Title Page
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Production Area
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Site
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Conducted on
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Completed by
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Additional Personnel Completing the Audit
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Observation Process
Make everyone aware of your presence as an observer.
Be positive
Suggested dialog with the employees;
- The worst imaginable that could happen?
- The Safer way to perform the task?
- If it goes wrong, what are the potential consequences?
Agreement regarding the observations
Follow up with the safety committee member or other responsible person
Thank everyone for their time. -
Observation Catagories
Start with the points from the PCI walk questionnaire
- Observe peoples reactions
- Personal protective equipment (PPE)
- Tools and equipment
- Procedures and standards
- Order / 5S
- Safety Rules -
Ranking risk in this audit.
When asked to rank the risk of a spotted hazard think, what is the worst imaginable that could happen?
Low = First aid incident or near miss
Mediium = JWIR injury or LWD Injury
High = Major injury or worse
A. General Workplace Conditions
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1. 2. Floors (walking & working surfaces) aisles, passageways
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If No: Action taken or recommendation
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Rank the risk before action taken
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4. SQDCI and Notice Boards
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Action taken or recommendation
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Rank the risk before action taken
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6. 7. Stairs, Steps and Ladders.
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Action taken or recommendation
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Rank the risk before action taken
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8. Exits and Emergency Escape Routes.
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Action taken or recommnendation
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Rank the risk before action taken
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9. Roadways and External Walkways
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Action taken or recommendation
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Rank the risk before action taken
B. Facilities
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14. Ergonomic / Workstation Design
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If No: Action taken or recommendation
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Rank the risk before action taken
C. Materials
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15. Stacking and storage
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If No: Action taken or recommendation
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Rank the risk before action taken
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16. Chemical storage and spill protection
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Action taken or recommnendation
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Rank the risk before action taken
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18. Waste disposal, bins and containers
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Action taken or recommendation
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Rank the risk before action taken
D. Equipment
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19. Hand tools and portable equipment
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Action taken or recommendation
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Rank the risk before action taken
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20. Machinery and guarding
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Action taken or recommnendation
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Rank the risk before action taken
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21. Powered industrial trucks
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Action taken or recommendation
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Rank the risk before action taken
E. Hazard Controls
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29. Lock out / tag out procedures in place / used
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If No: Action taken or recommendation
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Rank the risk before action taken
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30. Permit for hot work
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Action taken or recommendation
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Rank the risk before action taken
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31. 32. Signs and labels for PPE, chemicals, materials, waste
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Action taken or recommendation
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Rank the risk before action taken
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33. Warning systems - blue spot, flashers, etc.
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Action taken or recommnendation
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Rank the risk before action taken
F. Emergency Systems
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36. Eye Wash
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Action taken or recommnendation
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Rank the risk before action taken
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37. First Aid cabinets and rooms
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Action taken or recommendation
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Rank the risk before action taken
G. Protective Equipment Compliance
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38. Eye protection
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If No: Action taken or recommendation
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Rank the risk before action taken
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39. Ear protection
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Action taken or recommendation
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Rank the risk before action taken
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40. Respiratory protection
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Action taken or recommendation
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Rank the risk before action taken
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41. Head protection
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Action taken or recommnendation
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Rank the risk before action taken
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42. Hand and arm protection
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Action taken or recommendation
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Rank the risk before action taken
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42. Hand and arm protection
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Action taken or recommendation
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Rank the risk before action taken
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43. Foot protection
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Action taken or recommendation
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Rank the risk before action taken
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44. Body protection including workwear
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Action taken or recommendation
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Rank the risk before action taken
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45. Fall protection
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Action taken or recommendation
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Rank the risk before action taken
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Sign when audit complete
