Safety Walk HPP ver 1.1

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date / Time?

  Date

General impression

• Initial visual indicators for Safety

  Yes

  No

  N/A

• Very good 5, OK 3, Bad (not OK) 0

• Leadership, behaviour and awareness in Safety

  Safe

  At Risk

  N/A

• Very good 5, OK 3, Bad (not OK) 0

• Vehicles

  Safe

  At Risk

  N/A

• Very good 5, OK 3, Bad (not OK) 0

• Secure workplaces

  Safe

  At Risk

  N/A

• Very good 5, OK 3, Bad (not OK) 0

• Housekeeping

  Safe

  At Risk

  N/A

• Very good 5, OK 3, Bad (not OK) 0

• Equipment

  Safe

  At Risk

  N/A

• Very good 5, OK 3, Bad (not OK) 0

• Hazardous substances

  Safe

  At Risk

  N/A

• Very good 5, OK 3, Bad (not OK) 0

• PPE

  Safe

  At Risk

  N/A

• Very good 5, OK 3, Bad (not OK) 0

• Specific work requierments

  Safe

  At Risk

  N/A

• Very good 5, OK 3, Bad (not OK) 0

Positive Findings

• What are the positive findings for site?

• Add media

  Media

Opportunities for Improvement

• What are the Opportunities for Improvement for site?

• Add media

  Media

Action Items

• Action Items

• Action Items

• Action Items

• Signature of inspector

  Sign