Title Page
-
Site conducted
-
Conducted on
-
Prepared by
-
Location
-
Department:
-
Area:
-
Date:
-
Assessed by:
-
Participants:
-
Corrective Actions/Recommendations:
Pre-start Daily Safety Check & Communication
-
Does the work area have MPI approval to operate during alert level 3/4 and COVID-19 safety precautions in place?
-
Are workers travelling to / from work alone or with someone from their ‘bubble’?
-
Have all workers thoroughly washed their hands or used sanitizer before leaving home or upon arrival at work?
-
Have all essential workers been informed of the COVID-19 Returning to Work during Alert level 3/4 guidelines and attended the daily Safety Brief, prior to entering work area?
-
Has a COVID-19 Health Risk Screening Questionnaire been completed daily by each worker and their temperature checked prior to working?
PPE Requirements - All
-
Are all authorized workers wearing and complying with work area PPE requirements, and been issued a mask and gloves?
-
Are all authorised workers wearing PPE to undertake a task or interaction, which may put them within a 2m distance of another worker?
Working Environment - All
-
Are staff adhering to 2m distancing rules and are suitable risk mitigation methods in use, for those where only 1m distancing is possible (i.e. screens/full PPE)?
-
Is suitable signage in place reminding staff of social distancing and hygiene requirements in the production area?
-
Is suitable signage in place reminding staff of social distancing and hygiene requirements in the bathroom & smoking areas?
-
Are designated walkways clearly defined, and are staff adhering to their use?
-
Is there a cleaning schedule in place for suitable disinfectant of communal areas, shared spaces and machine centre consoles/screens/control panels?
Break Times
-
Are tearooms arranged in accordance with maintaining 2m social distancing? Are these distances being adhered to by staff?
-
Are stocks of sanitiser at the Café entry maintained and are staff sanitising on entry and exit to the Cafe’ & toilets?
-
Are staff maintaining social distancing in designated smoking areas and avoiding face-to-face positioning at all times?
-
Are staff adhering to not using social activity equipment (games) or the gym during their breaks?
Visitors
-
Are all Visitors to the work area authorised to be there and have they read the relevant guidelines and completed a Health Risk Screening Questionnaire?
Unwell Staff
-
Do all staff appear well and fit to work? If not please answer questions 2-4, otherwise go to “Other Measures”
-
If NOT, has their Shift Manager been notified, and called the Healthline on 0800 358 5453 to seek advice?
-
Has the employee had their temperature retaken after safety brief?
-
Has the work team isolated their machines, moved to their assembly point maintaining 2m distancing and notified the senior management?
Other Measures
-
Is relevant COVID-19 signage and information present in all areas of the plant, communal areas and facilities?
-
Are team briefings and information updates being issued by supervisors in a way that minimises physical interaction, and maintains min 2m social distancing?