Mainenance Safety Tour

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Safety tour to be completed by the Engineering Manager and the Maintenance Team Leader/Assistants during maintenance periods at a frequency of once per week.
  

• Select date

  Date

• Select date

  Date

• Inspected By

Ongoing Maintenance Tasks

• Permit to Work Complete?

  Compliant

  Not Compliant

  Not Applicable

• Lock Off Procedure Complete?

  Compliant

  Not Compliant

  Not Applicable

• Correct PPE worn?

  Compliant

  Not Compliant

  Not Applicable

• Items/Equipment Stored Correctly

  Compliant

  Not Compliant

  Not Applicable

• Housekeeping Acceptable?

  Compliant

  Not Compliant

  Not Applicable

• Equipment in Good Order?

  Compliant

  Not Compliant

  Not Applicable

• Is Waste Managed Effectively?

  Compliant

  Not Compliant

  Not Applicable

Other Areas

• Machine Guarding?

  Compliant

  Not Compliant

  Not Applicable

• Correct PPE Worn?

  Compliant

  Not Compliant

  Not Applicable

• Items/Equipment Stored Correctly?

  Compliant

  Not Compliant

  Not Applicable

• Housekeeping Acceptable?

  Compliant

  Not Compliant

  Not Applicable

• Equipment in Good Order?

  Compliant

  Not Compliant

  Not Applicable

• Is Waste Being Managed Effectively?

  Compliant

  Not Compliant

  Not Applicable

• Comments/Findings