Title Page

  • Conducted on:

  • Shift:

  • Started by:

Floor condition

  • Is the floor free of any safety hazard(ie..cardboard, plastic, plastic, water, grease...etc) ?

  • Is there any other observation or comment about the floor?

Team Work

  • Are associates working together as a team and supporting each other with the work load?

Electrical

  • Are there any electrical cords that are broken and unsafe to use?

  • Is the floor free of any electrical cord?

  • Are switches, outlets, and junction boxes safe to use ?<br>

  • Are panel boards and switches properly covered?

  • For the extension cord, is the grounding pin intact, no electrical tape around the cord, and no strip wire is exposed?

Machines and Guard

  • Is the cleaning equipment safe to use?

  • Are the production machines free of broken pieces?

General Safety

  • Are the associates being safe to the best of their knowledge?

  • Is there any other safety hazards around the working area?

  • Did you communicate with the sanitation team about any safety hazard before you started and during your shift?

  • Please give us feedback about what we need to add/change in the safety checklist or any safety improvements

  • Completed by:

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.