Safety Walk Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

Work Areas

• Do you wish to examine work areas on this safety walk?

  Yes

  No

  N/A

• General Housekeeping (neat, tidy, dust free)

• Walkways (free of debris and obstructions)

  Safe

  At Risk

  N/A

• Work Surfaces (clear of clutter and dust)

  Safe

  At Risk

  N/A

• Impalement Hazards (none present, or adequately marked)

  Safe

  At Risk

  N/A

• Material Storage/Lay Down (neat and tidy)

  Safe

  At Risk

  N/A

Personal Protective Equipment (PPE)

• Do you wish to examine PPE on this safety walk?

  Yes

  No

  N/A

• Safety Glasses with Side Shields (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Appropriate Clothing (in safe condition)

  Safe

  At Risk

  N/A

• Gloves (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Foot Protection (fit for task, safety boot)

  Safe

  At Risk

  N/A

• Proper safety vest

  Yes

  No

  N/A

Tools and Equipment

• Do you wish to examine tools and equipment on this safety walk?

  Yes

  No

  N/A

• General condition of tools

  Safe

  At Risk

  N/A

• Tools and Equipment inspections take place and are recorded

  Safe

  At Risk

  N/A

• Right tools are being used for tasks

  Safe

  At Risk

  N/A

• Crew members are trained to be competent in the tools appropriate for their work tasks

  Safe

  At Risk

  N/A

Forklift/Tugger Safety

• Operator wearing seatbelt

  Pass

  Fail

  N/A

• Proper stops at signs

  Pass

  Fail

  N/A

• Cutting the corners

  Safe

  At Risk

  N/A

• Loading stacks in proper height and length

  Safe

  At Risk

  N/A

• Forks are in appropriate position while driving

  Safe

  At Risk

  N/A

• Checking the sides, pedestrians

  Pass

  Fail

  N/A

Electrical Safety

• Do you wish to examine electrical safety on this safety walk?

  Yes

  No

  N/A

• Extension Cords are not causing trip hazards or used inappropriately

  Safe

  At Risk

  N/A

• Power Tools are undamaged and being used fit for purpose

  Safe

  At Risk

  N/A

Personnel Safety

• Do you wish to check personnel and this safety walk?

  Yes

  No

  N/A

• Behavior is orderly and professional

  Safe

  At Risk

  N/A

• Clear communication is possible without needing to shout

  Safe

  At Risk

  N/A

• Proper lifting technique demonstrated

  Safe

  At Risk

  N/A

People Safety

• Do you wish to check work crew safety knowledge at this inspection?

  Yes

  No

  N/A

• Approach at least one team member and record their responses to the following. Make clear this is not an assessment of the team member themselves, but rather the safety procedures on site.

Team Member

• Is the team member able to describe the correct process to follow in an emergency situation?

  Yes

  No

  N/A

• Is the worker able to identify three hazards they may encounter in their tasks today?

  Yes

  No

  N/A

• What is Safe Work Zone

  Pass

  Fail

  N/A

Sign Off

• Name & Signature of Inspector

  Sign