Health & Safety Area & Behavioral

• Audit Title

• Conducted on

  Date

• Prepared by

• Location

  Select

• Personnel (Supervisor/ Team Leader at time of this inspection)

FLOOR

• Are gangways clear of obstruction?

  Yes

  No

  N/A

• All items are removed from the floor (Everything on wheels or machines)?

  Yes

  No

  N/A

• Are the equipment/materials stored in the correct locations?

  Yes

  No

  N/A

• Are work areas clean and free of rubbish?

  Yes

  No

  N/A

• Are floor surfaces free of liquid spills?

  Yes

  No

  N/A

• Is the Fire Exits easy accessible?

  Yes

  No

  N/A

• Are pallets/ pallet trucks stored correctly? Not left in walkways etc.

  Yes

  No

  N/A

EQUIPMENT/MACHINERY

• Are guards in good condition and working or closed?

  Yes

  No

  N/A

• Are the cables, ancillary equipment & Hoovers stored correctly? Not posing any threat (Trips etc.)

  Yes

  No

  N/A

• Is machinery/equipment kept clean?

  Yes

  No

  N/A

• Are the floors around the machines kept clean?

  Yes

  No

  N/A

• Are machines free from damage?

  Yes

  No

  N/A

• Is the fire equipment not obstructed & readily available?

  Yes

  No

  N/A

• Are ladders- serviceable/stored correctly?

  Yes

  No

  N/A

• Are tools & fixtures stored correctly/safely?

  Yes

  No

  N/A

• Ovens are clean inside (no debris or old tags on turntable or around)

  Yes

  No

  N/A

SAFETY/GENERAL

• Are scissors, knives and tools, stored correctly?

  Yes

  No

  N/A

• Are hazardous materials stored correctly?

  Yes

  No

  N/A

• Are contamination measures being adhered to?

  Yes

  No

  N/A

• Are lights clean & working?

  Yes

  No

  N/A

• Are all related documents filled properly (Pre start-up checks, Training)

  Yes

  No

  N/A

• Areas free from any broken glass or any broken hard plastics?

  Yes

  No

  N/A

• Safety Signage in place and in good condition

  Yes

  No

  N/A

• Areas are free from other observed issues?

  Yes

  No

  N/A

BEHAVIOURAL

• Is eye protection worn where required?

  Yes

  No

  N/A

• Is hearing protection worn in designated areas?

  Yes

  No

  N/A

• Is respiratory protection avaliable to be worn where dust is present?

  Yes

  No

  N/A

• Are high-vis vests or clothing worn at all times where required?

  Yes

  No

  N/A

• Employee demonstrates general awareness of job hazards?

  Yes

  No

  N/A

• The employee is demonstrating safe work procedures (SSoW)?

  Yes

  No

  N/A

• Employee worksite is not causing environmental issues to building occupants?

  Yes

  No

  N/A

• The employee using available resources (tools, machines) as indented?

  Yes

  No

  N/A

• Employee is demonstrating proper ergonomic movements during activities? (Lifting, bending, twisting etc.)

  Good

  Fair

  Poor

  N/A

• The employee does not pose a threat with their behavior when using machines?

  Yes

  No

  N/A

• Have any close calls been raised from the audit

  No close calls

  Close call risen

  N/A

• Have any improvement been identified

  Yes

  No

  N/A

• Auditor

  Sign

• Auditee

  Sign