Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Safety Walk and Talk Section A
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1. Stand at the entrance to production and ask yourself the question (Would I be happy to eat/drink from the products made in this area?) If your answer is no what are your initial reasons?
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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2. Walk around the area looking down at eye level and up to the ceiling. Check High Risk Activities and Question B List (Note any areas you feel do not meet the standard if you were a customer/consumer)
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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3. In each area you inspect talk to at least one operator. Ask them how they think the task is safe. Do they think there are any issues? Anything they would do to improve H&S and product quality.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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4. How would you rate the Site overall?
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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5. Think about what you have seen. Where do you feel there could be the biggest area for improvement?
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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6. On repeat audits - Do you believe that there has been a noticiable improvement?
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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7.Please provide at least one example of safe practice or safe working condition observed.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
Section B- High Risk Activity( Contractor or Employee ) Checks Learn which HIGH-RISK CONTRACTOR or EMPLOYEE activity is ongoing at the site, and visit the work area during Safety Walk.
High-Risk Activities; Construction Hazardous Waste Handling Demolition Excavation, trenching Work at Height Asbestos-related work Roof Work Rigging, Lifting Electrical Work Scaffold usage, erection, dismantle Confined Space Work Welding, Cutting, Hot Work
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List of contractor onsite and type of task
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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Attend a Pre-Start Briefing or Toolbox Talk and talk about the Safety rules with the workers
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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Talk to the workforce: Speak to some of the workforce involved in the activity you have been watching before talking to the supervisors.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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Are the workers trained about the site risks?
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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Are the workers capable to do the work? Are licences and Training Certificates checked?
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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Check the existence of Risk assessment and Job Safety Analysis,
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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Is the Safety Warden attending to the work?
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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Permit for Work issued by work owner and precautions on the permit are proper and valid?
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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Are the tools and structures safe for the work
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
Section C
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1. Good housekeeping standards. Workstations, storage areas (work in progress, finished goods, pallets) and other items (e.g. bins, stands, cages, paper reels etc.) are safely stored and organised.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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2. Working areas are free from congestion or obstruction. Materials are not left in the working areas creating trip and fall hazards. Goods, materials, pallets, etc. are stacked safely so they do not present falling object hazards.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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3. Engineering/maintenance or repair work are safely organised and not creating hazards. "Lock out/Tag out" are practiced to safely shut down the machines/equipment/installation. Safety barriers are used to demarcate the work area. Ladders, steps, scissor lift, etc. are used for work at height.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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4. All walkways are separated from vehicle access. No danger are present to pedestrians. Walkways and areas around machines are free from congestion and obstructions. Fire protection equipment and fire exits are not obstructed. Emergency routes are free from obstruction.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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5. No risks are present to fingers/hands from manual handling, nip points, sharp parts of equipment, machine operation, etc.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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6. Machines/equipment, safety guards, forklifts, etc. are maintained in safe working condition. Job safety analysis or risk assessment is established. Safe method is established to clear material jams.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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7. No ergonomics risks from repetitious task, over stretching, bending, carrying, push/pull actions, etc.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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8. First aid boxes/equipment are adequately provided and maintained in good order. Emergency showers/emergency eye wash stations are maintained in good working condition. Defibrillators on site are maintained in good working condition.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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9. Employees operating machines/equipment, forklifts are working in a safe manner. Safety devices, safety interlocks, etc. are maintained in good working condition.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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10. Chemical containers, secondary containers, etc. are properly labelled. Safety Data Sheets (SDS) are available and up to date. Spill kits are available. PPE are available for handling chemicals. Ink and Solvent containers grounded properly.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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11. Employees are using ladders, steps, platforms, etc in good condition and maintained 3 point contacts. Employees are holding the hand rails when ascending or descending the staircase.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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12. No unsafe acts or unsafe conditions, concerns, risk, hazards, etc. observed. Please provide the details if there are unsafe acts, unsafe conditions, concerns, risk, hazards, etc. observed.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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13. Employees are wearing the PPE correctly. PPEs are properly stored and maintained in good condition. Cotton overalls, Safety Glass, Safety Shoes, Gloves, Respiratory Protection, Harness
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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14. Are there unsafe conditions created by unsafe acts? Employees are adequately trained for his/her assigned task. Employees are following the Safe operating procedure (SOP).
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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15. Employees are not taking risk with their hands/fingers - unsafe behaviour risks for the work area. Employees are stopping the machines/equipment, forklift, etc. according to procedure.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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16. Employees are not bypassing safety devices, safety guards, safety interlocks, forklift speed limiters, etc.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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17. Vehicle and pedestrians have safe routes and all routes are clearly marked. All passage ways (aisles) for vehicles and pedestrians are clear of obstruction. Safety measures are in place such as wall/ceiling mirrors, signage, stop line, etc.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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18. Vehicles are inspected and check before use. All safety devices such as seat belt, horns, lights, audible warning, etc. are checked. Only trained and certified drivers are allowed to operate. Forklift keys are removed when not in use.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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19. Battery charging, refuelling area, etc. are organised, clean and free from slip/trip hazards, emergency eye wash is available.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable
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20. Drivers are operating the vehicles safely and within speed limits. Hi-Vis are worn. Suppliers/Lorry drivers are complying with site rules. Logistics areas are clean and free from obstructing fire fighting equipment, exits, etc. Drivers are slowing and stopping at blind spots.
- 5 - Excellent (2 or more positive observations noted)
- 4 - Very Good (1 positive observation noted.)
- 3 - Good (If the condition is generally good)
- 2 - Average (1 unsafe observation noted.)
- )1 - Poor (2 unsafe observations noted.
- 0 - Very Poor (3 or more unsafe observations noted.)
- Not Applicable