Title Page

  • Area

  • Conducted on

  • Personnel

Electrical

  • Do any lights need repairing?

  • Are lanyards and emergency stops in good working order?

  • Is there any damage to electrical fittings or wiring?

  • Are Exit signs illuminated?

  • Check lift phones are working if applicable

Substations, MCC rooms etc. (if applicable)

  • Are you auditing a sub station, MCC etc.?

  • Are the doors locked?

  • Is the room identified with an appropriate sign?

  • Are there supplies of Danger Tags and Out Of Service Tags?

  • Is there a rubber mat on the floor?

  • Are the following signs in place?

  • Is the floor clean and free of rubbish?

  • Comments or actions

Mechanical

  • Are all guards in place around the head and tail pulleys?

  • Are there any oil leaks?

  • Are there any unusual vibrations or noise levels?

  • Are there any noisy conveyor idlers?

  • Are conveyor hooters loud and clear? Contact control to start hooter.

  • Are handrails in place and structurally sound?

  • Are fire hose reels leaking or damaged?

  • Have hose reels and extinguishers been checked in the last 6 months?

  • Are fire exit doors accessible and clear of obstructions?

  • Are floors in good condition and free of slip/trip hazards?

  • Fixed ladders are secure and free of any damage.

  • Comments or actions

Hygiene and Pest Control

  • Are dust levels reasonable?

  • Are there any spills?

  • Is there any obvious sign of live insects?

  • Is there any rodent activity?

  • Are rat traps set?

  • Is there any sign of bird activity?

  • Is there any cleaning equipment not returned to the workshop?

  • Check storm water drains are clear of contaminants and obstructions

  • Comments or actions

Miscellaneous

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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.