[EN] Safety Tour

• Site conducted

  Select

• Conducted on

  Date

• Auditor

Stock - Raw Material

• Does Raw Material Stock applicable in this section ? This section can be checked in Supply chain area.

  YES

  NO

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing

  OK

  NOK

  N/A

• Safety belt wearing - Forklift concerned

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear Walkways - Forklift Ways + respect of road signs

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Storage rack damage or protection damage or missing

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Presence of secure stepladder with hand ramp - Straight ladder is not used

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Raw Material Preparation

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear Walkways - Forklift Ways + Respect of road signs

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Storage rack damage or protection damage or missing

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Presence of secure stepladder with hand ramp - Straight ladder is not used

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Injection - Production area n°1

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE Definition - Does PPE are clearly defined on Workstations ?

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing - and press number

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear walkways - Forklift ways + respect of road signs

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Presence of secure stepladder with hand ramp - Straight ladder is not used

  OK

  NOK

  N/A

• Is there a procedure Lock In Lock out in place (Energy is stopped) ? Is it applied ?

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Injection - Production area n°2

• Does Injection - Production area n°2 is applicable ? in case, there is two Workshop

  YES

  NO

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE Definition - Does PPE are clearly defined on Workstations ?

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing - and press number

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear walkways - Forklift ways + respect of road signs

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Presence of secure stepladder with hand ramp - Straight ladder is not used

  OK

  NOK

  N/A

• Is there a procedure Lock In Lock out in place (Energy is stopped) ? Is it applied ?

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Grinding Area

• Does Grinding applicable in this plant ?

  YES

  NO

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Special Machine at risk

  Select OK NOK N/A

  • OK
  • NOK
  • N/A

• Others risks not listed

  NOK

  NA

Assembly Workshop n°1

• Does Assembly Workshop n°1 applicable ? only for Workshop dedicate for Assy

  YES

  NO

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE Definition - Does PPE are clearly defined on Workstations ?

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing - and press number

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear walkways - Forklift ways + respect of road signs

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Is there a procedure Lock In Lock out in place (Energy is stopped) ? Is it applied ?

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Assembly Workshop n°2

• Does Assembly Workshop n°2 applicable ? only for Workshop dedicate for Assy

  YES

  NO

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE Definition - Does PPE are clearly defined on Workstations ?

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing - and press number

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear walkways - Forklift ways + respect of road signs

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Is there a procedure Lock In Lock out in place (Energy is stopped) ? Is it applied ?

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Quality Wall area n°1

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE Definition - Does PPE are clearly defined on Workstations ?

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing - and press number

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear walkways - Forklift ways + respect of road signs

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Quality Wall Area n°2

• Does Quality Wall Area n°2 Applicable ?

  YES

  NO

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE Definition - Does PPE are clearly defined on Workstations ?

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing - and press number

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear walkways - Forklift ways + respect of road signs

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Painting Line

• Does Painting Line applicable ?

  YES

  NO

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE Definition - Does PPE are clearly defined on Workstations ?

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing - and press number

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear walkways - Forklift ways + respect of road signs

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Is there a procedure LOTO in place (Energy is stopped) ? Is it applied ?

  OK

  NOK

  N/A

• Is the ATEX zone is identified ? is Safety rules are identified and known ?

  OK

  NOK

  N/A

• Stock for Dangerous product

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Reception area

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing

  OK

  NOK

  N/A

• Safety belt wearing - Forklift concerned

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear walkways - Forklift ways + respect of road signs

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Is there specific rules, area for trucks driver ?

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Shipping area

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing

  OK

  NOK

  N/A

• Safety belt wearing - Forklift concerned

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear walkways - Forklift ways + respect of road signs

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Is there specific rules, area for trucks driver ?

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Stock - Raw Material

• Does Raw Material Stock applicable in this section ? This section can be checked in Injection Production area.

  YES

  NO

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing

  OK

  NOK

  N/A

• Safety belt wearing - Forklift concerned

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear Walkways - Forklift Ways + respect of road signs

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Storage rack damage or protection damage or missing

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Presence of secure stepladder with hand ramp - Straight ladder is not used

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Stock - Semi finished

• Does Semi-finished stock applicable ?

  YES

  NO

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing

  OK

  NOK

  N/A

• Safety belt wearing - Forklift concerned

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear walkways - Forklift ways + respect of road signs

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Storage rack damage or protection damage or missing

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Presence of secure stepladder with hand ramp - Straight ladder is not used

  NOK

  NA

• Others risks not listed

  NOK

  NA

Stock - Finished goods

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing

  OK

  NOK

  N/A

• Safety belt wearing - Forklift concerned

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Clear walkways - Forklift ways + respect of road signs

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Storage rack damage or protection damage or missing

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Presence of secure stepladder with hand ramp - Straight ladder is not used

  NOK

  NA

• Others risks not listed

  NOK

  NA

Maintenance - Technical Center

• Does Maintenance - Technical Center applicable ?

  YES

  NO

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing

  OK

  NOK

  N/A

• Safety belt wearing - Forklift concerned

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Storage rack damage or protection damage or missing

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakageOthers risks not listed

  OK

  NOK

  N/A

• Is there empowerment matrix (Electricity, Load handling, Special Machine...) ? - is it up to date ?

  OK

  NOK

  N/A

• Is there a procedure Lock In Lock out in place (Energy is stopped) ? Is it applied ?

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Maintenance - Production - Tools & Machines

• Safety Information area - KPI displayed, updated

  OK

  NOK

  N/A

• PPE usage - precise which PPE is not used or missing

  OK

  NOK

  N/A

• Safety belt wearing - Forklift concerned

  OK

  NOK

  N/A

• Fire hoses & extinguishers availability - zebra on the floor - Clear Emergency exit

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Storage rack damage or protection damage or missing

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakageOthers risks not listed

  OK

  NOK

  N/A

• Is there empowerment matrix (Electricity, Load handling, Special Machine...) ? - is it up to date ?

  OK

  NOK

  N/A

• Is there a procedure Lock In Lock out in place (Energy is stopped) ? Is it applied ?

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Waste Area

• PPE usage - precise which PPE is not used or missing

  OK

  NOK

  N/A

• Safety belt wearing - Forklift concerned

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA

Reception, Shipping, Parking area

• PPE usage - precise which PPE is not used or missing

  OK

  NOK

  N/A

• Safety belt wearing - Forklift concerned

  OK

  NOK

  N/A

• Traffic Signage compliant ?

  OK

  NOK

  N/A

• Clear walkways - Forklift ways + respect of road signs

  OK

  NOK

  N/A

• Stacking rules applied

  OK

  NOK

  N/A

• Safety risk according 5S compliance

  OK

  NOK

  N/A

• Cleanliness : oil, water and plastic pellets leakage

  OK

  NOK

  N/A

• Others risks not listed

  NOK

  NA