6207 Jim Snow Way · Chattanooga, TN 37421
Office 423.541.3210 · Fax 423.541.3209
liquidmetal-solutions.com

Corrective Action Form

Findings and closure

Action record

This form closes findings. Raise it from a safety audit, an equipment removal, or an incident report — then work it until every section is Closed or marked No action required.

Sections

General site conditions

Not assessed

Assess the overall organization, cleanliness, and accessibility of the site to prevent accidents and ensure efficient operations.

PPE

Not assessed

Verify that PPE is worn correctly, maintained, and suited to the tasks, reducing exposure to hazards like falling objects or noise.

Equipment and machinery

Not assessed

Ensure all tools, vehicles, and heavy machinery are safe to operate, reducing risks of mechanical failure or operator error.

Fall protection

Not assessed

Confirm that measures are in place to prevent falls, a leading cause of construction injuries, especially at heights or near edges.

Electrical safety

Not assessed

Evaluate electrical systems and practices to prevent shocks, burns, or fires from temporary or permanent setups.

Hazardous materials

Not assessed

Check the handling, storage, and documentation of chemicals or flammables to minimize health and fire risks.

Emergency preparedness

Not assessed

Ensure the site is ready to respond to fires, injuries, or evacuations with proper resources and planning.

Worker safety practices

Not assessed

Assess behaviors and procedures to ensure safe work habits and compliance with site rules.

Safety performance and supervision

Not assessed

Assess the effectiveness of safety leadership, supervision, and performance tracking to ensure a proactive safety culture.

Confined spaces

Not assessed

Evaluate the identification, control, and safe entry of confined spaces to prevent asphyxiation, engulfment, or other incidents.

Environmental controls

Not assessed

Evaluate measures to mitigate dust, noise, and erosion, protecting workers and the surrounding area.

Hot work

Not assessed

Ensure safe practices and equipment for welding, cutting, or torch operations.

Administrative

Not assessed

Ensure safety communication, training, and signage are present, toolbox talks are conducted, and emergency readiness is maintained.

Summary and sign off
Sign with a finger or stylus
Optional until actions are closed