Mission Zero EHS Gemba Checklist

• 

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Welcome to the EHS audit system, please fill out the following questions in a complete manner. When you complete the EHS audit checklist, please share the audit report with area supervisor & EHS department. Thank you for being part of our continuous improvement journey.

• Could you please select gemba area?

  Select Primary Production TF1 Secondary Mid Speed Factory TF2-4 Secondary High Speed Factory TF3 Secondary Seal Factory MQA Laboratory AQA Laboratory Primary QA Laboratory Warehouse Canteen Security Operations Secodary Support Group WWTP Office

  • Primary Production
  • TF1 Secondary Mid Speed Factory
  • TF2-4 Secondary High Speed Factory
  • TF3 Secondary Seal Factory
  • MQA Laboratory
  • AQA Laboratory
  • Primary QA Laboratory
  • Warehouse
  • Canteen
  • Security Operations
  • Secodary Support Group
  • WWTP
  • Office

1.0 - Fire Prevention

• 1.1 - Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• 1.2 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  Yes

  No

  N/A

• 1.3 - Extinguishers clear of obstructions?

  Yes

  No

  N/A

• 1.4 - Adequate direction notices for fire exits?

  Yes

  No

  N/A

• 1.5 - Exit doors easily opened from inside?

  Yes

  No

  N/A

• 1.6 - Exits clear of obstructions?

  Yes

  No

  N/A

2.0 - Building Safety

• 2.1 - Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• 2.2 - Entry and walkways kept clear?

  Yes

  No

  N/A

• 2.3 - Walkways adequately and clearly marked?

  Yes

  No

  N/A

3.0 - Waste Separation / Collection

• 3.1 - Bins located at suitable points around site?

  Yes

  No

  N/A

• 3.2 - Waste segregated properly?

  Yes

  No

  N/A

4.0 - Machines

• 4.1 - Guards in good condition?

  Yes

  No

  N/A

• 4.2 - Starting and stopping devices within easy reach of operator?

  Yes

  No

  N/A

• 4.3 - Operators trained/inducted into the operation of the machines?

  Yes

  No

  N/A

• 4.4 - Are lockout procedures implemented and followed?

  Yes

  No

  N/A

5.0 - Electrical Safety

• 5.1 - Safety switches in good condition and operational?

  Yes

  No

  N/A

• 5.2 - No broken plugs, sockets or switches?

  Yes

  No

  N/A

• 5.3 - No power leads across walkways?

  Yes

  No

  N/A

• 5.4 - Electrical cabinets locked?

  Yes

  No

  N/A

• 5.5 - Electrical cabinets clear of obstructions?

  Yes

  No

  N/A

6.0 - Chemical Safety

• 6.1 - Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• 6.2 - All containers labelled correctly?

  Yes

  No

  N/A

• 6.3 - If applicable are special storage conditions followed?

  Yes

  No

  N/A

• 6.4 - Eye washes and showers easily accessed and operationel?

  Yes

  No

  N/A

7.0 Ladders

• 7.1 - Are ladders in good condition?

  Yes

  No

  N/A

8.0 - First Aid Facilities

• 8.1 - Are emergency numbers displayed?

  Yes

  No

  N/A

9.0 - PPE

• 9.1 - If required proper PPE available?

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign