Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Dairy Shed Office
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Is emergency plan and emergency contact details in place and available to all employees
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First Aid Kit present and fully equipped - no expired contents
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Signage in place to indicate location of First Aid Kit
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Fire extinguisher present and full (not expired and annual check done)
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Office is clean and tidy
Dairy Shed
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No broken or leaking pipes or hoses
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Hoses stored against walls away from traffic areas
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No slippery areas
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Hot water cylinder secure in frame
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No clutter in shed
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No pesticides or herbicides in dairy
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Dosetron/Nutridose working efficiently
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Compressor working correctly
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Water pumps working correctly and not leaking
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No broken bails or pipe work on platform
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All moving parts guarded to prevent entanglement
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Emergency Stop button is in working order
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Gratings clean and undamaged
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Dairy shed chemicals safe and secure
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PPE available for use with dairy chemicals (safety glasses, chemical gloves, etc)
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Shed is clean and tidy
Yards & Shed Surrounds
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No broken or leaking pipes/hoses
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No clutter around shed
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Backing gate greased and functioning as specified
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Top gate greased and functioning as specified
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Pit Swing gate greased and functioning as specified
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Water pumps not leaking
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Safety guard on all belt drives
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Gratings clean and not damaged
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Yards clean
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Hazard board & Report to Management board in place and up to date
Milk Vats
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Confined space signage in place at silo hatches
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Is fall protection provided should a silo ladder be required to be climbed
Grain Silos
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Confined space signage at entrance of all ground entry silos
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Ground access entry points are locked
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Silo ladders are above head height or locked out/gated to prevent unauthorised access
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Is fall protection in place should a silo ladder be required to be climbed
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Are grain silos watertight
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Are regular inspections carried out for any structural damage
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Are all moving parts on augers and grain crushers guarded to prevent entanglement
Effluent Ponds
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Are effluent ponds/tanks securely fenced
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Is the stone trap securely fenced
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Are buoyancy devices and rescue lines available at effluent ponds
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Signage in place at all access points
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Effluent pump greased and functioning as specified
Photos
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Take photo of any issues or upload one from your device. Once you are done, tap on the image, tap "view", and tap "annotate" to start editing
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Signature