Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Conduct Inspection. If unsafe or missing etc. requires text description and photo if available.
(1). Crushing - Can anyone be crushed due to:
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Material falling?
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Parts collapsing?
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Coming in contact with moving parts during testing, inspection, use, maintenance, cleaning or repair?
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Being trapped between materials or fixed structures?
(2). Entanglement
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Can be entangled due to:
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Body parts, clothing, equipment or other materials being in contact with moving parts?
(3). Cutting, Stabbing and Puncturing
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Can anyone be cut, stabbed or punctured due to?
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Coming in contact with sharp or flying objects?
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Coming in contact with moving parts during testing, inspection, operation, maintenance, cleaning or repair?
(4). High Pressure Fluid /Gases
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Are Fluids/Gases under high pressure in normal use?
(5). Electrical
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Can anyone be injured by electrical shock due to:
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Contacting live electrical conductors?
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Electrical Leads on the ground
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Working close to electrical conductors?
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Overload of electrical circuits?
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Damaged or poorly maintenance electrical components &/or cables?
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Water near electrical equipment?
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Lack of isolation?
(6). Gases or Vapors
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Can anyone’s health be affected by exposure to:
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Gases, vapors, liquids, dusts or other hazardous substances used or released in an unsafe manner?
(7). Slips, Trips or Falls
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Can anyone within the facility slip, trip or fall due to:
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Uneven or slippery work surfaces?
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Poor housekeeping, such as shavings in the vicinity of the plant, spillage not cleaned up?
(8). Materials Handling
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Does use of the equipment involve repetitive lifting?
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Does this task require employees to be working with their hands above their shoulder?
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Are Powered Industrial Trucks operated safely and according to manufacturer's guidelines?
(9). Light
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Is lighting acceptable on the shop floor?
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(10). Noise
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Is noise acceptable on the shop floor?
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(11). Personal Protective Equipment
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Is adequate PPE being worn by people in the area and is it relevant to the tasks and the environment?
(12). Housekeeping
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Have hoses been put away after use?
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Are walkways and fire exits and escape routes in the area clear and free from obstructions?
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Have spillages been cleaned up, or identified with hazard signs while equipment is collected?
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Has equipment been put away after use into the correct location?
(13). Powered Industrial Trucks and Other Workplace Transport.
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Are the pre-shift use checks completed and up to date?
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Have keys been removed from trucks not in use?
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Are seat belts, where fitted, being worn while truck is in use?
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Was any unsafe driving or truck operation practices witnessed?
(14). Machinery Safety
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Are machines fixed guards in place, secure with no missing attachment fittings?
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Are adjustable guards in place and being used correctly?
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Are interlock switches attached, and have not been tampered with or damaged?
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Are emergency stop buttons unobstructed with easy access and it is clear what they stop?
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Have lock out procedures been followed if machinery has been isolated for maintenance work?
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Is there any evidence of unsuitable repairs eg: tape engineering?
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Select date
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