Safety walk down - Basic V0.1

• Document No.

• Person conducting walk down

• Person accompanying walk down

• Conducted on

  Date

• Location

  Select MP1 MP2 MPS WW7 WW8 WWS VP5 VP6 VPS MMS Colongra

  • MP1
  • MP2
  • MPS
  • WW7
  • WW8
  • WWS
  • VP5
  • VP6
  • VPS
  • MMS
  • Colongra

• Area

  Select CHP ASH AND DUST PLANT EXTERNAL PLANT BOILER TURBINE TRANSFORMER SWITCHBOARD WORKSHOP STORE MOBILE PLANT CHEMICAL PLANT CAR PARK MEETING ROOM KITCHEN OFFICE SITE OTHER

  • CHP
  • ASH AND DUST PLANT
  • EXTERNAL PLANT
  • BOILER
  • TURBINE
  • TRANSFORMER
  • SWITCHBOARD
  • WORKSHOP
  • STORE
  • MOBILE PLANT
  • CHEMICAL PLANT
  • CAR PARK
  • MEETING ROOM
  • KITCHEN
  • OFFICE
  • SITE
  • OTHER

Select yes to indicate everything has been checked and is acceptable, no if issues have been identified.

• EXIT /EGRESS<br>Are walkways clear / unobstructed? Are stairways clear / unconstructed?

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• HOUSE KEEPING<br>- Electrical - Storage

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• EMERGENCY EQUIPMENT

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• SCAFFOLD / BARRIERS

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• RISK ASSESSMENT<br>- In place - Controls verified - Signed by work party

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• PTW / SIGNATURE SHEETS

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• PPE COMPLIANCE

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• MANUAL HANDLING

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• WORKING AT HEIGHTS

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• CHEMICALS<br>- Labelled - Manifest / Storage

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• ASBESTOS<br>- Register reviewed - Appropriate procedures and barriers in place

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• MOBILE PLANT<br>- Secured - Log book in place - Log book signed

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• ENVIRONMENT <br>- Pollution of air or water - Other issues

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• SECURITY - Non urgent issues

  Yes

  No

  N/A

• What needs to be done to correct the issue?

• What is the number of the work order?

• OTHER

• What is the number of the work order?

• What is the number of the work order?