Title Page

  • Conducted on

  • Prepared by

  • Location

ASS

  • Office

  • Lighting and Walkways

  • First Aid

  • Fire exits and extinguishers

  • Machinery and Equipment

  • Lifting Equipment

  • LEV's

  • Tooling

  • Personnel and PPE

  • Housekeeping

  • Waste management

  • Aware of SSOW updates? (Sample sign offs)

  • Are Covid-19 protection measures being implemented? (Check Jupiter belt, training, has a Covid inspection form been completed by manager, are any colleagues using face coverings)

  • Other Issues

ISS

  • Lighting and Walkways

  • First aid

  • Fire Exits and Extinguishers

  • Machinery and equipment

  • Lifting equipment

  • LEVs

  • Tooling

  • Personnel and PPE

  • Housekeeping

  • Waste management

  • Aware of SSOW updates? (sample sign offs)

  • Are Covid-19 protection measures being implemented? (Check Jupiter belt, training, has a Covid inspection form been completed by manager, are any colleagues using face coverings)

  • Other issues

Machine Shop

  • Lighting and walkways

  • First aid

  • Fire exits and extinguishers

  • Machinery and equipment

  • Lifting equipment

  • Tooling

  • Personnel and PPE

  • Housekeeping

  • Waste management

  • Aware of SSOW updates? (Sample sign offs)

  • Are Covid-19 protection measures being implemented? (Check Jupiter belt, training, has a Covid inspection form been completed by manager, are any colleagues using face coverings)

  • Other issues?

  • Task
  • Is the person following the SSOW for the task

  • Is the work area in a safe and tidy condition

  • Are there suitable control measures in place for the task

  • Is all equipment being used in a serviceable condition

  • Is the person wearing suitable PPE for the Task and aware of risks of any substances in use

  • Any other issues?

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.