Title Page

  • Conducted on

  • Prepared by

  • Location
  • Is equipment inspections being completed by operatives? (Sample compliance)

  • Corrective action

  • Test and log machinery emergency stop buttons trip switches, interlocks, safety devices, isolator points.

  • Is all lifting equipment inspections being completed by operatives? (Sample compliance)

  • Corrective Action

  • Is there any faulty work equipment and has it been taken out of service?

  • Corrective Action

  • Look for trip hazards controlled, e.g. trailing wires, hoses, waste?

  • Corrective Action

  • Are washing and welfare facilities accessible and clean? hot and cold water is operational with clean soap and drying facilities?

  • Corrective action

  • Are washing and welfare facility checks up to date? Wash rooms, Canteens

  • Corrective action

  • Are employees using PPE/RPE as instructed by risk assessment / SSOW and TBT?

  • Corrective action

  • Are there sufficient unobstructed walkways provided throughout the workshop to allow safe access and egress?

  • Corrective Action

  • Are all flammable and hazardous substances stored appropriately at the end of use? (or at the end of the shift)

  • Corrective Action

  • Is there sufficient space between the work to allow unhindered movement?

  • Corrective Action

  • Are lighting and temperature levels sufficient for the working environment?

  • Corrective Action

  • Are fire fighting appliances in their designated position, and unobstructed?

  • Corrective Action

  • Is housekeeping in all areas kept to a high standard?

  • Corrective Action

  • Are fire exit doors kept unlocked and unblocked?

  • Corrective Action

  • Are flammables stored away from sources of ignition?

  • Corrective Action

  • Is the building fabrication and equipment in good order? (record damage to be addressed)

  • Corrective Action

  • Are spray booth filters clear and serviceable?

  • Corrective Action

  • Is the spray booth cleaned down in the past week?

  • Corrective Action

  • Monthly RPE checks have been completed

  • Corrective Action

Person responsible: -

  • Signature: -

  • Date: -

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.