Eye round report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Observation

• Is the behaviour of all employees in line with company HSE policy?

  Goal Achieved

  Sufficient but needs improving

  Risks not under control

• Is the workplace clean & organised?

  Goal Achieved

  Sufficient but needs improving

  Risks not under control

• Is specified PPE worn as it should be?

  Goal Achieved

  Sufficient but needs improving

  Risks not under control

• Is PPE stored in a clean and safe place?

  Goal Achieved

  Sufficient but needs improving

  Risks not under control

• Are necessary tools stored in a clearly marked location and are they clean

  Goal Achieved

  Sufficient but needs improving

  Risks not under control

• Are liquid spillages dealt with in a fast and effective manner and do employees know what to do in the event of a spillages?

  Goal Achieved

  Sufficient but needs improving

  Risks not under control

• Are gas /fume spillages dealt with in a fast and effective manner ? Do employees know what to do in the event of a spillage or leak?

  Goal Achieved

  Sufficient but needs improving

  Risks not under control

• Is the lighting in a good working order? Are there any dead bulbs or flickering starters?

  Goal Achieved

  Sufficient but needs improving

  Risks not under control

• Are all emergency exists free of obstruction?

  Goal Achieved

  Sufficient but needs improving

  Risks not under control

• Is all fire fighting equipment in good working order and is it easily accessible?

  Goal Achieved

  Sufficient but needs improving

  Risks not under control

• Are all visual / information boards accurate & up to date? Has all out of date information been removed?

  Goal Achieved

  Sufficient but needs improving

  Risks not under control

• Is the lock out tag out system in active use and is the evidence that employees understand how to use it?

  Goal Achieved

  Sufficient but needs improving

  Risks not under control

• Is the permit to work system used correctly and do employees & contractors understand how to use it?<br>Please record the latest entry in the permit to work book so that it can be checked?

  Goal Achieved

  Sufficient but needs improving

  Risks not under control

Other observations during the walk the talk.

• Yes

  No

  N/A

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