Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Governance

Safety Governance, Organisation & Resources - Organisation

  • Level of Safety Governance, Organisation and Resources - Organisation

  • Safety programs exist and may be managed by safety professionals

  • Training course attendance sheets

  • Toolbox talk attendance sheets

  • Internal Auditing Reports

  • Incident Investigation Reports

  • Safety Manual Reviews

  • Disciplinary reporting

  • Safety Meeting Minutes

  • undefined

  • Line management plays a major role in developing safety programs and accepts safety full responsibility and accountability for the organisation’s safety performance

  • Developing safe systems of work

  • Safety Incident close out meeting

  • Developing job task analysis / RAMS

  • Toolbox Talk Attendance Sheets

  • Role and Responsibilities Acceptance Form

  • undefined

  • The responsibility for safety activities is effectively shared between the line organisation and the safety organisation

  • Safety Tours

  • Safety inspections

  • undefined

  • The line organisation and the safety organisation share responsible for defining safety issues and executing safety matters

  • Health and Safety Procedures RACI

  • Safety Committee Meeting Report / Minutes

  • undefined

  • Line managers lead safety committees including audit, incident investigation, program and activities

  • Audit Sign Off

  • Incident Investigation Report Sign Off and close out

  • Safety Committee Meeting Minutes

  • undefined

  • A line manager chairs a central safety committee made up of site staff and safety organisation

  • Safety Committee Meeting Minutes

  • undefined

  • The central safety and steering committee directs all site safety efforts

  • Safety Committee Reports

  • Safety Committee communications / Instructions

  • Steering Committee Meeting Minutes

  • undefined

  • Operational individuals are assigned and supported for major areas of safety activities such as contractor, ergonomics, process safety and Health & Safety leadership.

  • Annual Safety Plan

  • undefined

  • The safety committee structure is fully implemented. This includes the corporate oversight central safety committee chaired by the COO or Works Councils

  • Safety committee meeting report / minutes

  • Annual rotation of members

  • Training of Health and Safety Representatives

  • Allocation of time and resources to Health and Safety Representatives

  • Health and Safety representatives identifiable within the workplace

  • Employee Survey Question

  • Does the Safety Committee promote a positive Health and Safety Culture

  • undefined

  • Line management accepts responsible and accountable for all aspects of safety including goals, objectives, plans, activities, and performance

  • Roles and Responsibilites Acceptance Form

  • Objectives and Targets assignment

  • Safety Meeting Report

  • Safety Committee Report

  • Safety Steering Committee

  • Employee Survey Question

  • Does your Line Manager accept responsibility for Health and Safety

  • undefined

Safety Governance, Organisation and Resources - Line Management Accountability

  • Line Management Accountability

  • The line organisation feels some responsibility for the safety of their employees

  • Open door policy

  • Company personnel deliver toolbox talks

  • undefined

  • The line management handles at least some safety concerns

  • Hazard Alert Reporting

  • Training needs identification

  • Partaking in incident close outs

  • undefined

  • The line organisation is responsible and accountable for safety

  • Roles and Repsonsibilites defined

  • Management Reveiw meeting minutes

  • Safety Committee meeting minutes

  • Toolbox Talk Delivery

  • Inspection reports

  • Safety Tours

  • undefined

  • The line organisation uses the safety organisation as a resource

  • Correspondance on safety advice

  • Involved with incident investigations and close out controls with Safety Team

  • Production / Site Meetings involve Safety Team

  • undefined

  • Accountability and responsibility for safety items is clearly documented and communicated

  • Roles and Reponsibilities accepteyd by Managers

  • Safety checks assigned to individual managers

  • undefined

  • Safety personnel help coordination, train, and implement programs

  • ISO procedure training

  • Safe System of Works

  • undefined

  • Safety performance is a major consideration when determining compensation for line management and supervision

  • Employment Appraisals states Safety target

  • Factory safety targets

  • Construction Safety Targets

  • Safety Bonus Scheme

  • undefined

  • Accountability and responsibility are clearly demonstrated through compensation actions

  • Employment Appraisals states Safety target

  • Safety Bonus schemes

  • undefined

  • Safety personnel support line management in the implementation of safety program when they have specific skills

  • Involvement with Line Management in Job Hazard Alaysis / RAMS

  • Involvement with Line Management in Safety Training Programs

  • Involvement in Machinery Safety Systems of Work

  • Involvement in the annual Safety Plan through a Steering Committee

  • undefined

  • Line management lead all investigations, audits, communications and take disciplinary actions

  • Incident Investigation Reports

  • Preventative Actions Close Out

  • Department / Factory / Construction Audit Reports

  • Disciplinary Reports

  • Incident Investigation Training

  • undefined

  • Line management will do whatever they deem necessary to achieve their safety objectives

  • Job Safety Analysis / RAM revised regularly by Line Management

  • Employee Feedback Questionnaire

  • Safety Target Objectives achieved

  • undefined

  • Line management considers safety equal to all other aspects of running the business

  • Employee Feedback Question

  • Management meeting report / minutes highlight safety objectives, targets, hazards, control measure etc.

  • Full implementation of 45001 management system

  • Management System NCR are close out promptly

  • Safety Inspection report non-compliances close out promptly

  • Hazard Alerts closed out promptly

  • undefined

  • Line management accepts full responsibility and accountability for all aspects of safety within their organisation

  • Line Management Close out of Hazard Alerts

  • Regular Safety Inspection Reports undertaken by Line Management and hazards identified close out promptly

  • Employee feedback question?

  • Line Management have pride in their workforce (subjective)

  • undefined

  • Safety risk takers no longer exist in the organisation

  • Employee Feedback Question

  • Incident rate comparable with question (subjective)

  • Accident Book Records

  • Incident Investigation Reports / GiMS

Level of Safety Governance, Organisation and Resources - Supportive Safety Personnel

  • Supportive Safety Personnel

  • The safety organisation is used to ensure compliance with all Health and Safety Regulations

  • Legal Compliance Register

  • How does Safety team update legal knowledge

  • Professional subscription

  • Website of enforcement agency

  • The safety organisation includes safety professionals

  • Safety professionals receive training for their personal development as well as technical knowledge training

  • Continual Professional Development

  • Training Matrix should identify regular training courses

  • Seminars, webnars or safety events

  • undefined

  • The safety organisation has a presence on the manager's staff

  • In-House Safety Manager(s)

  • Involvement in Management meetings

  • undefined

  • The safety team's standing with top management is equal to that of other organisations

  • undefined

  • undefined

  • Safety personnel are viewed as valuable advisors to the organisation’s leadership.

  • Management meeting reports / minutes

  • Management Review Meeting Reports / Minutes

  • Project Health and Safety Plan involvement

  • Site Health and Safety Plan involement

  • New Machinery Hazard and Risk Analysis (Subjective)

  • undefined

  • Responsibility and accountability for employee safety resides with the line organisation

  • Question Safety Manager

  • Project / Factory / Site Manager Safety Inspections

  • Hazard Alerts

  • Factory / Site Manager Toolbox Talks

  • Line Manager Disciplinary reports

  • Work Areas Clean, Clear and Safe

  • undefined

  • Safety professionals is called upon for specialised training, coordination, and implementation support

  • Behavioural Training

  • Health & Safety Legislation Training

  • Implementing Procedures

  • Incident Investigation Training

  • undefined

  • Safety professionals dedicates time to studying the state of safety at the factory / site and determining what changes should be made to improve the site safety culture and performance

  • Safety Manager Inspection Report

  • Safety Manager Recommendations to Management

  • Safety Improvement Plans

  • undefined

  • Safety professionals manage the SMS plan, do, check, act process throughout the year

  • Safety professionals are an integral part of the leadership team and provide expert advice and strategic counsel on safety matters

  • Safety Committee Report / Minutes

  • Management Survey Question

  • undefined

  • Safety professionals are used as needed for implementation support

  • Steering Committee

  • Objective and Targets

  • undefined

  • Safety professionals are trained and highly capable in safety and managing a safety management system

  • Training Matrix identifies H&S training

  • ISO Lead Auditor Training

  • Annual Audit Planner

  • Regular 45001 documentation reviews

  • Appraisal & Training identifies future training needs

  • undefined

  • The safety manager is a respected member of the management team

  • Management Meetings Attendance sheets

  • Safety Manager role and responsibilities

  • Safety Manager Questioned

  • H&S manager is invovled in

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.