Information
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Document Number
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Prepared by
General work place
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Are floors in good condition, free from slip trip hazards
- Compliant
- Non-Compliant
- Corrective Action
- N/A
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Describe corrective action
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Are walkways clean and free from slip trip hazards
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Describe corrective action
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Are all loading bays clear and in good condition
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Describe corrective action
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Are all containers stored off the floor thus preventing trip hazards
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Describe corrective action
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Is floor cleaning equipment readily available for clearing spillages
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Describe corrective action
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Are work stations so organised that allows user to operate safely
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Describe corrective action
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Are workplace transport procedures being observed
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Are correct waste segregation protocols being followed
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Describe corrective action
Fire & Emergency Provisions
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Are fire exits clear of obstructions
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Describe corrective action
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Are fire extinguishers kept free from obstruction (1-metre exclusion zone), in their correct storage location, undamaged, fully laden and in date
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Describe corrective action
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Are emergency spill kits present and suitably stocked
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Describe corrective action
PPE
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Are hi-vis & correct PPE worn
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Describe corrective action
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Is safety footwear being worn and soles in good condition
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Describe corrective action
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Are safety gloves being worn and in good condition, I.e. fingers not cut off
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Describe corrective action
Manual & Mechanical Handling
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Are good manual handling techniques being observed
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Describe corrective action
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Are manual handling aids being used as provided for
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Describe corrective action
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Is there any lifting above shoulder height being observed
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Describe corrective action
Hazardous substances
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Are hazardous substances stored and secured to prevent unauthorised use
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Describe corrective action
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Are containers used for decanting displaying same label as original container
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Describe corrective action
Facilities
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Is there good general illumination, any missing or faulty loading bay lamps
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Describe corrective action
Workplace Transport
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Are Daily Prestart checks undertaken on the Forklift
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Describe corrective action
Racking & general storage
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Racking system secure & undamaged
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Describe corrective action
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Pallets stable and secure
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Describe corrective action
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Empty pallets stacked securely and stable
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Describe corrective action
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Damaged racking isolated and warning signs in place
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Describe corrective action
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Site Photos
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Signature