Health & Safety Gap Analysis

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 Mindset (ZIP) Checkpoints

• Are fire exit doors/routes unobstructed?

  Yes

  No

  N/A

• Are personnel using the one way system?

  Yes

  No

  N/A

• Operators are trained to work on the workstation (check training files)<br><br>Choose a training file and ILU against reality on the shop floor.

  Yes

  No

  N/A

• Are location markings respected?

  Yes

  No

  N/A

• Are fire extinguishers unobstructed and unused?

  Yes

  No

  N/A

• Is there a reaction in case of leaks/spills

  Yes

  No

  N/A

• Are personnel working to the SOS

  Yes

  No

  N/A

• Is PPE worn correctly and in good condition?

  Yes

  No

  N/A

• Have operators performed the shifty safety checks?

  Yes

  No

  N/A

• Is waste being deposited in the appropriate containers?

  Yes

  No

  N/A

2.0 Objectives and Departmental Control checkpoints

• Shop Safety KTM exists and is in control and displayed?

  Yes

  No

  N/A

• Accident follow up is controlled?

  Yes

  No

  N/A

• Operators are aware of last accident within department?

  Yes

  No

  N/A

• Safety training exists for all team including E-Learning?

  Yes

  No

  N/A

• Safety is a topic in every start of shift brief?

  Yes

  No

  N/A

• Unsafe acts and violations of safety are recorded in fact files?

  Yes

  No

  N/A

• Risk assessments are controlled and reviewed every six months?

  Yes

  No

  N/A

• Operational assignment exists and all risks identified including non standard operations?

  Yes

  No

  N/A

• Company Policy, Vision and standards are displayed?

  Yes

  No

  N/A

• Safe objective is tracked and non conformance is actioned?

  Yes

  No

  N/A

3.0 Unsafe Acts & Their Control Checklist

• Specified PPE is identified at the workstation?

  Yes

  No

  N/A

• Fortress systems are identified within the area?

  Yes

  No

  N/A

• Only qualified operators, operate in prohibited and restricted areas. (E.g. Forklift, crane)

  Yes

  No

  N/A

• Forklift drivers operate accordingly and start of shift checks have been carried out?

  Yes

  No

  N/A

• Crane and sling checks are carried out shiftly?

  Yes

  No

  N/A

• All safety guards are operational?

  Yes

  No

  N/A

• Storage racks are identified with SWL and are not damaged?

  Yes

  No

  N/A

• There is no debris on the floor? (E.g. Injection moulding gates, nuts, bolts, oil etc)

  Yes

  No

  N/A

• All moving parts of machines are safeguarded?

  Yes

  No

  N/A

• All portable equipment is managed correctly? (Ladders, platforms)

  Yes

  No

  N/A

End of Audit

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