Senior Managers

• Document No. 01

• Print / Finishing

• RPC Superfos Blackburn

• Conducted on

  Date

• Fraser Graham

• Blackburn
  Address

• Paul Davis

• Select date

  Date

General

• Does employee Understand the Health & Safety Policy (Pick person (s) & assess person(s) name

  Yes

  No

  N/A

• Does employee understand the Fire procedure (Pick person(s) & assess) Person(s) name

  Yes

  No

  N/A

Machinery Guarding First Machine

• Guarding Checks completed (Machine Number)

  Yes

  No

  N/A

• All guarding in place on Machine checked

  Yes

  No

  N/A

• Is any lifting equipment that is being used in good repair and correctly tagged (State tag colour)

  Yes

  No

  N/A

Personal Protective Equipment

• Appropriate PPE in use: e.g. Safety shoes, goggles, gloves, (Two employees names and PPE)

  Yes

  No

  N/A

Fire

• Check fire exits & fire points clear: (Identify fire exits and fire points checked)

  Yes

  No

  N/A

• Fire extinguishers tests in date (identify point and date displayed)

  Yes

  No

  N/A

Housekeeping

• Work area environment: floor sound, no trip hazards, exposed wiring etc

  Yes

  No

  N/A

• All gangways clear

  Yes

  No

  N/A

• Safety signs / notices in good condition: e.g. defaced, faded, defected.

  Yes

  No

  N/A

Working practices

• Employee following safety procedures (Pick person(s) name) Identify task title<br><br>

  Yes

  No

  N/A

• Is a risk assessment / SWP completed for task, if so identify reference number:

  Yes

  No

  N/A

• Employees training file checked to ensure that they have been trained on the task and is recorded on the training matrix

  Yes

  No

  N/A

• COSHH: understanding of substance(s), using substance(s) correctly (When employee working with a substance) name of employee and substance(s) being used.

  Yes

  No

  N/A

• COSHH: Data sheet and COSHH assessment available (Identify reference numbers)

  Yes

  No

  N/A

Contractors (Audit only if contractor working in Audit area)

• Are contractors booked in at reception / wearing ID badge

  Yes

  No

  N/A

• Have contractors got a risk assessment/ method statement insurance/ permit to work

  Yes

  No

  N/A

Observations

• Were any other observations made during the Audit / if so please Identify

  Yes

  No

  N/A

• Auditors signature

  Sign

• Health and Safety Officer

  Sign