Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Dairy Shed Office

  • Is emergency plan and emergency contact details in place and available to all employees

  • First Aid Kit present and fully equipped - no expired contents

  • Signage in place to indicate location of First Aid Kit

  • Fire extinguisher present and full (not expired and annual check done)

  • Office is clean and tidy

Dairy Shed

  • No broken or leaking pipes or hoses

  • Hoses stored against walls away from traffic areas

  • No slippery areas

  • Hot water cylinder secure in frame

  • No clutter in shed

  • No pesticides or herbicides in dairy

  • Dosetron/Nutridose working efficiently

  • Compressor working correctly

  • Water pumps working correctly and not leaking

  • No broken bails or pipe work on platform

  • All moving parts guarded to prevent entanglement

  • Emergency Stop button is in working order

  • Gratings clean and undamaged

  • Dairy shed chemicals safe and secure

  • PPE available for use with dairy chemicals (safety glasses, chemical gloves, etc)

  • Shed is clean and tidy

Yards & Shed Surrounds

  • No broken or leaking pipes/hoses

  • No clutter around shed

  • Backing gate greased and functioning as specified

  • Top gate greased and functioning as specified

  • Pit Swing gate greased and functioning as specified

  • Water pumps not leaking

  • Safety guard on all belt drives

  • Gratings clean and not damaged

  • Yards clean

  • Hazard board & Report to Management board in place and up to date

Milk Vats

  • Confined space signage in place at silo hatches

  • Is fall protection provided should a silo ladder be required to be climbed

Grain Silos

  • Confined space signage at entrance of all ground entry silos

  • Ground access entry points are locked

  • Silo ladders are above head height or locked out/gated to prevent unauthorised access

  • Is fall protection in place should a silo ladder be required to be climbed

  • Are grain silos watertight

  • Are regular inspections carried out for any structural damage

  • Are all moving parts on augers and grain crushers guarded to prevent entanglement

Effluent Ponds

  • Are effluent ponds/tanks securely fenced

  • Is the stone trap securely fenced

  • Are buoyancy devices and rescue lines available at effluent ponds

  • Signage in place at all access points

  • Effluent pump greased and functioning as specified

Photos

  • 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

  • Signature

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.