Title Page

  • Location:

  • Site:

  • Conducted On:

  • Prepared By:

  • Safety Walk Personnel:

Safety Walk Audit

Sort - Determine necessary & unnecessary items.

  • Broken or unused equipment/supplies/materials are in the work area:

  • Unused equipment/materials are stored in drawers, work area or other storage areas:

  • Goods/personal accesories are allowed & properly used in the work area apart from the standard PPE:

  • Type of personnel that are alowed in the area:

  • Sorting & separation of trash:

Set in Order - Put items for easy access & identification.

  • Equipment/materials are stored in appropriate & specific places:

  • Equipment, pipes, tanks, cabinets, work areas, and storage areas are labeled (no identification) & arranged neatly:

  • Trash cans/ rubbish bins are well labeled:

  • Pedestrian area, workplace/floors & equipment are clearly identified (through marking & zone separation):

Shine - Keep work area clean & organized.

  • Environment, drainage ditches, conveyors, pipes, tanks, cabinets, work areas, and storage areas are clean (free of mold, dirt, dust, droplets):

  • Trash is equipped with plastic and disposed regularly:

  • Cleaning tools are provided and are well functioning:

  • Microbe accumulation in the work area:

  • Lightings working properly & lamp cover in good condition:

  • Hand wash basin are available includes with proper procedure:

  • All employees have good personal hygiene:

  • Indications of infestation or pest/insect activity:

Safety - Eliminate potential hazard & maintain safe working area.

  • Machine safety shut down and warning signs are installed:

  • Warning signs have been installed properly (floor plan, evacuation routes, etc.), all personnel know the storage location of safety aid kit, fire extinguisher & eye shower, etc. & emergency light available:

  • Forklift driver follow trafic rules & wearing a seat belt:

  • MSDS are available in each area where chemicals/lubricant are placed & updated regularly:

  • Employees use standard PPE during work, eg - using registered ladder:

  • Permit for High risk area - height/hot work & confined space:

  • Conduct Log-Out Tag-Out (LOTO) procedure when maintenance performed:

  • Safety equipment (fire extinguisher, hydrant, PPE & P3K) has been stored and function properly according to its kind:

Standardize - Creating work standard.

  • Procedures & Work Instructions (WI) for each work area are updated:

  • Employees understand the definition, types and properties of B3 & LB3:

  • Placement point for hazardous material are available with supporting facilities (spill kits, bunding, labels and symbols hazard material):

  • Leakage of lubricant, steam & compressed air:

  • Visual management to ensure all tasks are done correctly:

Sustain - Make it as a discipline.

  • All personnel are involved & participate in the GMP 6S Program/Activities:

  • Employees inspect respective work area in accordance with appropriate WO/checklist/QMP:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.