Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

  • The nine step approach to completing VFL's
    1, Stop and observe.
    2, Introduce yourself (unless you already know the person).
    3, Tell them what you're doing.
    4, The job and its stages.
    5, Give praise for safe behaviour.
    6, Ask about the worst thing that can happen, etc.
    7, Find the root cause of any unsafe behaviour or condition.
    8, Get solutions to the unsafe behaviour or condition
    9, Get commitment to act

  • Have you had a toolbox talk on conveyor safety and do you know the rules for working on them?

  • Do you know how to isolate the conveyors in your area?

  • Do you know if the conveyor pull wires have been checked and do the stop buttons work?

  • Are there any problems in cleaning around conveyors?

  • Can you identify the risks with moving conveyors?

  • Do you know how to unblock a conveyor safely?

  • Are the conveyors poorly maintained?

  • Do you use padlocks to secure any guards.

  • Are the conveyors free from spillage?

  • Are any guards secured by zip ties instead of nuts and bolts?

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.