Information

  • Document Number

  • Prepared by

General work place

  • Are floors in good condition, free from slip trip hazards

  • Describe corrective action

  • Are walkways clean and free from slip trip hazards

  • Describe corrective action

  • Are all loading bays clear and in good condition

  • Describe corrective action

  • Are all containers stored off the floor thus preventing trip hazards

  • Describe corrective action

  • Is floor cleaning equipment readily available for clearing spillages

  • Describe corrective action

  • Are work stations so organised that allows user to operate safely

  • Describe corrective action

  • Are workplace transport procedures being observed

  • Are correct waste segregation protocols being followed

  • Describe corrective action

Fire & Emergency Provisions

  • Are fire exits clear of obstructions

  • Describe corrective action

  • Are fire extinguishers kept free from obstruction (1-metre exclusion zone), in their correct storage location, undamaged, fully laden and in date

  • Describe corrective action

  • Are emergency spill kits present and suitably stocked

  • Describe corrective action

PPE

  • Are hi-vis & correct PPE worn

  • Describe corrective action

  • Is safety footwear being worn and soles in good condition

  • Describe corrective action

  • Are safety gloves being worn and in good condition, I.e. fingers not cut off

  • Describe corrective action

Manual & Mechanical Handling

  • Are good manual handling techniques being observed

  • Describe corrective action

  • Are manual handling aids being used as provided for

  • Describe corrective action

  • Is there any lifting above shoulder height being observed

  • Describe corrective action

Hazardous substances

  • Are hazardous substances stored and secured to prevent unauthorised use

  • Describe corrective action

  • Are containers used for decanting displaying same label as original container

  • Describe corrective action

Facilities

  • Is there good general illumination, any missing or faulty loading bay lamps

  • Describe corrective action

Workplace Transport

  • Are Daily Prestart checks undertaken on the Forklift

  • Describe corrective action

Racking & general storage

  • Racking system secure & undamaged

  • Describe corrective action

  • Pallets stable and secure

  • Describe corrective action

  • Empty pallets stacked securely and stable

  • Describe corrective action

  • Damaged racking isolated and warning signs in place

  • Describe corrective action

  • Site Photos

  • Signature

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.