Title Page
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Audit Title
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Factory
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Conducted on
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Prepared by
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Location
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Area Supervisor
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Completed on
1. Risk Assessment & SSOW
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Specific, Communicate to All, In date 12 months, All risks covered & Environmental risks controlled (Marks out of 10)
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2. COSHH and Environmental
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Substances labelled, COSHH cabinets with contents info, MSDS, bounded trays, Spill kit available (Marks out of 20)
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3. PPE
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Task specific, Hearing Protection & Safety Goggles, Correct Dust Masks (FFP3 etc) , Gloves (Marks out of 20)
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4. Housekeeping & Safe Access
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Clean Walkways, Lighting, Work stations tidy (Marks out of 30)
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5. Pre Op Inspections
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Forklift Trucks, MEWP’s (Marks out of 10)
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6. Fire
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Fire Exits clear, Register Signed, Fire Warning Systems & Fire Wardens(Marks out of 10)
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7. Training & Competency
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COSHH, IPAF, Forklift Trucks, Ab Wheel (Marks out of 20)
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8. Fix wire testing and PAT
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Fixed wire testing and PAT (Marks out of 10)
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Sign Off
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Auditee
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Auditor
Audit Summary
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Number of people working, key activities, key issues, close out actions.