Title Page

  • Document No.

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Inspection

  • Are all access ways clear?

  • Are all tags current on electrical leads and power tool?

  • Have all workers been inducted?

  • Is all safety signage posted and visible?

  • Are all workers using correct PPE and have they been given training in its use?

  • Are all electrical leads elevated from ground?

  • Have all mechanical lifting devices been inspected/serviced and are they fit for use?

  • Has forklift been serviced to manufactures standard?

  • Are toilets/change rooms in a clean hygienic state?

  • Does all fire fighting equipment (extinguishers and hose) current tagged?

  • does all machinery have guards attached to manufacturers standard?

  • Have dust extractors clean and fit for use?<br>

General comments

  • Insert any comments that may be relevant to audit

  • Safety representative signature

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