Title Page
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Date
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Prepared by
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Location
- Asahi 1
- Asahi 2
- Balehouse
- Banding Press
- Bobst Area
- Car Parks & Canteen Blocks
- Corrugator Dry End
- Corrugator Wet End
- Deri Area
- Effluent Plant
- Emba
- Engineering Offfices
- Engineering Stores
- Engineering Workshop
- External - Reception to TopWarehouse
- Forme Room & Storage
- Gopfert
- Ink Mixing Room
- Martin 618
- Offices
- Pallet Store & Top Warehouse
- Palletiser
- Reel Stores
- Starch Plant
- Upstairs Offices
- Warehouse
- Unit 10
1 Housekeeping
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Waste bins emptied
- 0 - 25%
- 25 - 50%
- 50 - 75%
- 75 - 100%
- More than 100%
- N/A
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Process waste cleared away from machines
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Special waste cleared
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Floor areas swept
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Floor areas clear of debris
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Unsafe conditions
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What is the unsafe condition?
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Provide photo of unsafe condition
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Slip , trip & fall hazards identified
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What is the hazard?
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Provide photo of Hazard
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Other
2 Fire risks
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Extinguishers in correct position & unobstructed
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All signage in place and correct
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Extinguishers / hose reels within test certificate
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M.A.C points identified & unobstructed
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Emergency routes/exits clear
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Emergency lights operational
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Debris under machinery/ conveyor lines cleared
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Other
3 Contractors
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Induction training provided
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Risk assesments/method statements available
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Permits to work for High Risk Activity
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PPE being worn
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Unsafe acts / Conditions
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What is the unsafe act / condition?
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Photo
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Other
4 Machinery Isolation and housekeeping
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Risk assessments in place
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SSOW in place/ being followed
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Guards in place
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Isolation during intervention
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Unsafe acts/ conditions
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What is the unsafe act / condition
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Photo
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Emergency stops/guards checked
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Exposed dangerous moving parts
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What are the dangerous / exposed parts?
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Photo
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Machinery clean internally
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Machinery clean externally
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Other
5 Electrical
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Leads trailing the floor
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Photo
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PAT – Electrical Appliances
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Temporary connections
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What is the temporary connection?
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Photo
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Wires exposed / out of shrouding
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Photo
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Unsafe conditions
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What are the unsafe conditions?
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Photo
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Other
6 Lift Trucks
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Operator wearing belts
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Pre-use inspection completed
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Lift truck damage
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What is the damage?
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Photo
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Lights operational
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What lights were not working?
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Driving Safely
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What was unsafe?
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Keys left in FLT
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Parked safely, securely & not causing obstruction
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What was unsafe?
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Photo
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Other
7 Storage & Warehouse
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Loads stacked safely and securely
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Clear access and egress in loading & storage areas
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Other
8 Work at Height
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Unsafe acts observed
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What was the unsafe act?
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Photo
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Unsafe conditions seen
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What were the unsafe conditions?
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Photo
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8.3 Other
9 PPE
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Mandatory PPE is being worn
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Storage of PPE
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Condition of PPE
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Correctly stored when not in use (prevent contamination)
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9.5 Other
10 COSHH
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Storage of aerosols / Chemicals
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Essential information available
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What essential information is missing?
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Other
11 Signs
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All signage in place and in good condition
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All signage clean and clearly visible
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Other
12 Building Cleanliness
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Other
13 Behaviour
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Bad Practice Observed
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What is the bad practice?
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Other
14 Other
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First aid/Eye wash available
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Other
Audit Conclusion
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Signature of Auditor