Manufacturing FSR - Manual Glass Lift and Patterned Manual Glass Lift

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location - (Description or Cell number)

  Select

• Lift type

  Manual Glass Lift

  Pattern Glass Lift

Documentation

• Are the Training Records of the Operator available and within date

  Yes

  No

• Operator Name

• STOP ACTIVITY IMMEDIATELY, escalate to Production Leader.

• Operator Name

• Is the Activities Risk Assessment in Date and Available?

  Yes

  No

• Risk Assessment Number & Issue Date

• STOP ACTIVITY IMMEDIATELY, escalate to Production Leader.

• Risk Assessment Number & Issue Date

Critical Controls

• Is the Operative carrying glass below head height?

  Yes

  No

• Operator Name

• Has the Operative got the relevant PPE worn. (E.g. Neck Collar Protection.)

  Yes

  No

• Operator Name

• Is TLV Process being followed?

  Yes

  No

• STOP ACTIVITY IMMEDIATELY, escalate to Production Leader.

• Names of Operatives and Weight of Unit

• Names of Operatives and Weight of Unit

• Is the Operative using mechanical aid where necessary?

  Yes

  No

  N/A

• STOP ACTIVITY IMMEDIATELY, escalate to Production Leader.

• Is PPE been worn in accordance to Risk Assessment?

  Yes

  No

• STOP ACTIVITY IMMEDIATELY, escalate to Production Leader.

• What PPE is not being worn?

• What PPE is being worn?

• Is the Operative aware of Safe Handling of Glass?

  Yes

  No

• Print Name & Sign

  Sign

• STOP ACTIVITY IMMEDIATELY, escalate to Production Leader.

• Risk Assessment Number

Process Control

• Are all activities carried out in accordance to risk assessment and Safe system of work

  Yes

  No

• STOP ACTIVITY IMMEDIATELY, escalate to Production Leader.

Achievement of Intended Outcome

• Based on the outcome of this audit, do you consider this activity to be controlled effectively to remove/reduce any Fatal/Severe risk to any person(s)?

  Yes

  No

Sign Off

• Signed

  Sign

• Date of signature

  Date