Title Page

  • Conducted on

  • Prepared by

  • Location

General Requirements

  • Are the Cardinal Rules posted?

  • Are all tier boards current with messages, observations, and days marked (Blue, Green, Yellow, Red)

  • Are emergency exits / fire equipment clearly marked and accessible?

  • Is lighting adequate to enable safe operations?

  • 5s process - is there assigned owners and a visible process being followed?

  • Measures to prevent slips / trips from water? (i.e. mats at outside entrants and restrooms)

  • Is the area around pallet wrappers clear of trap / obstructions?

  • Is all machinery item maintained in good condition with LOTO process posted?

  • Are traffic routes maintained clear of obstructions?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.