materials in the
workplace.
- HAZCOM program and Chemical SDS sheets are located on an electronic
program on computer at all work stations through Cornerstone Environmental
SDS tracking.
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15.Hot Work
- Definition: Work that can cause enough heat to ignite nearby combustibles or
flammable materials (cardboard, dust, paper, clothing, flammable liquids).
- Required Equipment/PPE:
o Fire extinguisher
o Fire blanker (if needed)
o Caution tape/cones to mark the area
o Signed and approved valid Hot Work Permit
o Employees should be wearing all required PPE:
Welding helmet
Apron
Gloves/sleeves
Face shield
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- Check Level
o Hydraulic Fluid
o Engine Oil
o Engine Coolant
o Transmission Fluid
Note: Never remove the radiator cap to check the coolant level when the engine is
running or while the engine is hot.
- Gauges: Are they all properly working?
- Overhear Guard: Are there broken welds, missing bolts, or damaged areas?
- Mast Assembly: Are there broken welds, cracked or bent areas, or worn or
missing spots?
- Lift Chains and Rollers
o Is there wear or damage or kinks, signs of rust, or any sign that
lubrication is required?
o Is there squeaking?
o Are they cracked or bent, worn, or mismatched?
o Is there excessive oil or water on the forks?
- Hydraulic Cylinders: Is there leakage or damage on the lift, tilt, or attachment
functions of the cylinders?
- Tires: what do they look like?
o Are there large cuts that go around the circumference of the tire?
o Are there large pieces of rubber missing or separated from the rim?
o Are there missing lugs?
o Is there bond separation that may cause slippage?
- Battery Check
o Are the cell caps and terminal covers in place?
o Are the cables missing insulation?
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17.1 Objective
- There have been many incidents within the Berry Global Corporation
regarding forklifts and pedestrians.
- Pedestrians need to be aware of their surroundings, including the operation
of forklifts. The following actions can make forklift operations safe for the
pedestrian and the operator.
17.2 Safety
- Familiarize yourself with types of equipment and regular travel routes.
- Walk in designated aisles. (Use when available)
- When not available: Stay to one side of the forklift path.
- Yield the right of way or make sure the vehicle has yielded.
- Look all ways before stepping into the aisle or around the corner.
- When walking in manufacturing and warehouse areas:
o Be cautious, pay attention to moving carts and trucks
o Listen for horns and alarms
o Look for lights and signs
- Whenever a forklift approaches, stop and make eye contact with the
operator.
o Never assume the operator has seen you.
- Always let the operator know that you are around.
o You can easily be caught between a truck and an object.
- Use pedestrian-designated doors in available.
- Only approach a forklift that has come to a complete stop.
o Approach from side, never directly in front or rear.
- Do not walk or work beneath loads on raised forks.
- Do not operate powered equipment unless trained to do so at this location.
o Violation is a terminating offence.
- Never ride on a forklift.
o Do not allow yourself to be lifted on a pallet or fork blades.
- Keep walkways clear of obstructions and clean of debris.
o This includes parking forklifts or golf carts in walkways.
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17.3 Summary
- Pedestrians are to obey signs, take advantage of barriers, and use fixed
crosswalks and designated walkways.
- Where walkways are not provided, pedestrians must exercise care for their
well-being.
18.1 Purpose
- To ensure that every non-routine task not defined by a written work
instruction or procedure is properly reviewed and approved prior to work
being performed.
- Berry Global Corporation believed that by managing hazards and potential
risks, we can meet our commitment to eliminate all workplace injuries.
18.2 NRTHA
- Any task that is not part of the normal or habitual operations and does not
include a written procedure and a job safety analysis.
- Some examples of these non-routine tasks are:
o Roof work
o Rigging
o Equipment move
- Non-Routine Task Hazard Analysis Form (Appendix F)
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20. Lockout/Tagout
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- Device (lock) must be used for any other reason. (Such as locking lockers,
toolboxes, etc.)
- Per OSHA; a tag can be used in place of a lock. If used the tag must never be
removed or bypassed and must only be removed by the authorized used
labeled on the tag.
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o Employee will be held accountable for the cost to replace any LOTO
locks that are lost or cut due to being left on equipment or machinery.
20.10 Summary
- Never place any part of your body into any part of an energized machine.
Even if you have on PPE. Even if it is simple maintenance, like unjamming a
part or for housekeeping. Hazardous Energy is deadly and dangerous.
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- Fan the person, spray with cool water or apply a wet cloth to his/her skin.
- Call 911 if he/she does not feel better in a few minutes.
21.5 Summary
- Heat stress is a serious matter.
- Take preventative measures to control heat stress
- Stay cool and rink proper fluids throughout the day
**A hasty decision may result in the wrong choice being made.
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Instructions:
- Slip, Trip, & Fall Hazards
o Resin spills
o Water spills or leaks
o Oil leaks
o Air hoses, banding strap
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Instructions:
- Organization:
o Work area must be clean and organized at all times.
o Maintain a well organized and efficient work area.
o Everything has a specific location and all workers are aware of those
areas.
o Pick up trash and debris immediately such as film, bad cores, plastic,
banding, machine parts, etc.
- Work performance:
o Always be aware of your surroundings. Looking in the direction of
travel at all times to prevent fall hazards.
o Do not carry or transport items hat block your vision.
o Do not run. Maintain a safe working speed.
o Do not exceed the plant safe working speed.
o Do not exceed the plant safe lifting limits (55lb)
o Minimize use of compressed air around the line when line is running.
Use broom to sweep up trash.
o Goggles must be worn along with safety glasses when compressed air
is used for blowing down.
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- Safety shoes
- Ear plugs
- Correct gloves for the job task
Instructions:
- Disabling hand and finger injuries include:
o Amputations, burns, lacerations, and fractures.
- Gloves shall be used whenever possible to protect your hands. Remember,
gloves DO NOT offer 100% protection.
- There are many types of gloves, so be sure you have the right glove for the
job.
o Heat resistant gloves resist heat, they are not heat proof.
o Cut resistant gloves resist cuts, they are not cut proof.
o Cut resistant work gloves shall be worn at all times while working with
blades and while stringing up machines in areas where blades are
present.
o Cut resistant gloves may also be worn when performing impact risk
task such as handling pallets, metal, banding, tensile, etc.
- Note:
o Protect your hands at all times. Wear hand protection when possible
o Think about the job task
o Select the right type of hand protection for the job task.
o Wear hand protection. Use it to protect your hands when possible.
o Do not wear gloves stringing up around moving film or equipment, or
handling finished product.
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Instructions:
- Always cut away from your body or torso. Never pull the knife toward your
body or torso.
- Remember the hand not holding the knife is part of your body. Keep fingers,
hands, and other body parts clear of the blade path at all times.
- Do not over extend your reach while cutting. Maintain balance.
- Use extreme caution and be aware of other employees while cutting.
- Cut resistant gloves and sleeves must be worn on both hands and both arms
while cutting.
- Always wear cut gloves when changing out blades.
- Always place old blades in a blade disposal container stationed near all lines.
Instructions:
- Hazards
o Objects stood up on end such as pallets, cores, rolls of film stood up
on end creates a serious impact hazard.
o Risk:
Object can fall over or is knocked over and hits someone on the
leg, shin, etc. causing an injury.
- Never:
o Stand objects up on the end.
o Lean objects up against an object or wall.
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- Facts:
o Pallets can have sharp edges, exposed nails, and can cut or break a
bone if they fall over.
o Cores can weigh up to 25 or 35 lbs. and have sharp edges that can
cause serious cuts or impact injuries, if they fall over and hit a leg or
foot.
o Film adds additional weight to the cores and can cause serious injuries
or broken bones if they fall over and hit a leg, foot or head.
- Corrective Action:
o Store all pallets lying down flat on the floor.
o Store empty cores in a core cart/rack or Gaylord box. Never stand on
the end.
o Store rolls of film lying flat on a pallet. (Band, if double stacked)
22.8 Safety & Equipment Access
PPE Required:
- Safety glasses
- Safety shoes
- Ear plugs
- Work or cut gloves
- Any other required PPE base on task being performed
Instructions:
- Blocked electrical panels
- Must maintain a 36” clearance in front of all electrical panels at all times. (No
exceptions)
- Keep electrical panel doors closed when in use.
- Electrical panels may be accessed by electrical personnel only.
Safety Equipment:
- Must maintain a clear access to all safety equipment including fire
extinguishers, eyewash stations, egress routes/exits, etc.
- Do not block this equipment with pallets, forklifts, Gaylords, pallet jacks, etc.
- Do not cover fire extinguishers with coats, tool pouches, etc.
Instructions:
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- A utility knife should ONLY be used to perform a cut task that is deemed not
able to cut using an approved retractable safety knife or J-knife.
- Use only work provided knives on the job.
- A self-retracting safety knife must be used when possible.
o A regular Stanley utility knife may be authorized by the Department
Manager or Supervisor and issued to the employee for the duration of
that specific cut task only.
- Cut resistant gloves and sleeves are required and must be worn on both
hands and both arms during cutting task and both arms during cutting task
and excessive force cuts.
- Always follow safe cutting, blade change, and blade disposal procedures.
- Always cut away from body parts.
Purpose:
- Use the shaft pulling cart and core handler/loader to minimize manual lifting of
the spindle shafts.
Instructions:
1. Use the shaft cart to align and manually pull the shaft from the finished rolls
onto the cart. Use puller tool (if needed).
2. Carefully load cores onto the empty spindle shaft.
3. Carefully push the shaft cart over and inline on front of the winder.
4. Carefully guide the drive end of the shaft into the winder cradle.
5. Carefully lift and lower the chuck end of the shaft into the winder cradle end of
winder.
6. Lock in the shaft, align cores and air up shaft.
- Watch hand placement at all times.
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Procedures:
- Remember to release air pressure from the spindle shaft after index is
complete and prior to attempting to remove the spindle from the winder turret.
- Hands and fingers should never be used to press and release the air release
valve on any spindle shaft. Use the Tidland air release tool or a J-Knife to
press the air valve.
- Always make sure that hands and fingers are clear of moving equipment
(manual or automatic) at all times.
- Be aware of hand placement at all times when placing the spindle in and out
of the winder turret and when using a shaft dolly cart/automatic shaft puller to
pull or push the shaft.
- Never lift any spindle alone all spindle shafts lifted must be the required safe
wight limits and must be lifted by two employees if moved or loaded manually.
- Shafts that are over 110 lbs. must be removed and placed into the winder by
mechanical means only.
o Crown lift or Hoist system
- Never use a finger to release the air from a spindle shaft.
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APPENDICES
Appendix A.
Appendix B.
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Appendix C.
Appendix D.
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Appendix E.
Appendix F.
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Non-Routine Task Hazard Analysis (NRTHA) Non-Routine Task Hazard Analysis (NRTHA)
Directions: If one of the 9 tasks listed is perf ormed, a DOCUMENTED NRTHA is C. Building Operation / Process
required. During the analysis, if a shaded box is marked, immediately STOP , contact 1 Y N Will w ork have potential building systems impact?
the Maintenance Manager and/or EHS Manager for assistance. 1. a Y N Fire Monitoring/Suppression/Annunciation systems.
NON-ROUTINE, HAZARDOUS TASKS ( c h e c k t a s k s t ha t a p p l y ) : 1. b Y N Safety Show er / Eye Wash.
1 Roof w ork 1. c Y N Evacuation Speakers (if applicable).
2 Non-standardized Lockout Procedure 1. d Y N Security Systems.
3 Safety, Security, Lighting, Water System s Interruptions 2 Y N Does w ork involve construction or demolition?
4 Rigging 3 Y N Does w ork involve interruption or redirecting vehicles / pedestrians?
5 Ne w Che micals or Non-standard Use Does operation need to stop to perform task safely?
4 Y N
6 Work at heights (feet > 4 ft.) If "Y", contact Operations, Maintenance and Safety.
7 Moving unsecured and / or non-palletized load
8 Equipm ent m oved / e quipme nt modification After com pletion of the NRTHA, document signatures of em ployees
9 Ne w e quipm ent involved w ith task . Signatures acknowle dge that pote ntial risks have
TASK DESCRIPTION: be en evaluated and actions have been im pleme nted to eliminate or
A. Gene ral Walk -Through: m itigate these ide ntified risk s.
1 Do I have the prints / draw ings / schematics I need? LEAD PERSON SIGNATURE DATE
Y N
If "no" contact Maintenance Manager
Are all crew members f amiliar w ith the area and task?
2 Y N
If "N", brief crew on area and task !
3 Y N All tools / equipment in SAFE w orking order? CREW MEMBER SIGNATURES DATE
4 Y N Crew members need additional training to SAFELY perf orm task?
5 Y N ADDITIONAL personnel required to complete task SAFELY?
B. SAFETY: NOTE - ALWAYS Use appropriate PPE for the tas k!!!
SECURE WORKING AREA
1 Y N Elevated w ork w ithin 20 feet of pedestrian aisle edge?
1. a Y N If "Y" to question 1, barriers, caution tape, cones deployed?
LOCKOUT
2 Y N Lockout required? (If "Y", answ er questions 2.a - 2.d)
2 .a Y N Is Lockout equipment identifiable to a single individual?
2 .b Y N Do I know how to LOTO this equipment SAFELY and COMPLETELY?
2 .c Y N Need access to additional / diff erent LOTO Equip?
Will w ork require removal of LOTO for testing?
2 .d Y N
If "Y", follow LOTO procedures after testing!!
FALL HAZARDS
3 Y N Will w ork involve fall exposure (feet > 4 feet from floor)?
(If yes, a - c)
3 .a Y N Can I perform from mobile elevated w ork platf orm? NOTES
3 .b Y N Will I be surrounded by (min) 42" guardrails?
3 .c Y N Fall equipment required? (If yes, 1 - 3)
3 .c .1 Y N Do I have the proper Fall arresting equipment?
3 .c .2 Y N Fall Arresting equipment in good w orking condition?
3 .c .3 Y N Do I have an identified and certif ied anchorage point?
Will w ork require rigging (restrain, lif t, move equip/parts)?
4 Y N
If "Y" STOP! Contact Maintenance & Safety Im me diately!
CHEMICAL SAFETY
5 Y N Are new /unfamiliar chemicals required for this task? (If yes, a - h)
5.a Y N Am I trained in the safe use of chemical?
5.b Y N Do I know w here to obtain MSDS?
5.c Y N Chemical containers correctly labeled?
5.d Y N Will I need to transfer to a secondary container?
5.e Y N Does secondary container have correct labeling?
5.f Y N Is there adequate ventilation in the area?
5.g Y N Correct PPE for safe use of chemical? * IF NO SHADED BOXES ARE CHECKED:
Y N Potential for spills?
5.h If the NRTHA is complete and NO shaded boxes are checked,
Y N Do I know the location of the chemical/f luid spill kit?
proceed with your normal pre-task assessment then complete
POWERED INDUSTRIAL EQUIPMENT SAFETY
6 Y N Is PIT required to move Unsecured and/or non-palletized load?
the assigned task.
6 .a Y N Is the load attached or banded to the pallet?
6 .b Y N Can I move the load w ithout af fecting adjacent items? ** IF SHADED BOXES ARE CHECKED:
6 .c Y N Do I have a clear travel path and secured the load?
WORKING ENVIRONMENT If shaded blocks are checked, approval of the Maintenance
7 Y N Will w eather potentially prevent safe completion? Manager or Site Leader is required and, if possible, a general
Do I need to raise my voice to overcome area noise? area review by the plant EHS. Operations Management must be
8 Y N
If "Y", us e appropriate hearing protection !! notified. This will help ensure that all tasks have been properly
9 Y N Is there adequate airflow in area to perf orm task? analyze
10 Y N Will w ork generate odors/fumes?
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