Leadership Safety Walk

• Location

• Conducted on

  Date

• Other site representative(s)

Housekeeping

• Are walkways, floors and exits free of obstructions?

  Yes

  No

  N/A

• Are floor areas clean and clear of spills and stains?

  Yes

  No

  N/A

• Are all tools in correct locations?

  Yes

  No

  N/A

Electrical

• Are test and tag labels displayed within expiry date?

  Yes

  No

  N/A

• Are all electrical equipment and cables in good condition and kept tidy?

  Yes

  No

  N/A

• Are all electrical equipment turned off when not in use?

  Yes

  No

  N/A

Emergency

• Are you as a visitor aware of the site emergency procedures?

  Yes

  No

  N/A

• Can employees identify first aiders?

  Yes

  No

  N/A

• Is first aid equipment stocked and in good order and clearly visible?

  Yes

  No

  N/A

• Can employees identify their closest emergency exit at a glance?

  Yes

  No

  N/A

• Is the Fire Assembly Point operational?

  Yes

  No

  N/A

Manual Handling

• Are employees using good manual handling techniques?

  Yes

  No

  N/A

• Are employees using lifting equipment or lifting manually?

  Equipment

  Manually

Hazardous Materials

• Are employees aware of how to access Safety Data Sheet (SDS)?

  Yes

  No

  N/A

• Are chemicals / gas cylinders suitably labeled, secure and stored safely?

  Yes

  No

  N/A

• Are all substances labeled and secure, except when in use?

  Yes

  No

  N/A

General

• Are all personnel wearing suitable PPE for the area?

  Yes

  No

  N/A

• Are machine panels and guards in good condition and being used correctly?

  Yes

  No

  N/A

• Is the lighting sufficient, clean and in good working order?

  Yes

  No

  N/A

• Is all faulty and damaged furniture / equipment removed from the area?

  Yes

  No

  N/A

• Are all ladders secure and stored in the correct location?

  Yes

  No

  N/A

• Are operators having ergonomic issues?

  Yes

  No

  N/A

Communication with employee (Safety Walk & Talk)

• What are the three critical risks associated with the task?

• What controls are in place to mitigate the risks?

• Do you have any safety suggestions or concerns?

• Explain what actions can be implemented/taken for any concerns.

• Details of discussions held with employees/supervisors

Additional Comments

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Actions

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