Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Site Audit

PLAN FOR SAFETY - SITE IMPROVEMENT ACTIONS

  • Does site have posted PFZ commitment to safety

  • Does site have PFZ actions posted for Team tracking?

  • Stretch and Flex: Are RME teams attending daily stretch and flex activities

  • PPE: Do all RME teams have daily PPE on before beginning work: bumpcap, glasses, AF Daily Wear, EH rated shoes and Hi Vis Vest

  • Fit for Duty: Are all RME teams prepared for the physical work required of the day?

SAFETY

  • Communication Board: Is there an active communication board being used?

  • Acid Feeds: Is there an active acid feed with current ELS information?

  • Commitment to Safety: Is the 2023 ELS Leadership Commitment to Safety posted?

  • Escalation Chart: Does site have current ELS Escalation Organization Chart posted?

  • Contract Risk Management: Is the CRM quip created and being utilized?

  • Blue Shop Lock: Is there a active blue shop lock logbook being utilized? (Spot check logbook)

  • Emergency Action Plan: Does site have red binder for all emergency response actions and escalation call list

  • Other: Are there any additional safety concerns?

  • Best practices and improvements: What improvements/upgrades/best practices is the site working on?

MAINTENANCE CAGE AREA READINESS

  • Maintenance Cage: Is everything properly 5S'd?

  • Is a hard copy or digital copy 14 day work log of PM's available in the RME cage?

  • Cabinets/Tool boxes/Racking: Are cabinet, tool boxes and racking clean, organized and labeled?

  • Red Tag Area: Is there a defined Red Tag Area with Red Tags available? And all items identified with red tags?

  • Other: are there other MAINTENANCE CAGE work center space concerns?

MHE EQUIPMENT

  • Stickers/Labels: Do induct and take away conveyors have excessive build up of stickers and labels?

  • MHE Documentation: Are hard copy or digital copies of all manuals and drawings available?

  • Other: Are there any additional MHE Equipment concerns?

NON INSPECTION QUESTION

  • Engagement: Are RME teams attending GEMBA?

  • Site Feedback: Are there any issues or concerns with site RME performance?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.