Pre-Shift Safety Scan

• Conducted on

  Date

• Prepared by

• Department

Instructions

• Progress through the following sections, answering each question. When an item is non-compliant, be sure to add notes and photos as evidence.

Housekeeping

• Work and storage areas are clean and tidy?

  Yes

  No

  N/A

• Work stations are well organized and no trip hazards are present?

  Yes

  No

  N/A

• Equipment and tools (Ladders, Squeegees, Brooms) are appropriately stored?

  Yes

  No

  N/A

Machine Gaurding

• Does all equipment have the required guarding in place?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Employees are wearing required PPE?

  Yes

  No

  N/A

Electrical Panels

• Are all electrical panels closed and secured?

  Yes

  No

  N/A

Overall Notes

• What is the overall condition of the workplace?

  Exceptional

  Exceeds Standards

  Meets Standards

  Needs Improvement

  Needs Significant Improvement

• Enter any general findings or comments

• Are any safety concerns present that require immediate attention?

  Safe

  At Risk

  N/A

• Ensure all safety issues are noted in the audit above, with associated corrective actions created

Accomplishments

• Log below any examples of excellent work practices that were noted on this safety walk.

Good Work Practice

• Team Member Name

• Good work practice:

Sign Off

• I declare that the audit above was conducted and completed accurately.

• Full name and signature of auditor

  Sign