Title Page

  • Mng Safety tour (Quite leadership)

  • Done by:

  • Workplace:

  • Date:

Communication ways

  • Communications without obstacles?

Machinery Safety

  • Are covers on its place and functional?

  • Are regular checks / standards on machines carried out properly?

  • Put photos of 2 audited machines (to know the state)

Electrical safety

  • Are flexible distributions without knotting, screeching or making and obstacle in movement?

  • Are portable devices registered and checked?

  • Are switchboards prevented from dust?

Portable hand tools (mechanical)

  • Are hand tools without any damage (handle, striking/contact areas, hammer haft, ...)?

  • Are clear / designated spaces for storing hand tools??

Hazardous substances

  • Are all containers suitably labelled?

Work at height

  • Is there a barrier when difference of levels is > 0.5m?

  • Are ladders & stairs in good condition and checked 1x/3months?

Lifting equipment

  • Is lifting equipment registered and checked?

  • Is lifting equipment in good condition?

Manual handling

  • Are kept all the rules for forklift (safety belt, speed, stability of handled material, ...)?

  • IS a work performed in optimal height (no working on floor, hands above head, ...)?


  • Is material stored in stable condition?

  • Are racks in sound condiotion (no damage) and checked 1x/3months?


  • Are workers using defined PPE?

Fire Safety

  • Are flammables stores as far from the buildind as practicable (Ideally 10m)

  • Is accessible fire fighting equipment?

  • Are accessible main switches of energy sources?

  • Are sources of ignition out of contact/range of combustible material?

Visual management

  • Are equipment (tools, material, ...) stored on designated places?

  • Is a worklapce clean/tidy?

  • Put a photo of what do you like on audited workplace

  • Night shift check

  • Are closed doors against night noise transmission?

  • Are kept dessignated areas for smoking? - Check other dark places

  • Do people keep working hours (are they present on the workplaces or e.g. smoking instead of working)?

Talks to an employee - Safety requirements - min. 2 employees

  • Focus on employee thinking - key for longterm results, learning and growth. Areas: communication about H&S (controlling vs confidence), behavior and paradigm = mind map (understanding and keeping of rules, procedures), engangement in solution (team working). Ask questions like: How do you feel it? What could be an impact of? What do you need to improve ...? What could you do? How can we use this? See a chapter Safety behaviour.

  • Talk to:

  • Employee
  • Nme:

  • How long is he/she working in company? (years)

  • Type of talk

  • Topic:

  • Record of talk (what did we learn, what is a deal with an employee, fine, ...)

  • Description / photo of topic:

  • Add media

  • Record of talk (what did we learn, what is a deal with an employee, fine, ...)

  • Focus of talk

  • Thank you and I appreciate you for:

  • If you could change 1 think, what it will be?

  • What should be the impact of this on you and whole company?

  • What is he/she not keep? (PPE, procedures, inappropriate behaviour)

  • What are you doing and how is it set (rule, procedure ...)?

  • How you are doing it then? (Look at his/her reaction)

  • What could happen and what should be the impact of this on you and whole company??

  • What do you need to keep rules, do it right?

  • How can you use todays experience for your future? (Possible to make a deal you can talk about it at next time - if something has changed)

  • What is he/she "doesn´t see" (Somebody next to him/he don´t use PPE, material out of place, leakages, ...)

  • How long is it in this condition?

  • What is the impact on you and company?

  • What will you do to change it?

  • How would you proceed next time?

  • Personal feeling of an auditor

  • Signature

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.