Line Safety/ Housekeeping Audit

• Zone

• Conducted on

  Date

• Audited by

• Add Action

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

Loader Platforms

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

1st Platform

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

Ground floor

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Observation

• Is it a Hazard?

  Yes

  No

• What Level is the Hazard?

  LOW

  MEDIUM

  HIGH

• Make Safe or Stop Work

• Is the fire exit route clear of obstructions?

  YES

  NO

• Make Safe or stop work

• Are all Fire Extinguishers in position and in date?

  YES

  NO

• Report straight away.

• Name of Operators involved

• Feedback given to operators involved?

• undefined

• Add signature

  Sign