SHE Conveyor safety Inspection

• SHE Conveyor Safety inspection

• Select Alnwick Byley Cadeby Drakelow Ellistown Grantham Knockloughrim Lisnaskea Littleport Lydney Telford Weston Underwood

  • Alnwick
  • Byley
  • Cadeby
  • Drakelow
  • Ellistown
  • Grantham
  • Knockloughrim
  • Lisnaskea
  • Littleport
  • Lydney
  • Telford
  • Weston Underwood

• Select date

  Date

• Add signature

  Sign

• Select Areas to inspect

  Select AREA 1 AREA 2 AREA 3 AREA 4 AREA 5 AREA 6

  • AREA 1
  • AREA 2
  • AREA 3
  • AREA 4
  • AREA 5
  • AREA 6

• AREA 1

• Machine or Area Name

• Person Responsible:

BELTS & ROLLERS

• Any belt joints in good condition with no obvious damage

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No damage observed to belt material

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Rollers free from debris and free moving

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFETY GUARDS

• Fitted and secure

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Free of damage

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No obvious means of ingress for hands

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

HOUSEKEEPING

• Clear of rubbish & unused tools

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Adequate room to work

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFETY PULL CORDS

• Accessible and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No obvious damage to cord or mechanism

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

INTERLOCKS

• Access padlocks in place

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Equipment interlocks in place and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

CASTELL LOCKS

• Castell system fitted and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• All keys in place

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFE ACCESS

• Area clear of rubbish and concrete

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Signage in place and clear

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Area around safe access clear of obstacles and adequate room to manoeuvre available

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• AREA 2

• Machine or Area Name

• Person Responsible:

BELTS & ROLLERS

• Any belt joints in good condition with no obvious damage

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No damage observed to belt material

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Rollers free from debris and free moving

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFETY GUARDS

• Fitted and secure

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Free of damage

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No obvious means of ingress for hands

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

HOUSEKEEPING

• Clear of rubbish & unused tools

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Adequate room to work

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFETY PULL CORDS

• Accessible and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No obvious damage to cord or mechanism

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

INTERLOCKS

• Access padlocks in place

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Equipment interlocks in place and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

CASTELL LOCKS

• Castell system fitted and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• All keys in place

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFE ACCESS

• Area clear of rubbish and concrete

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Signage in place and clear

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Area around safe access clear of obstacles and adequate room to manoeuvre available

  Yes

  No

  N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• AREA 3

• Machine or Area Name

• Person Responsible:

BELTS & ROLLERS

• Any belt joints in good condition with no obvious damage

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No damage observed to belt material

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Rollers free from debris and free moving

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFETY GUARDS

• Fitted and secure

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Free of damage

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No obvious means of ingress for hands

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

HOUSEKEEPING

• Clear of rubbish & unused tools

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Adequate room to work

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFETY PULL CORDS

• Accessible and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No obvious damage to cord or mechanism

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

INTERLOCKS

• Access padlocks in place

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Equipment interlocks in place and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

CASTELL LOCKS

• Castell system fitted and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• All keys in place

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFE ACCESS

• Area clear of rubbish and concrete

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Signage in place and clear

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Area around safe access clear of obstacles and adequate room to manoeuvre available

  Yes

  No

  N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• AREA 4

• Machine or Area Name

• Person Responsible:

BELTS & ROLLERS

• Any belt joints in good condition with no obvious damage

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No damage observed to belt material

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Rollers free from debris and free moving

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFETY GUARDS

• Fitted and secure

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Free of damage

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No obvious means of ingress for hands

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

HOUSEKEEPING

• Clear of rubbish & unused tools

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Adequate room to work

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFETY PULL CORDS

• Accessible and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No obvious damage to cord or mechanism

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

INTERLOCKS

• Access padlocks in place

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Equipment interlocks in place and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

CASTELL LOCKS

• Castell system fitted and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• All keys in place

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFE ACCESS

• Area clear of rubbish and concrete

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Signage in place and clear

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Area around safe access clear of obstacles and adequate room to manoeuvre available

  Yes

  No

  N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• AREA 5

• Machine or Area Name

• Person Responsible:

BELTS & ROLLERS

• Any belt joints in good condition with no obvious damage

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No damage observed to belt material

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Rollers free from debris and free moving

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFETY GUARDS

• Fitted and secure

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Free of damage

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No obvious means of ingress for hands

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

HOUSEKEEPING

• Clear of rubbish & unused tools

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Adequate room to work

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFETY PULL CORDS

• Accessible and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No obvious damage to cord or mechanism

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

INTERLOCKS

• Access padlocks in place

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Equipment interlocks in place and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

CASTELL LOCKS

• Castell system fitted and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• All keys in place

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFE ACCESS

• Area clear of rubbish and concrete

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Signage in place and clear

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Area around safe access clear of obstacles and adequate room to manoeuvre available

  Yes

  No

  N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• AREA 6

• Machine or Area Name

• Person Responsible:

BELTS & ROLLERS

• Any belt joints in good condition with no obvious damage

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No damage observed to belt material

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Rollers free from debris and free moving

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFETY GUARDS

• Fitted and secure

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Free of damage

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No obvious means of ingress for hands

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

HOUSEKEEPING

• Clear of rubbish & unused tools

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Adequate room to work

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFETY PULL CORDS

• Accessible and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• No obvious damage to cord or mechanism

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

INTERLOCKS

• Access padlocks in place

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Equipment interlocks in place and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

CASTELL LOCKS

• Castell system fitted and working

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• All keys in place

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

SAFE ACCESS

• Area clear of rubbish and concrete

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Signage in place and clear

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Area around safe access clear of obstacles and adequate room to manoeuvre available

  Yes

  No

  N/A

• Other

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A

• Other areas of concern or best practice observed

  0 - CAR

  1 - Poor

  2 - Average

  3 - Good

  4 - N/A