Hovingham Monthly Farm Walk - General Workplace and Maintenance Inspection

• Conducted on

  Date

• Prepared by

• Location

  Select

undefined

• Yes

  No

  N/A

Previous inspection

• Has the last inspection been reviewed?

  Yes

  No

  N/A

• Are there outstanding actions?

  Yes

  No

  N/A

FARM OFFICE

Fire Prevention

• Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguishers recently serviced?

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

• Emergency exit doors easily opened?

  Yes

  No

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

General Lighting

• Light fittings clean and in good condition?

  Yes

  No

  N/A

• Emergency exit lighting operable?

  Yes

  No

  N/A

• Work areas have no burnt-out lights.

  Yes

  No

  N/A

Building Structure

• Guttering: In tact, not leaking, not blocked, clips in place and leading to a clear drain?

  Good

  Fair

  Poor

  N/A

• Columns in good condition, undamaged, secured to the ground?

  Good

  Fair

  Poor

  N/A

• Columns visible outside have reflective markers for low light levels?

  Good

  Fair

  Poor

  N/A

• Rafters and bracings in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Purlins in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Any windows / skylights are secured into the framework and clean for providing light?

  Good

  Fair

  Poor

  N/A

• Walls: All paneling, brickwork, partitioning in a good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Roofing: All elements of the roof are in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• The flooring within the building is level and undamaged?

  Good

  Fair

  Poor

  N/A

• Any elements that are damaged have safety signage prominently displayed until the issue can be remedied?

  Good

  Fair

  Poor

  N/A

Building Safety

• Clear signage on the exterior of buildings with permission of entry?

  Yes

  No

  N/A

• Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Entry and walkways kept clear?

  Yes

  No

  N/A

• Emergency plan clearly visible and filled in?

  Yes

  No

  N/A

• HSAW poster clearly visible and filled in?

  Yes

  No

  N/A

• Are liquid spills removed quickly?

  Yes

  No

  N/A

• Insurance Certificate and Policy Statement on display?

  Yes

  No

  N/A

• Doors open and close correctly and have means of being secured?

  Yes

  No

  N/A

• Pedestrian segregation from vehicles when exiting all buildings

  Yes

  No

  N/A

• Signage with the Farm Rules and Safety information on display on the exterior of the building?

  Yes

  No

  N/A

Rubbish, Waste and Debris Removal

• Bins/skips located at suitable points around site?

  Yes

  No

  N/A

• Bins emptied regularly?

  Yes

  No

  N/A

• Signage on bins for the purpose?

  Yes

  No

  N/A

• Brooms, dustpans and brushes are available and stored neatly?

  Yes

  No

  N/A

• Is a shovel present for snow removal at the main entrance?

  Yes

  No

  N/A

• Is there salt on walk ways that are prone to forming ice on walkways?

  Yes

  No

  N/A

• Is there enough salt for at least 1 week of sub zero weather controls?

  Yes

  No

  N/A

Electrical Safety

• No broken plugs, sockets or switches?

  Yes

  No

  N/A

• Electrical extension cords and plugs are water proof?

  Yes

  No

  N/A

• No power leads across walkways?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• Electrical panels clear of obstruction by at least 3 ft on either side and infrastructure of the panel allowing for easy and ready access

  Compliant

  Non-Compliant

  N/A

First Aid Facilities

• Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• Are contents regularly checked?

  Yes

  No

  N/A

• No contents past their expiry date?

  Yes

  No

  N/A

• Cabinets clearly labelled?

  Yes

  No

  N/A

• Is there easy access to cabinets?

  Yes

  No

  N/A

• Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• Are first aiders available?

  Yes

  No

  N/A

• Are emergency numbers and farm address displayed?

  Yes

  No

  N/A

Office Hazards (Including Home Office)

• Condition of chairs?

  Yes

  No

  N/A

• Desks in good condition? (No damage.)

  Yes

  No

  N/A

• Screen Based Equipment positioned to prevent ergonomic strain?

  Yes

  No

  N/A

• Photocopiers in good condition?

  Yes

  No

  N/A

• Desks are clear of clutter and organized?

  Yes

  No

  N/A

WORKSHOP

Work Benches - Maintenance Shops

• Work benches clear of rubbish?

  Yes

  No

  N/A

• Tools not in use are kept in place?

  Yes

  No

  N/A

• No damaged hand tools in use?

  Yes

  No

  N/A

• No damaged power tools in use?

  Yes

  No

  N/A

• Work height correct for the type of work and the employee?

  Yes

  No

  N/A

• Ergonomic Mats avilable/used where static standing required to complete work tasks?

  Yes

  No

  N/A

• Grinders have shields in place?

  Yes

  No

  N/A

• PPE in good condition?

  Yes

  No

  N/A

• Safety Glasses used while conducting work?

  Yes

  No

  N/A

• Are clear trip hazards such as clutter, tools and rubbish left on floor, extension cords unsecured, etc.?

  Yes

  No

  N/A

• Oily rags and combustible refuse in covered metal containers?

  Yes

  No

  N/A

• Are gas cylinders and storage tanks, protected from accidental contact and secured?

  Yes

  No

  N/A

Building Safety

• Clear signage on the exterior of buildings with permission of entry?

  Yes

  No

  N/A

• Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Entry and walkways kept clear?

  Yes

  No

  N/A

• Emergency plan clearly visible and filled in?

  Yes

  No

  N/A

• Stairs kept clear?

  Yes

  No

  N/A

• HSAW poster clearly visible and filled in?

  Yes

  No

  N/A

• Are liquid spills removed quickly?

  Yes

  No

  N/A

• Insurance Certificate and Policy Statement on display?

  Yes

  No

  N/A

• Doors open and close correctly and have means of being secured?

  Yes

  No

  N/A

• Pedestrian segregation from vehicles when exiting all buildings

  Yes

  No

  N/A

Storage Design and Use

• Materials stored in racks and bins wherever possible?

  Yes

  No

  N/A

• Storage designed to minimise lifting problems?

  Yes

  No

  N/A

• Floors around racking clear of rubbish?

  Yes

  No

  N/A

• General condition of racks and pallets?

  Good

  Fair

  Poor

  N/A

• Racking displays weight capacity of the storage unit?

  Good

  Fair

  Poor

  N/A

Rubbish, Waste and Debris Removal

• Bins/skips located at suitable points around site?

  Yes

  No

  N/A

• Bins emptied regularly?

  Yes

  No

  N/A

• Signage on bins for the purpose?

  Yes

  No

  N/A

• Brooms, dustpans and brushes are available and stored neatly?

  Yes

  No

  N/A

Machinery

• Are they kept clean?

  Yes

  No

  N/A

• Are the floors around the machines kept clean?

  Yes

  No

  N/A

• Guards in good condition?

  Yes

  No

  N/A

• Starting and stopping devices within easy reach of operator?

  Yes

  No

  N/A

• Warning labels and Emergency Stops clearly displayed and in good condition?

  Good

  Fair

  Poor

  N/A

• Drip pans on floor to prevent spillage?

  Yes

  No

  N/A

• Organized and free of clutter, misc. items and rubbish?

  Yes

  No

  N/A

• Is lighting adequate?

  Yes

  No

  N/A

• Noise levels controlled?

  Yes

  No

  N/A

• Operators trained/inducted into the operation of the machines?

  Yes

  No

  N/A

• Have associates received applicable training?

  Yes

  No

  N/A

• Do operators comply with the training?

  Yes

  No

  N/A

• Are emergency stop procedures implemented and followed?

  Yes

  No

  N/A

Chemical Safety

• Hazardous Substance Register complete and available?

  Yes

  No

  N/A

• Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• Risk assessments completed for hazardous substances?

  Yes

  No

  N/A

• All containers labelled correctly?

  Yes

  No

  N/A

• Unused substances disposed of?

  Yes

  No

  N/A

• Are any items stored together that can react?

  Yes

  No

  N/A

• If applicable are special storage conditions followed?

  Yes

  No

  N/A

• Workers trained in the use of hazardous substances?

  Yes

  No

  N/A

• If required is PPE available?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Are eye washes and showers easily accessed and clear of obstruction?

  Yes

  No

  N/A

• Warning signs in place for chemical cages and cages are locked?

  Yes

  No

  N/A
Ladders

• Ladder Number

• Is the ladder certified with a legible label? (Non Household rated, check label.)

  Yes

  No

  N/A

• Steps / rungs? - Not loose, bent, cracked, missing. Free of slippery materials

  Yes

  No

  N/A

• Pail shelf: Not missing, loose, bent or stuck in the incorrect position?

  Yes

  No

  N/A

• Rails: Not loose, cracked, bent or missing. Free of slippery materials

  Yes

  No

  N/A

• For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

Electrical Safety

• No broken plugs, sockets or switches?

  Yes

  No

  N/A

• Electrical extension cords and plugs are water proof?

  Yes

  No

  N/A

• No power leads across walkways?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• Portable power tools in good condition?

  Yes

  No

  N/A

• Electrical panels clear of obstruction by at least 3 ft on either side and infrastructure of the panel allowing for easy and ready access

  Compliant

  Non-Compliant

  N/A

Fire Prevention

• Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguishers recently serviced?

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

• Emergency exit doors easily opened?

  Yes

  No

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

Building Structure

• Guttering: In tact, not leaking, not blocked, clips in place and leading to a clear drain?

  Yes

  No

  N/A

• Columns in good condition, undamaged, secured to the ground?

  Yes

  No

  N/A

• Columns visible outside have reflective markers for low light levels?

  Yes

  No

  N/A

• Rafters and bracings in good condition, undamaged and secure?

  Yes

  No

  N/A

• Purlins in good condition, undamaged and secure?

  Yes

  No

  N/A

• Any windows / skylights are secured into the framework and clean for providing light?

  Yes

  No

  N/A

• Walls: All paneling, brickwork, partitioning in a good condition, undamaged and secure?

  Yes

  No

  N/A

• Roofing: All elements of the roof are in good condition, undamaged and secure?

  Yes

  No

  N/A

• The flooring within the building is level and undamaged?

  Yes

  No

  N/A

• Doors open and close correctly and have means of being secured?

  Yes

  No

  N/A

• Any elements that are damaged have safety signage prominently displayed until the issue can be remedied?

  Yes

  No

  N/A

Building Safety

• Clear signage on the exterior of buildings with permission of entry?

  Yes

  No

  N/A

• Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Entry and walkways kept clear?

  Yes

  No

  N/A

• Walkways adequately and clearly marked?

  Yes

  No

  N/A

• Are liquid spills removed quickly?

  Yes

  No

  N/A

• Doors open and close correctly and have means of being secured?

  Yes

  No

  N/A

• Pedestrian segregation from vehicles when exiting all buildings

  Yes

  No

  N/A

First Aid Facilities

• Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• Are contents regularly checked?

  Yes

  No

  N/A

• No contents past their expiry date?

  Yes

  No

  N/A

• Cabinets clearly labelled?

  Yes

  No

  N/A

• Is there easy access to cabinets?

  Yes

  No

  N/A

• Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• Are first aiders available?

  Yes

  No

  N/A

• Are emergency numbers and farm address displayed?

  Yes

  No

  N/A

• Yes

  No

  N/A

undefined

STORAGE SHEDS / BUILDINGS

Building Safety

• Clear signage on the exterior of buildings with permission of entry?

  Yes

  No

  N/A

• Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Entry and walkways kept clear?

  Yes

  No

  N/A

• Walkways adequately and clearly marked?

  Yes

  No

  N/A

• Intersections kept clear of boxes, skids, vehicles, etc.?

  Yes

  No

  N/A

• Stairs kept clear?

  Yes

  No

  N/A

• Are liquid spills removed quickly?

  Yes

  No

  N/A

• Are hand railings and access ladders to roof tops in good condition?

  Yes

  No

  N/A

• Loading docks area clean and tidy?

  Yes

  No

  N/A

• Catwalks and work platforms have rails at 42" and are in good condition

  Yes

  No

  N/A

• Pedestrian segregation from vehicles when exiting all buildings

  Yes

  No

  N/A

Building Structure

• Guttering: In tact, not leaking, not blocked, clips in place and leading to a clear drain?

  Good

  Fair

  Poor

  N/A

• Columns in good condition, undamaged, secured to the ground?

  Good

  Fair

  Poor

  N/A

• Columns visible outside have reflective markers for low light levels?

  Good

  Fair

  Poor

  N/A

• Rafters and bracings in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Purlins in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Any windows / skylights are secured into the framework and clean for providing light?

  Good

  Fair

  Poor

  N/A

• Walls: All paneling, brickwork, partitioning in a good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Roofing: All elements of the roof are in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• The flooring within the building is level and undamaged?

  Good

  Fair

  Poor

  N/A

• Any elements that are damaged have safety signage prominently displayed until the issue can be remedied?

  Good

  Fair

  Poor

  N/A

Yard around the buildings

• Does the yard have sufficient exterior lighting for low light level and night working?

  Yes

  No

  N/A

• Is the surface of the yard level with no pot holes?

  Yes

  No

  N/A

• Is the surface of the yard clear of any hazards liable to create trips, slips and falls?

  Yes

  No

  N/A

• Is there sufficient safety signage indicating permissions to be on the yard, the speed vehicles must travel and procedures for guests?

  Yes

  No

  N/A

• Are vehicles, machinery and materials neatly stored and not causing an obstruction?

  Yes

  No

  N/A

• Are there barriers or mirrors in blind spots around buildings to prevent pedestrian and vehicle collisions?

  Yes

  No

  N/A

• Are all gates properly hung and easy to access and use? Do heavy gates have wheels to assist with movement?

  Yes

  No

  N/A

Machinery (Both fixed such as silos, and maneuverable such as Tractors, Balers, Flails etc)

• Are they kept clean?

  Yes

  No

  N/A

• Are the floors around the machines kept clean?

  Yes

  No

  N/A

• Guards in good condition?

  Yes

  No

  N/A

• Starting and stopping devices within easy reach of operator?

  Yes

  No

  N/A

• Warning labels and Emergency Stops clearly displayed and in good condition?

  Good

  Fair

  Poor

  N/A

• Drip pans on floor to prevent spillage?

  Yes

  No

  N/A

• Organized and free of clutter, misc. items and rubbish?

  Yes

  No

  N/A

• Is lighting adequate?

  Yes

  No

  N/A

• Noise levels controlled?

  Yes

  No

  N/A

• Operators trained/inducted into the operation of the machines?

  Yes

  No

  N/A

• Have associates received applicable training?

  Yes

  No

  N/A

• Do operators comply with the training?

  Yes

  No

  N/A

• Are emergency stop procedures implemented and followed?

  Yes

  No

  N/A

Fire Prevention

• Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguishers recently serviced?

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

• Emergency exit doors easily opened?

  Yes

  No

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

Electrical Safety

• No broken plugs, sockets or switches?

  Yes

  No

  N/A

• Electrical extension cords and plugs are water proof?

  Yes

  No

  N/A

• No power leads across walkways?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• Portable power tools in good condition?

  Yes

  No

  N/A

• Electrical panels clear of obstruction by at least 3 ft on either side and infrastructure of the panel allowing for easy and ready access

  Compliant

  Non-Compliant

  N/A

First Aid Facilities

• Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• Are contents regularly checked?

  Yes

  No

  N/A

• No contents past their expiry date?

  Yes

  No

  N/A

• Cabinets clearly labelled?

  Yes

  No

  N/A

• Is there easy access to cabinets?

  Yes

  No

  N/A

• Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• Are first aiders available?

  Yes

  No

  N/A

• Are emergency numbers and farm address displayed?

  Yes

  No

  N/A

• Yes

  No

  N/A

undefined

Ladders

• Ladder Number

• Is the ladder certified with a legible label? (Non Household rated, check label.)

  Yes

  No

  N/A

• Steps / rungs? - Not loose, bent, cracked, missing. Free of slippery materials

  Yes

  No

  N/A

• Pail shelf: Not missing, loose, bent or stuck in the incorrect position?

  Yes

  No

  N/A

• Rails: Not loose, cracked, bent or missing. Free of slippery materials

  Yes

  No

  N/A

• For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

Chemical Safety

• Hazardous Substance Register complete and available?

  Yes

  No

  N/A

• Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• Risk assessments completed for hazardous substances?

  Yes

  No

  N/A

• All containers labelled correctly?

  Yes

  No

  N/A

• Unused substances disposed of?

  Yes

  No

  N/A

• Are any items stored together that can react?

  Yes

  No

  N/A

• If applicable are special storage conditions followed?

  Yes

  No

  N/A

• Workers trained in the use of hazardous substances?

  Yes

  No

  N/A

• If required is PPE available?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Are eye washes and showers easily accessed and clear of obstruction?

  Yes

  No

  N/A

• Warning signs in place for chemical cages and cages are locked?

  Yes

  No

  N/A

Rubbish, Waste and Debris Removal

• Bins/skips located at suitable points around site?

  Yes

  No

  N/A

• Bins emptied regularly?

  Yes

  No

  N/A

• Signage on bins for the purpose?

  Yes

  No

  N/A

• Brooms, dustpans and brushes are available and stored neatly?

  Yes

  No

  N/A

GRAIN SHED

Fire Prevention

• Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguishers recently serviced?

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

• Emergency exit doors easily opened?

  Yes

  No

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

Rubbish, Waste and Debris Removal

• Bins/skips located at suitable points around site?

  Yes

  No

  N/A

• Bins emptied regularly?

  Yes

  No

  N/A

• Signage on bins for the purpose?

  Yes

  No

  N/A

• Brooms, dustpans and brushes are available and stored neatly?

  Yes

  No

  N/A

Machinery (Both fixed such as silos, and maneuverable such as Tractors, Balers, Flails etc)

• Are they kept clean?

  Yes

  No

  N/A

• Are the floors around the machines kept clean?

  Yes

  No

  N/A

• Guards in good condition?

  Yes

  No

  N/A

• Starting and stopping devices within easy reach of operator?

  Yes

  No

  N/A

• Warning labels and Emergency Stops clearly displayed and in good condition?

  Good

  Fair

  Poor

  N/A

• Drip pans on floor to prevent spillage?

  Yes

  No

  N/A

• Organized and free of clutter, misc. items and rubbish?

  Yes

  No

  N/A

• Is lighting adequate?

  Yes

  No

  N/A

• Noise levels controlled?

  Yes

  No

  N/A

• Operators trained/inducted into the operation of the machines?

  Yes

  No

  N/A

• Have associates received applicable training?

  Yes

  No

  N/A

• Do operators comply with the training?

  Yes

  No

  N/A

• Are emergency stop procedures implemented and followed?

  Yes

  No

  N/A
Ladders

• Ladder Number

• Is the ladder certified with a legible label? (Non Household rated, check label.)

  Yes

  No

  N/A

• Steps / rungs? - Not loose, bent, cracked, missing. Free of slippery materials

  Yes

  No

  N/A

• Pail shelf: Not missing, loose, bent or stuck in the incorrect position?

  Yes

  No

  N/A

• Rails: Not loose, cracked, bent or missing. Free of slippery materials

  Yes

  No

  N/A

• For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

Building Safety

• Clear signage on the exterior of buildings with permission of entry?

  Yes

  No

  N/A

• Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Entry and walkways kept clear?

  Yes

  No

  N/A

• Walkways adequately and clearly marked?

  Yes

  No

  N/A

• Intersections kept clear of boxes, skids, vehicles, etc.?

  Yes

  No

  N/A

• Stairs kept clear?

  Yes

  No

  N/A

• Are liquid spills removed quickly?

  Yes

  No

  N/A

• Are hand railings and access ladders to roof tops in good condition?

  Yes

  No

  N/A

• Loading docks area clean and tidy?

  Yes

  No

  N/A

• Pedestrian segregation from vehicles when exiting all buildings

  Yes

  No

  N/A

• Dust extraction in place? Extractors are regularly serviced and recorded?

  Yes

  No

  N/A

Building Structure

• Guttering: In tact, not leaking, not blocked, clips in place and leading to a clear drain?

  Good

  Fair

  Poor

  N/A

• Columns in good condition, undamaged, secured to the ground?

  Good

  Fair

  Poor

  N/A

• Columns visible outside have reflective markers for low light levels?

  Good

  Fair

  Poor

  N/A

• Rafters and bracings in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Purlins in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Any windows / skylights are secured into the framework and clean for providing light?

  Good

  Fair

  Poor

  N/A

• Walls: All paneling, brickwork, partitioning in a good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Roofing: All elements of the roof are in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• The flooring within the building is level and undamaged?

  Good

  Fair

  Poor

  N/A

• Any elements that are damaged have safety signage prominently displayed until the issue can be remedied?

  Good

  Fair

  Poor

  N/A

General Lighting

• Light fittings clean and in good condition?

  Yes

  No

  N/A

• Emergency exit lighting operable?

  Yes

  No

  N/A

• Work areas have no burnt-out lights.

  Yes

  No

  N/A

Chemical Safety

• Hazardous Substance Register complete and available?

  Yes

  No

  N/A

• Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• Risk assessments completed for hazardous substances?

  Yes

  No

  N/A

• All containers labelled correctly?

  Yes

  No

  N/A

• Unused substances disposed of?

  Yes

  No

  N/A

• Are any items stored together that can react?

  Yes

  No

  N/A

• If applicable are special storage conditions followed?

  Yes

  No

  N/A

• Workers trained in the use of hazardous substances?

  Yes

  No

  N/A

• If required is PPE available?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Are eye washes and showers easily accessed and clear of obstruction?

  Yes

  No

  N/A

• Warning signs in place for chemical cages and cages are locked?

  Yes

  No

  N/A

Yard around the Grain storage

• Does the yard have sufficient exterior lighting for low light level and night working?

  Yes

  No

  N/A

• Is the surface of the yard level with no pot holes?

  Yes

  No

  N/A

• Is the surface of the yard clear of any hazards liable to create trips, slips and falls?

  Yes

  No

  N/A

• Is there sufficient safety signage indicating permissions to be on the yard, the speed vehicles must travel and procedures for guests?

  Yes

  No

  N/A

• Are vehicles, machinery and materials neatly stored and not causing an obstruction?

  Yes

  No

  N/A

• Are there barriers or mirrors in blind spots around buildings to prevent pedestrian and vehicle collisions?

  Yes

  No

  N/A

• Are all gates properly hung and easy to access and use? Do heavy gates have wheels to assist with movement?

  Yes

  No

  N/A

Electrical Safety

• No broken plugs, sockets or switches?

  Yes

  No

  N/A

• Electrical extension cords and plugs are water proof?

  Yes

  No

  N/A

• No power leads across walkways?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• Portable power tools in good condition?

  Yes

  No

  N/A

• Electrical panels clear of obstruction by at least 3 ft on either side and infrastructure of the panel allowing for easy and ready access

  Compliant

  Non-Compliant

  N/A

First Aid Facilities

• Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• Are contents regularly checked?

  Yes

  No

  N/A

• No contents past their expiry date?

  Yes

  No

  N/A

• Cabinets clearly labelled?

  Yes

  No

  N/A

• Is there easy access to cabinets?

  Yes

  No

  N/A

• Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• Are first aiders available?

  Yes

  No

  N/A

• Are emergency numbers and farm address displayed?

  Yes

  No

  N/A

LOGGING OPERATIONS

Fire Prevention

• Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguishers recently serviced?

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

• Emergency exit doors easily opened?

  Yes

  No

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

First Aid Facilities

• Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• Are contents regularly checked?

  Yes

  No

  N/A

• No contents past their expiry date?

  Yes

  No

  N/A

• Cabinets clearly labelled?

  Yes

  No

  N/A

• Is there easy access to cabinets?

  Yes

  No

  N/A

• Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• Are first aiders available?

  Yes

  No

  N/A

• Are emergency numbers and farm address displayed?

  Yes

  No

  N/A

Rubbish, Waste and Debris Removal

• Bins/skips located at suitable points around site?

  Yes

  No

  N/A

• Bins emptied regularly?

  Yes

  No

  N/A

• Signage on bins for the purpose?

  Yes

  No

  N/A

• Brooms, dustpans and brushes are available and stored neatly?

  Yes

  No

  N/A

Building Structure

• Guttering: In tact, not leaking, not blocked, clips in place and leading to a clear drain?

  Good

  Fair

  Poor

  N/A

• Columns in good condition, undamaged, secured to the ground?

  Good

  Fair

  Poor

  N/A

• Columns visible outside have reflective markers for low light levels?

  Good

  Fair

  Poor

  N/A

• Rafters and bracings in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Purlins in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Any windows / skylights are secured into the framework and clean for providing light?

  Good

  Fair

  Poor

  N/A

• Walls: All paneling, brickwork, partitioning in a good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Roofing: All elements of the roof are in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• The flooring within the building is level and undamaged?

  Good

  Fair

  Poor

  N/A

• Any elements that are damaged have safety signage prominently displayed until the issue can be remedied?

  Good

  Fair

  Poor

  N/A

Building Safety

• Clear signage on the exterior of buildings with permission of entry?

  Yes

  No

  N/A

• Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Entry and walkways kept clear?

  Yes

  No

  N/A

• Walkways adequately and clearly marked?

  Yes

  No

  N/A

• Intersections kept clear of boxes, skids, vehicles, etc.?

  Yes

  No

  N/A

• Stairs kept clear?

  Yes

  No

  N/A

• Are liquid spills removed quickly?

  Yes

  No

  N/A

• Are hand railings and access ladders to roof tops in good condition?

  Yes

  No

  N/A

• Loading docks area clean and tidy?

  Yes

  No

  N/A

• Catwalks and work platforms have rails at 42" and are in good condition

  Yes

  No

  N/A

• Pedestrian segregation from vehicles when exiting all buildings

  Yes

  No

  N/A

Machinery (Both fixed such as silos, and maneuverable such as Tractors, Balers, Flails etc)

• Are they kept clean?

  Yes

  No

  N/A

• Are the floors around the machines kept clean?

  Yes

  No

  N/A

• Guards in good condition?

  Yes

  No

  N/A

• Starting and stopping devices within easy reach of operator?

  Yes

  No

  N/A

• Warning labels and Emergency Stops clearly displayed and in good condition?

  Good

  Fair

  Poor

  N/A

• Drip pans on floor to prevent spillage?

  Yes

  No

  N/A

• Organized and free of clutter, misc. items and rubbish?

  Yes

  No

  N/A

• Is lighting adequate?

  Yes

  No

  N/A

• Noise levels controlled?

  Yes

  No

  N/A

• Operators trained/inducted into the operation of the machines?

  Yes

  No

  N/A

• Have associates received applicable training?

  Yes

  No

  N/A

• Do operators comply with the training?

  Yes

  No

  N/A

• Are emergency stop procedures implemented and followed?

  Yes

  No

  N/A

Logging storage

• Log stacks adequately segregated from all persons including the public?

  Yes

  No

  N/A

• Log stacks have clear warning signage?

  Yes

  No

  N/A

• Lumber stacks are neat and without risk of collapse?

  Yes

  No

  N/A

• Log baskets are neatly and correctly stacked without risk of collapse?

  Yes

  No

  N/A

Electrical Safety

• No broken plugs, sockets or switches?

  Yes

  No

  N/A

• Electrical extension cords and plugs are water proof?

  Yes

  No

  N/A

• No power leads across walkways?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• Portable power tools in good condition?

  Yes

  No

  N/A

• Electrical panels clear of obstruction by at least 3 ft on either side and infrastructure of the panel allowing for easy and ready access

  Compliant

  Non-Compliant

  N/A

Yards around logging operations including stacks

• Does the yard have sufficient exterior lighting for low light level and night working?

  Yes

  No

  N/A

• Is the surface of the yard level with no pot holes?

  Yes

  No

  N/A

• Is the surface of the yard clear of any hazards liable to create trips, slips and falls?

  Yes

  No

  N/A

• Is there sufficient safety signage indicating permissions to be on the yard, the speed vehicles must travel and procedures for guests?

  Yes

  No

  N/A

• Are vehicles, machinery and materials neatly stored and not causing an obstruction?

  Yes

  No

  N/A

• Are there barriers or mirrors in blind spots around buildings to prevent pedestrian and vehicle collisions?

  Yes

  No

  N/A

• Are all gates properly hung and easy to access and use? Do heavy gates have wheels to assist with movement?

  Yes

  No

  N/A

FARM TRACKS

Tracks and Public Rights of Way

• Is the surface of the farm tracks level with no pot holes?

  Yes

  No

  N/A

• Is the surface of the farm tracks clear of any hazards liable to create trips, slips and falls?

  Yes

  No

  N/A

• Is there sufficient safety signage indicating permissions to be on the tracks, where permissions end, the speed vehicles must travel and procedures for members of the public?

  Yes

  No

  N/A

• Are there barriers or mirrors in blind spots around buildings to prevent pedestrian and vehicle collisions?

  Yes

  No

  N/A

• Are all gates properly hung and easy to access and use? Do heavy gates have wheels to assist with movement?

  Yes

  No

  N/A

• Are all bridges crossing bodies of water in good condition?

  Yes

  No

  N/A

• Are all bridges crossing bodies of water or ditches signposted with reflective posts?

  Yes

  No

  N/A

FERTILISER SHED

Building Safety

• Clear signage on the exterior of buildings with permission of entry?

  Yes

  No

  N/A

• Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Entry and walkways kept clear?

  Yes

  No

  N/A

• Walkways adequately and clearly marked?

  Yes

  No

  N/A

• Intersections kept clear of boxes, skids, vehicles, etc.?

  Yes

  No

  N/A

• Stairs kept clear?

  Yes

  No

  N/A

• Are liquid spills removed quickly?

  Yes

  No

  N/A

• Are hand railings and access ladders to roof tops in good condition?

  Yes

  No

  N/A

• Loading docks area clean and tidy?

  Yes

  No

  N/A

• Pedestrian segregation from vehicles when exiting all buildings

  Yes

  No

  N/A

Building Structure

• Guttering: In tact, not leaking, not blocked, clips in place and leading to a clear drain?

  Good

  Fair

  Poor

  N/A

• Columns in good condition, undamaged, secured to the ground?

  Good

  Fair

  Poor

  N/A

• Columns visible outside have reflective markers for low light levels?

  Good

  Fair

  Poor

  N/A

• Rafters and bracings in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Purlins in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Any windows / skylights are secured into the framework and clean for providing light?

  Good

  Fair

  Poor

  N/A

• Walls: All paneling, brickwork, partitioning in a good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Roofing: All elements of the roof are in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• The flooring within the building is level and undamaged?

  Good

  Fair

  Poor

  N/A

• Any elements that are damaged have safety signage prominently displayed until the issue can be remedied?

  Good

  Fair

  Poor

  N/A

Fire Prevention

• Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguishers recently serviced?

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

• Emergency exit doors easily opened?

  Yes

  No

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

First Aid Facilities

• Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• Are contents regularly checked?

  Yes

  No

  N/A

• No contents past their expiry date?

  Yes

  No

  N/A

• Cabinets clearly labelled?

  Yes

  No

  N/A

• Is there easy access to cabinets?

  Yes

  No

  N/A

• Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• Are first aiders available?

  Yes

  No

  N/A

• Are emergency numbers and farm address displayed?

  Yes

  No

  N/A
Ladders

• Ladder Number

• Is the ladder certified with a legible label? (Non Household rated, check label.)

  Yes

  No

  N/A

• Steps / rungs? - Not loose, bent, cracked, missing. Free of slippery materials

  Yes

  No

  N/A

• Pail shelf: Not missing, loose, bent or stuck in the incorrect position?

  Yes

  No

  N/A

• Rails: Not loose, cracked, bent or missing. Free of slippery materials

  Yes

  No

  N/A

• For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

Electrical Safety

• No broken plugs, sockets or switches?

  Yes

  No

  N/A

• Electrical extension cords and plugs are water proof?

  Yes

  No

  N/A

• No power leads across walkways?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• Portable power tools in good condition?

  Yes

  No

  N/A

• Electrical panels clear of obstruction by at least 3 ft on either side and infrastructure of the panel allowing for easy and ready access

  Compliant

  Non-Compliant

  N/A

Outbuildings located around the fertiliser shed

• Clear signage on the exterior of buildings with permission of entry?

  Yes

  No

  N/A

• Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Entry and walkways kept clear?

  Yes

  No

  N/A

• Walkways adequately and clearly marked?

  Yes

  No

  N/A

• Intersections kept clear of boxes, skids, vehicles, etc.?

  Yes

  No

  N/A

• Stairs kept clear?

  Yes

  No

  N/A

• Are liquid spills removed quickly?

  Yes

  No

  N/A

• Are hand railings and access ladders to roof tops in good condition?

  Yes

  No

  N/A

• Loading docks area clean and tidy?

  Yes

  No

  N/A

• Pedestrian segregation from vehicles when exiting all buildings

  Yes

  No

  N/A

Yard around Fertiliser Shed

• Does the yard have sufficient exterior lighting for low light level and night working?

  Yes

  No

  N/A

• Is the surface of the yard level with no pot holes?

  Yes

  No

  N/A

• Is the surface of the yard clear of any hazards liable to create trips, slips and falls?

  Yes

  No

  N/A

• Is there sufficient safety signage indicating permissions to be on the yard, the speed vehicles must travel and procedures for guests?

  Yes

  No

  N/A

• Are vehicles, machinery and materials neatly stored and not causing an obstruction?

  Yes

  No

  N/A

• Are there barriers or mirrors in blind spots around buildings to prevent pedestrian and vehicle collisions?

  Yes

  No

  N/A

• Are all gates properly hung and easy to access and use? Do heavy gates have wheels to assist with movement?

  Yes

  No

  N/A

The Burn Heap

• Is the current burn heap located at least 10 metres away from any structure?

  Yes

  No

  N/A

• Are the contents of the heap complicit with the Estate's Environmental Policy?

  Yes

  No

  N/A

• CURRENT PHOTO OF BURN HEAP FROM 3 ANGLES

  Media

Rubbish, Waste and Debris Removal

• Bins/skips located at suitable points around site?

  Yes

  No

  N/A

• Bins emptied regularly?

  Yes

  No

  N/A

• Signage on bins for the purpose?

  Yes

  No

  N/A

• Brooms, dustpans and brushes are available and stored neatly?

  Yes

  No

  N/A

Chemical Safety

• Hazardous Substance Register complete and available?

  Yes

  No

  N/A

• Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• Risk assessments completed for hazardous substances?

  Yes

  No

  N/A

• All containers labelled correctly?

  Yes

  No

  N/A

• Unused substances disposed of?

  Yes

  No

  N/A

• Are any items stored together that can react?

  Yes

  No

  N/A

• If applicable are special storage conditions followed?

  Yes

  No

  N/A

• Workers trained in the use of hazardous substances?

  Yes

  No

  N/A

• If required is PPE available?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Are eye washes and showers easily accessed and clear of obstruction?

  Yes

  No

  N/A

• Warning signs in place for chemical cages and cages are locked?

  Yes

  No

  N/A

PIG SHEDS & OFFICE

Fire Prevention

• Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguishers recently serviced?

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

• Emergency exit doors easily opened?

  Yes

  No

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

First Aid Facilities

• Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• Are contents regularly checked?

  Yes

  No

  N/A

• No contents past their expiry date?

  Yes

  No

  N/A

• Cabinets clearly labelled?

  Yes

  No

  N/A

• Is there easy access to cabinets?

  Yes

  No

  N/A

• Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• Are first aiders available?

  Yes

  No

  N/A

• Are emergency numbers and farm address displayed?

  Yes

  No

  N/A

Office Hazards (Including Home Office)

• Condition of chairs?

  Yes

  No

  N/A

• Desks in good condition? (No damage.)

  Yes

  No

  N/A

• Screen Based Equipment positioned to prevent ergonomic strain?

  Yes

  No

  N/A

• Photocopiers in good condition?

  Yes

  No

  N/A

• Desks are clear of clutter and organized?

  Yes

  No

  N/A

Electrical Safety

• No broken plugs, sockets or switches?

  Yes

  No

  N/A

• Electrical extension cords and plugs are water proof?

  Yes

  No

  N/A

• No power leads across walkways?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• Portable power tools in good condition?

  Yes

  No

  N/A

• Electrical panels clear of obstruction by at least 3 ft on either side and infrastructure of the panel allowing for easy and ready access

  Compliant

  Non-Compliant

  N/A

Building Safety

• Clear signage on the exterior of buildings with permission of entry?

  Yes

  No

  N/A

• Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Entry and walkways kept clear?

  Yes

  No

  N/A

• Walkways adequately and clearly marked?

  Yes

  No

  N/A

• Intersections kept clear of boxes, skids, vehicles, etc.?

  Yes

  No

  N/A

• Stairs kept clear?

  Yes

  No

  N/A

• Are liquid spills removed quickly?

  Yes

  No

  N/A

• Are hand railings and access ladders to roof tops in good condition?

  Yes

  No

  N/A

• Loading docks area clean and tidy?

  Yes

  No

  N/A

• Catwalks and work platforms have rails at 42" and are in good condition

  Yes

  No

  N/A

• Pedestrian segregation from vehicles when exiting all buildings

  Yes

  No

  N/A

• Dust extraction in place?

  Yes

  No

  N/A

Building Structure

• Guttering: In tact, not leaking, not blocked, clips in place and leading to a clear drain?

  Good

  Fair

  Poor

  N/A

• Columns in good condition, undamaged, secured to the ground?

  Good

  Fair

  Poor

  N/A

• Columns visible outside have reflective markers for low light levels?

  Good

  Fair

  Poor

  N/A

• Rafters and bracings in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Purlins in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Any windows / skylights are secured into the framework and clean for providing light?

  Good

  Fair

  Poor

  N/A

• Walls: All paneling, brickwork, partitioning in a good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• Roofing: All elements of the roof are in good condition, undamaged and secure?

  Good

  Fair

  Poor

  N/A

• The flooring within the building is level and undamaged?

  Good

  Fair

  Poor

  N/A

• Any elements that are damaged have safety signage prominently displayed until the issue can be remedied?

  Good

  Fair

  Poor

  N/A

Pig Yard (including road condition)

• Does the yard have sufficient exterior lighting for low light level and night working?

  Yes

  No

  N/A

• Is the surface of the yard level with no pot holes?

  Yes

  No

  N/A

• Is the surface of the yard clear of any hazards liable to create trips, slips and falls?

  Yes

  No

  N/A

• Is there sufficient safety signage indicating permissions to be on the yard, the speed vehicles must travel and procedures for guests?

  Yes

  No

  N/A

• Are vehicles, machinery and materials neatly stored and not causing an obstruction?

  Yes

  No

  N/A

• Are there barriers or mirrors in blind spots around buildings to prevent pedestrian and vehicle collisions?

  Yes

  No

  N/A

• Are all gates properly hung and easy to access and use? Do heavy gates have wheels to assist with movement?

  Yes

  No

  N/A

Machinery (Both fixed such as silos, and maneuverable such as Tractors, Balers, Flails etc)

• Are they kept clean?

  Yes

  No

  N/A

• Are the floors around the machines kept clean?

  Yes

  No

  N/A

• Guards in good condition?

  Yes

  No

  N/A

• Starting and stopping devices within easy reach of operator?

  Yes

  No

  N/A

• Warning labels and Emergency Stops clearly displayed and in good condition?

  Good

  Fair

  Poor

  N/A

• Drip pans on floor to prevent spillage?

  Yes

  No

  N/A

• Organized and free of clutter, misc. items and rubbish?

  Yes

  No

  N/A

• Is lighting adequate?

  Yes

  No

  N/A

• Noise levels controlled?

  Yes

  No

  N/A

• Operators trained/inducted into the operation of the machines?

  Yes

  No

  N/A

• Have associates received applicable training?

  Yes

  No

  N/A

• Do operators comply with the training?

  Yes

  No

  N/A

• Are emergency stop procedures implemented and followed?

  Yes

  No

  N/A
Ladders

• Ladder Number

• Is the ladder certified with a legible label? (Non Household rated, check label.)

  Yes

  No

  N/A

• Steps / rungs? - Not loose, bent, cracked, missing. Free of slippery materials

  Yes

  No

  N/A

• Pail shelf: Not missing, loose, bent or stuck in the incorrect position?

  Yes

  No

  N/A

• Rails: Not loose, cracked, bent or missing. Free of slippery materials

  Yes

  No

  N/A

• For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

Rubbish, Waste and Debris Removal

• Bins/skips located at suitable points around site?

  Yes

  No

  N/A

• Bins emptied regularly?

  Yes

  No

  N/A

• Signage on bins for the purpose?

  Yes

  No

  N/A

• Brooms, dustpans and brushes are available and stored neatly?

  Yes

  No

  N/A

General Lighting

• Light fittings clean and in good condition?

  Yes

  No

  N/A

• Emergency exit lighting operable?

  Yes

  No

  N/A

• Work areas have no burnt-out lights.

  Yes

  No

  N/A

PEST CONTROL

• Number of days between visits by the pest control opererative?

• Are all vermin boxes currently in good working order?

  Yes

  No

  N/A

• Vermin bait is kept in a locked storage facility?

  Yes

  No

  N/A

REQUIRED WORKS TO BE SCHEDULED

• -

Provided Works Vehicle Condition

• Schedule maintenance performed?

  Yes

  No

  N/A

• Oil and washer fluid levels sufficient?

  Yes

  No

  N/A

• Condition of tyres?

  Good

  Fair

  Poor

  N/A

• Brakes in good condition?

  Yes

  No

  N/A

• Lights? (Check operation of brake, indicator and reversing lights)

  Yes

  No

  N/A

• Condition of drivers seat and seat belt?

  Good

  Fair

  Poor

  N/A

• Condition of other seats?

  Good

  Fair

  Poor

  N/A

Comments and Concerns

• Any related comments, infractions, non-compliance items can be documented here:

• Are there any new employees who require additional training?

  Yes

  No

  N/A

Change Management

• Is there any new or modified equipment in the department?

  Yes

  No

• Have there been any recent changes to the processes? i.e. equipment moved or relocated?

  Yes

  No

  N/A

• Was a Pre-start instruction on the use of new equipment completed?

  Yes

  No

  N/A

Contractor Safety Compliance

• Are there any contractor(s) in the department performing work?

  Yes

  No

• Has the contractor(s) signed in at the farm office?

  Yes

  No

  N/A

• Has the contractor(s) completed a contractor agreement prior to performing work?

  Yes

  No

  N/A

New Workers

• Are there any new workers?

  Yes

  No

• Name of Worker

• Did their supervisor complete an induction prior to the employee beginning work?

  Yes

  No

  N/A

• The associate must stop work immediately until a supervisor has trained the worker on hazards and their role within the farm.

• Does the worker know where to go in the event of an emergency (fire, violence, power outage, severe weather)?

  Yes

  No

  N/A

• Retrained the associate on their evacuation points - Associate initial

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• Are there any comments or concerns from the associate in regards to health and safety in the workplace?

  Yes

  No

• Comments:

Sign Off

• Farm Manager Signature

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