Information

  • Essentra Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel involved in the safety walk

HOUSE KEEPING HAZARDS

  • The site have good 5S (clean, no clutter, no littering, tool/equipment stored orderly, no obstruction on walkway, no standing water )?

  • Corrective Action Required :

  • Corrective action target date

HAZARDOUS ENERGY (LOTO)

  • Are LOCKS-TAGS being used for hazardous energy being use for repair and maintenance work ?

  • Corrective Action Required :

  • Select date

Electrical Safety

  • Electrical panels kept closed and unblocked ?Electrical wiring observed are safe - no exposed wires, dangling wires ? Extension cords not being used in shop floor ?

  • Corrective Action Required

  • Corrective action target date

Machine Guard

  • Machine guards in place and closed ? Missing Guards ? Interlock functional ?

  • Corrective Action Required :-

  • Corrective action target date

WORKING AT HEIGHTS

  • Safe conditions (proper ladder, platform, inspections done ) /practices ( use of permit, use of Harness /fall protection equipment observed ??

  • Corrective Action Required

  • Corrective Action Target Date

HAND SAFETY

  • Are hand tools used in safe conditions ? Correct tools being used ? Tools are stored orderly ? Are PPE used to protect hand injuries ?

  • Corrective Action Required:

  • Corrective action target date

EMPLOYEE PRACTICES (PPE)

  • Are you employees using proper PPE ? Correct PPE being used ? PPE in good conditions ?

  • Corrective Action Required:-

  • Corrective Action Target date

Fire Protection

  • Are fire exits, fire extinguishers, fire alarms, fire hoses clear of any obstruction ? Inspections of fire protection equipment done regulartly

  • Corrective Action Required:-

  • Corrective Action target date

  • Is flammable liquid being stored properly ( e.g. flammable cabinet)

  • Corrective Action Required :-

  • Corrective Action Target date

CHEMICAL USE

  • Are chemical containers being stored properly ? ( proper segregation of hazardous chemicals, secondary containment available , good ventilation, spill kits available, proper chemical labelling)

  • Corrective Action Required:-

  • Corrective Action Target Date

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.