Safety Device Audit

• Site conducted

• Conducted on

  Date

• Prepared by

• Department/Area being audited

Issuing Of Monthly Check sheets

• Have all safety device checks been added to each machine?

  Yes

  No

  Partially

Safety Device Checks

• Are the safety device checks being completed?

  Yes

  No

  Partially

Issue Identification and Follow Up Action

• Have any of the checks identified faults that require action?

  Yes

  No

• Is there evidence of the faults being reported?

  Yes

  No

• Is there evidence of the necessary action being taken to fix any issues?

  Yes

  No

  Partially

Records

• Is there evidence that records of the checks are stored for future reference?

  Yes

  No

  Partially