GM WHSE OBSERVATION CHECKLIST

• The approach by the observer is to demonstrate the level of site compliance to PACT Group WHSE requirements
  

• Observer 1 Name:

• Observer 2 Name:

• Site: VIP East Tamaki

• Conducted on

  Date

• Form completed by:

• REMEMBER: THE STANDARD YOU SET IS THE STANDARD YOU GET.

NOTICE BOARDS

• Is the PACT standard notice board displayed and populated ?

  Select compliant non compliant

  • compliant
  • non compliant

• Enter Details

• PHOTO IF REQUIRED

  Media

• Are Hazard ID and Incident Report Forms available ?

  Select compliant non compliant

  • compliant
  • non compliant

• Enter Details

• PHOTO IF REQUIRED

  Media

WORK AREAS

• Are the work areas clean and tidy ? (Floor clean / rubbish put in the bin, unused equipment put away)

  Select compliant non compliant

  • compliant
  • non compliant

• Enter Details

• PHOTO IF REQUIRED

  Media

PEOPLE

• Is correct PPE being worn ? (Hearing protection, safety shoes, hi-viz, eye protection)

  Select compliant non compliant

  • compliant
  • non compliant

• Enter Details

• PHOTO IF REQUIRED

  Media

MANUAL HANDLING

• Are appropriate manual handling techniques being used ? (Correct lifting, not lifting above shoulder height etc.)

  Select compliant non compliant

  • compliant
  • non compliant

• Enter Details

• PHOTO IF REQUIRED

  Media

SOP's

• Are work instructions / standard operating procedures (SOP's) available in the area where the work is carried out ?

  Select compliant non compliant

  • compliant
  • non compliant

• Enter Details

• PHOTO IF REQUIRED

  Media

EQUIPMENT / PLANT

• Is equipment / plant in good condition ? (Machine guards in place, not damaged or inadequate, no exposed wires, broken terminals, plugs pulled out by cords, or extension leads / double adapters used)

  Select compliant non compliant

  • compliant
  • non compliant

• Enter Details

• PHOTO IF REQUIRED

  Media

ISOLATION

• Is there a lock out tag out station and register ?

  Select compliant non compliant

  • compliant
  • non compliant

• Enter Details

• PHOTO IF REQUIRED

  Media

MOBILE EQUIPMENT

• Is mobile equipment operated in a safe and controlled manner ? (Forklifts, overhead cranes, electric / handheld stackers)

  Select compliant non compliant

  • compliant
  • non compliant

• Enter Details

• PHOTO IF REQUIRED

  Media

CHEMICALS

• Are hazardous goods / chemical containers labelled and stored in a chemical store ?

  Select compliant non compliant

  • compliant
  • non compliant

• Enter Details

• PHOTO IF REQUIRED

  Media

EMERGENCY EXITS

• Are walkways and access to fire exits, extinguishers, switchboards clear ?

  Select compliant non compliant

  • compliant
  • non compliant

• Enter Details

• PHOTO IF REQUIRED

  Media

WASTE MANAGEMENT

• Is waste segregated and are bins labelled correctly ?

  Select compliant non compliant

  • compliant
  • non compliant

• Enter Details

• PHOTO IF REQUIRED

  Media

EXTERNAL AREA

• Is the external area (outside of factory) clean and tidy ? (Stormwater drains cleaned, storage areas bunded where required, no ground staining, no resin spills etc.)

  Select compliant non compliant

  • compliant
  • non compliant

• Enter Details

• PHOTO IF REQUIRED

  Media

Record Actions

• List corrective action required

• List any hazards or near miss incidents to be entered in Sustainavault

• Enter any hazards or near misses into Sustainavault

  YES

  NO

  N/A

• 
  http://secure.platinumsafety.com/kiosk/index?id=vat8ex11zzeg7j1mihd19fh3j5li76x6mnpjw7jn2jgqz0hnfxunfklqqb018ccr&cid=VISYGRP

OBSERVERS SIGNATURE

• Observer 1

  Sign

• Observer 2

  Sign