Information

  • Conducted on

  • Conducted by:

  • Additional participants:

  • Location:

01 - Evacuation routes, exits & fire fighting equipment

  • 1.1 Are all evacuation routes & exits clear?

  • 1.2. Are all fire extinguishers serviceable?

  • 1.3. Are extinguishers clear of obstructions?

  • Any additional comments/observations/conversations?

  • Enter additional notes:

  • Additional photos:

02 - First aid & eye wash

  • Is first aid available and stocked?

  • Any additional comments/observations/conversations?

  • Enter additional notes:

  • Additional photos:

03 - Lights & lighting

  • Are lights & fittings in good working order and functioning properly?

  • Any additional comments/observations/conversations?

  • Enter additional notes:

  • Additional photos:

04 - Lateral areas

  • Are all floor areas clear of rubbish and in good repair?

  • Are all chute eStops & emergency phones in good condition (visual check)

  • Are ULDs secured and serviceable?

  • Are all walkways clear of equipment?

  • Are all areas clear of Graffiti

  • Any additional comments/observations/conversations?

  • Enter additional notes:

  • Additional photos:

05 - Rubbish and debris

  • Are lateral stops serviceable? (check SOP RB35)

  • Any additional comments/observations/conversations?

  • Enter additional notes:

  • Additional photos:

06 - Chargers & leads

  • Are all charger leads stowed & chargers serviceable (visual check)

  • Any additional comments/observations/conversations?

  • Enter additional notes:

  • Additional photos:

07 - Sanitary facilities & drinking water

  • Is the sanitary convenience functioning and clean? (visual check)

  • Is wholesome drinking water available and vessels from which to drink from it?

  • Any additional comments/observations/conversations?

  • Enter additional notes:

  • Additional photos:

08 - Driving & vehicles

  • Are colleagues conforming to driving standards? (observation required - check SOP GEN8) obervation required

  • Are vehicles / equipment serviceable? e.g. tugs & trailers

  • Any additional comments/observations/conversations?

  • Enter additional notes:

  • Additional photos:

09 - Pristine & manual handling

  • Are colleagues confirming to PRISTINE manual handling training & techniques? (observation required)

  • Any additional comments/observations/conversations?

  • Enter additional notes:

  • Additional photos:

10 - PPE and general matters

  • Are all colleagues wearing the correct approved BA PPE?

  • Is all furniture safe and in good repair?

  • Are HOS areas clear of slip / trip hazards? (check SOP RB36)

  • Any additional comments/observations/conversations?

  • Enter additional notes:

  • Additional photos:

11 - Sign off

  • On a sliding scale of 1 to 10 (with 10 being the best) how would you rate the safety behaviours in the area you visited today?

  • Any final general comments/safety conversations not noted above?

  • Additional photos?

  • Safety Focus Manager to sign here

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.