Modulo SOT V1.1 rev english

• SOT location

• By

• Date

  Date

• Notes

Category A: Use of personal protective equipment PPE

• A1: Are the areas on site where PPE is required properly marked or identified?

  Yes

  No

  N/A

• A2: Is PPE worn and properly used where required?

  Yes

  No

  N/A

• A3: Is required PPE available to all workers?

  Yes

  No

  N/A

Category B: Health and Safety risks

• B1: Are appropriate protections in place against electric power sources?

  Yes

  No

  N/A

• B2: Is there any risk of collision against cars or heavy vehicles?

  Yes

  No

  NA

• B3: Are cars or heavy vehicles driven in a dangerous way?

  Yes

  No

  NA

• B4: Is risk of fire present at workplace?

  Yes

  No

  NA

• B5: Are fire fighting equipment and evacuation routes easily accessible?

  Yes

  No

  N/A

• B6: Are incorrect postures adopted at work?

  Yes

  No

  NA

• B7: Do workers walk or work under hanging loads?

  Yes

  No

  NA

• B8: Is there the risk to fall down from unguarded areas?

  Yes

  No

  NA

Category C: Ergonomics and working environment

• C1: Is manual handling of loads carried out in an appropriate way?

  Yes

  No

  N/A

• C2: Is workplace free from fumes, powder, bad odours?

  Yes

  No

  N/A

• C3: Is the level of noise acceptable in the workplace?

  Yes

  No

  N/A

• C4: Are workers exposed to significant level of vibrations?

  Yes

  No

  NA

Category D: Machinery and tools

• D1: Are machinery and tools clean?

  Yes

  No

  N/A

• D2: Are in place fixed guards to mechanical transmissions and other dangerous parts?

  Yes

  No

  N/A

• D3: Are emergency stop buttons in place on all moving machinery?

  Yes

  No

  N/A

• D4: Is there the risk of impact, cutting or crushing during work?

  Yes

  No

  NA

• D5: Are there dangerous pieces of machinery without protection on site ? ( exposed electrical live conductors, hot parts, sharp edges etc.) <br>

  Yes

  No

  NA

• D6: Are used tools in good conditions and appropriate for the required tasks?

  Yes

  No

  N/A

• D7: Are warehouse and storing equipment appropriate and marked with safe weight capacity?

  Yes

  No

  N/A

Category E: Procedure

• E1: Do suitable procedures and work instructions exist for high risk tasks?

  Yes

  No

  N/A

• E2: Are procedures known by all workers?

  Yes

  No

  N/A

• E3: Are procedures properly implemented?

  Yes

  No

  N/A

• E4: Are contractors properly supervised and managed?

  Yes

  No

  N/A

• E5: Are 'permit to work' procedures in place where necessary?

  Yes

  No

  N/A

Category F: Housekeeping

• F1: Is workplace well organized, clean and tidy?

  Yes

  No

  N/A

• F2: Are materials properly stored in warehouse or deposit areas?

  Yes

  No

  N/A

• F3: Are walkways and routes free from obstacles?

  Yes

  No

  N/A

• F4: Are chemical substances and dangerous equipment under control?

  Yes

  No

  N/A

Signatures

• Insert signatures of auditors

  Sign