WALKWAYS & STAIRS
Clear of obstructions
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Leads, cables,& hoses routed clear of defined access
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
FLOOR & WORK AREAS
Free from accumulated waste
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Floor area and machinery free from oil & grease
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Adequate access maintained around moulds, machinery & equipment
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Moulds used clean and in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Mould fittings &a accessories stored correctly
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
WORK BENCHES
Clear of rubbish & unused tools
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Tools not used stored in place ( Shadow boards used were possible)
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Adequate room to work
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
MACHINES
Area around machines clean & tidy
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Equipment/Tools clean & in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Production waste cleared adequately
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Machine clean & in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Mixer & mixer area clean and tidy
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
AREA 2
Production, Machine or Process name:
Person Responsible:
WALKWAYS & STAIRS
Clear of obstructions
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Leads, cables,& hoses routed clear of defined access
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
FLOOR & WORK AREAS
Free from accumulated waste
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Floor area and machinery free from oil & grease
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Adequate access maintained around moulds, machinery & equipment
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Moulds used clean and in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Mould fittings &a accessories stored correctly
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
WORK BENCHES
Clear of rubbish & unused tools
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Tools not used stored in place ( Shadow boards used were possible)
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Adequate room to work
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
MACHINES
Area around machines clean & tidy
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Equipment/Tools clean & in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Production waste cleared adequately
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Machine clean & in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Mixer & mixer area clean and tidy
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
AREA 3
Production, Machine or Process name:
Person Responsible:
WALKWAYS & STAIRS
Clear of obstructions
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Leads, cables,& hoses routed clear of defined access
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
FLOOR & WORK AREAS
Free from accumulated waste
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Floor area and machinery free from oil & grease
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Adequate access maintained around moulds, machinery & equipment
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Moulds used clean and in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Mould fittings &a accessories stored correctly
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
WORK BENCHES
Clear of rubbish & unused tools
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Tools not used stored in place ( Shadow boards used were possible)
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Adequate room to work
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
MACHINES
Area around machines clean & tidy
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Equipment/Tools clean & in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Production waste cleared adequately
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Machine clean & in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Mixer & mixer area clean and tidy
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
AREA 4
Production, Machine or Process name:
Person Responsible:
WALKWAYS & STAIRS
Clear of obstructions
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Leads, cables,& hoses routed clear of defined access
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
FLOOR & WORK AREAS
Free from accumulated waste
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Floor area and machinery free from oil & grease
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Adequate access maintained around moulds, machinery & equipment
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Moulds used clean and in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Mould fittings &a accessories stored correctly
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
WORK BENCHES
Clear of rubbish & unused tools
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Tools not used stored in place ( Shadow boards used were possible)
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Adequate room to work
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
MACHINES
Area around machines clean & tidy
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Equipment/Tools clean & in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Production waste cleared adequately
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Machine clean & in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Mixer & mixer area clean and tidy
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
AREA 5
Production, Machine or Process name:
Person Responsible:
WALKWAYS & STAIRS
Clear of obstructions
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Leads, cables,& hoses routed clear of defined access
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
FLOOR & WORK AREAS
Free from accumulated waste
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Floor area and machinery free from oil & grease
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Adequate access maintained around moulds, machinery & equipment
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Moulds used clean and in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Mould fittings &a accessories stored correctly
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
WORK BENCHES
Clear of rubbish & unused tools
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Tools not used stored in place ( Shadow boards used were possible)
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Adequate room to work
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
MACHINES
Area around machines clean & tidy
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Equipment/Tools clean & in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Production waste cleared adequately
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Machine clean & in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Mixer & mixer area clean and tidy
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
AREA 6
Production, Machine or Process name:
Person Responsible:
WALKWAYS & STAIRS
Clear of obstructions
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Leads, cables,& hoses routed clear of defined access
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
FLOOR & WORK AREAS
Free from accumulated waste
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Floor area and machinery free from oil & grease
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Adequate access maintained around moulds, machinery & equipment
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Moulds used clean and in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Mould fittings &a accessories stored correctly
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
WORK BENCHES
Clear of rubbish & unused tools
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Tools not used stored in place ( Shadow boards used were possible)
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Adequate room to work
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
MACHINES
Area around machines clean & tidy
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Equipment/Tools clean & in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Production waste cleared adequately
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Machine clean & in good condition
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Mixer & mixer area clean and tidy
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
Other areas of concern or best practice observed
0 - CAR
1 - Poor
2 - Average
3 - Good
4 - N/A
link copied
Phil Taylor
Precast Housekeeping Spot Audit Report
Performance Scoring Sheet
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.
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