Information
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Your LBU
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Location audited / observed
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LBU audited / observed
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Date of SOT
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Manager in charge
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Notes
Category A: Use of personal protective equipment PPE
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A1: Are the areas on site where PPE is required properly marked or identified?
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A2: Is PPE worn and properly used where required?
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A3: Is required PPE available to all workers?
Category B: Health and Safety risks
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B1: Are appropriate protections in place against electric power sources?
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B2: Is there any risk of collision against cars or heavy vehicles?
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B3: Are cars or heavy vehicles driven in a dangerous way?
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B4: Is risk of fire present at workplace?
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B5: Are fire fighting equipment and evacuation routes easily accessible?
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B6: Are incorrect postures adopted at work?
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B7: Do workers walk or work under hanging loads?
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B8: Is there the risk to fall down from unguarded areas?
Category C: Ergonomics and working environment
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C1: Is manual handling of loads carried out in an appropriate way?
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C2: Is workplace free from fumes, powder, bad odours?
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C3: Is the level of noise acceptable in the workplace?
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C4: Are workers exposed to significant level of vibrations?
Category D: Machinery and tools
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D1: Are machinery and tools clean?
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D2: Are fixed guards in place for mechanical transmissions and other dangerous parts?
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D3: Are emergency stop buttons in place on all moving machinery?
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D4: Is there the risk of impact, cutting or crushing during work?
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D5: Are there dangerous pieces of machinery without protection on site ? ( exposed electrical live conductors, hot parts, sharp edges etc.) <br>
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D6: Are tools in good condition and appropriate for the required tasks?
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D7: Are warehouse and storing equipment appropriate and marked with safe weight capacity?
Category E: Procedure
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E1: Do suitable procedures and work instructions exist for high risk tasks?
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E2: Are procedures known by all workers?
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E3: Are procedures properly implemented?
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E4: Are contractors properly supervised and managed?
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E5: Are 'permit to work' procedures in place where necessary?
Category F: Housekeeping
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F1: Is workplace well organized, clean and tidy?
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F2: Are materials properly stored in warehouse or deposit areas?
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F3: Are walkways and routes free from obstacles?
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F4: Are chemical substances and dangerous equipment under control?
Observations
Safety issues / observations
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Safety issues raised with observed team / manager
Signatures
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Please report observed incident, accident, near miss or hazard via the Zero Harm online reporting portal.
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Insert signatures of auditors