Sample - Linfox Site Safety Governance Review

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Safety leadership journals are up to date? Are site manager/supervisors/team leaders conducting:<br>- daily safety walks and talks?<br>- weekly toolbar talks?

  Yes

  No

  N/A

• Are employees aware of the top three risks for the site and what could cause them and their workmates harm?

  Yes

  No

  N/A

• Was the behavior observed on the site consistent with Linfox expectations and safe working procedures (decisions, choices , safe acts, unsafe acts)?

  Yes

  No

  N/A

• Does the site have clear and obvious safety leadership that is driven by management ( safety committee functional and regular, site management walk the floor, site leadership champion safe acts and following safe work instructions)?

  Yes

  No

  N/A

• Do employees believe that safety is the number one priority at the site and that site management are committed to providing a safe workplace and safe practices? Feedback from those spoken with?

  Yes

  No

  N/A

• Do employees have any suggestions as to how to improve safety at the site? (Suggestion for improvement from those spoken with).

  Yes

  No

  N/A

• Does the site present in a manner that is consistent with Linfox expectations for cleanliness and safety?

  Yes

  No

  N/A

General comments/Feedback.

• undefined