Alfreton

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• GUARDING - Is all machine safety guarding to the correct standard required by Tarmac and isolocks servicable?

  Safe

  At Risk

  N/A

• FLOOR & WALKWAYS - Are floors, walkways, emergency exits clearly marked and free from unnecessary material, parts, tools, debris etc?

  Yes

  No

  N/A

• PPE - Are operators in the area supplied with and wearing the correct ppe (Hi-vis jacket and Trousers, Safety glasses, Safety boots, Gloves, Ear protection)?

  Safe

  At Risk

  N/A

• FURNITURE AND EQUIPMENT - Are workbenches, machines, equipment, cabinets, tool boxes or areas that collect clutter free from unnecessary items?

  Yes

  No

  N/A

• FOOTPRINT - Is all equipment, tools etc that are required in the area correctly footprinted and labeled?

  Yes

  No

  N/A

• PERSONAL ITEMS - Have all personal items such as lunch boxes, coats, jumpers, newspapers, magazines etc been removed from the work area?

  Yes

  No

  N/A

• SHADOW BOARDS - Are all items on the shadowboard clearly identified and location of 'in-use' items known?

  Yes

  No

  N/A

• MACHINE CONDITION - Is the condition of machinery in the area safe and usable?

  Yes

  No

  N/A

• TOOLS, FIXTURES, GAUGES, HAND TOOLS - Are only necessary registered tools , current instructions, inspection forms and visual aids needed to perform area task located in the area?

  Yes

  No

  N/A

• STORAGE AREA - Are storage areas such as staging area, material holding areas etc clean and items in their designated area. Is there a contents list that demonstrates the content of the area?

  Yes

  No

  N/A

AREA 5s Audit

• Alfreton
  Address

• Date Audit carried out?

  Date

• Add signature

  Sign