Safety Sweepsheet

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Walkway questions

• Walkways are clear of obstructions (e.g. pallets, hoses, put holes, etc.)?

  Yes

  No

  N/A

• Walkways are clear of spillages ( e.g. oil, water, etc.)?

  Yes

  No

  N/A

• Safety exits are clearly marked and clear of any obstructions?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Right eye protection (safety glasses with side protection / goggles / full face visor)?

  Yes

  No

  N/A

• Protective foot ware / safety shoes?

  Yes

  No

  N/A

• Adequate hearing protection (areas with sound level above 80dBA)?

  Yes

  No

  N/A

Hand knives - inspection

• Automatic (e.g. Spring loaded) retractable blade?

  Yes

  No

  N/A

• Round tipped blade?

  Yes

  No

  N/A

• Protective (cut resistance) glove worn at 'off hand?'

  Yes

  No

  N/A

Pallets and storage of ribbons

• Palletised goods meet standard?

  Yes

  No

  N/A

• Max height, away from walkways, is 3 pallets?

  Safe

  At Risk

  N/A

• Maximum height by walkways is 2 pallets?

  Safe

  At Risk

  N/A

• There are no 'loose ribbons' stored 'at height' (above 1,8m)?

  Yes

  No

  N/A

• All loose ribbons of core board are secured?

  Yes

  No

  N/A

Fork Lift Trucks (FLT's)

• The keys are removed from the ignition when parked?

  Yes

  No

  N/A

• Truck drivers are wearing seat belts when driving?

  Yes

  No

  N/A

• Trucks are driving at or below walking pace?

  Yes

  No

  N/A

• Truck drivers are respecting 'HALO-rules' at all times?<br>- slow down, ready to stop within 1,5m<br>- stop when within 0,9 m

  Yes

  No

  N/A

Jewellery and clothing

• Employees are not wearing watches, bracelets, rings, hanging earrings or other hanging jewellery.<br>- unless taped off rings<br>- tight security information bearing jewellery that will snap off if needed

  Yes

  No

  N/A

• No neck ties, loose jackets or other loose clothing is worn?

  Yes

  No

  N/A

Guarding

• Fixed guards are inspected: in place and secure?

  Yes

  No

  N/A

• All 'ingoing nip points' and rotating objects are (properly guarded)?

  Yes

  No

  N/A

Various...

• No metal (aluminium) ladders higher than 1m are observed?

  Yes

  No

  N/A

• Signed:

  Sign