Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Safety tour to be completed by the Production Manager or Production Project Manager during operational periods at a frequency of once per week.

  • Select date

  • Select date

  • Inspected By

Forming Areas

Extruder

  • Guard Checks Complete

  • Correct PPE worn?

  • Items/Equipment Stored Correctly

  • Housekeeping Acceptable?

  • Equipment in Good Order?

  • FLT/Waste Storage?

Racker

  • Guard Checks Complete

  • Correct PPE worn?

  • Items/Equipment Stored Correctly

  • Housekeeping Acceptable?

  • Equipment in Good Order?

  • FLT/Waste Storage?

Batching Plant

  • Guard Checks Complete

  • Correct PPE worn?

  • Items/Equipment Stored Correctly

  • Housekeeping Acceptable?

  • Equipment in Good Order?

  • FLT/Waste Storage?

Curing Chambers

  • Guard Checks Complete

  • Correct PPE worn?

  • Items/Equipment Stored Correctly

  • Housekeeping Acceptable?

  • Equipment in Good Order?

  • FLT/Waste Storage?

Packaging Areas

  • Guard Checks Complete

  • Correct PPE worn?

  • Items/Equipment Stored Correctly

  • Housekeeping Acceptable?

  • Equipment in Good Order?

  • Forklift Pre-Checks Complete?

Outside Discharge Areas

  • Guard Checks Complete

  • Correct PPE worn?

  • Items/Equipment Stored Correctly

  • Housekeeping Acceptable?

  • Equipment in Good Order?

  • Waste Storage?

  • Comments/Findings

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.