SHE Inspection Form

• Sheetor No.

• Client / Site being audited

• Conducted on

  Date

• Auditors Name

  Select Priti Patel Jon Wood Pat Doran Paul Convery Clive Pendry Andy Kear

  • Priti Patel
  • Jon Wood
  • Pat Doran
  • Paul Convery
  • Clive Pendry
  • Andy Kear

Provision And Use Of Work Equipment Regs. (Machinery / Equipment)

• Do all machines have clear access for safe use?

  Yes

  No

  N/A

• Is the production machines / equipment free from build of of waste / flammable material or the surrounding area of the machines?

  Yes

  No

  N/A

• Is any oil leaking from the machines or equipment being used?

  No

  Yes

• Is the oil contained using the appropriate material PPE?

  Yes

  No

  N/A

• Are all chemicals clearly identified and stored in the correct container?

  Yes

  No

  N/A

• Are guard checks being carried out and documented?

  Yes

  No

  N/A

• Is the maintenance checks being carried out and documented?

  Yes

  No

  N/A

Personal Protection Equipment At Work Regs. (Provisions)

• Is all relevant PPE available and fully stocked?

  Yes

  No

  N/A

• Is PPE (ear plugs, safety shoes etc ) being worn in the relevant areas?

  Yes

  No

  N/A

Electricity At Work / Equipment Regs. (Electrical)

• Are all portable appliances fitted with an in date PAT sticker?

  Yes

  No

  N/A

• Is there any damage or trailing leads to an electrical system / equipment that could be hazardous?.

  No

  Yes

Environmental Protection. (Environmental)

• Is all waste solvent impregnated cloths, chemical waste secure etc?

  Yes

  No

  N/A

• Is the outside perimeter clear of any build up of waste, broken pallets, board, plastic and paper etc?

  Yes

  No

  N/A

• Is the review of the legal register and waste transfer licences completed?

  Yes

  No

  N/A

• Are the spill kits fully stocked?

  Yes

  No

  N/A

General

• Are all walkways clear from obstruction? (No work stored in the walkways, redundant pallets)

  Yes

  No

  N/A

• Are the monthly house keeping inspections taking place?

  Yes

  No

  N/A

• Are the SHE incident forms available?

  Yes

  No

  N/A

• Is the insurance certificate accessible and up-to-date?

  Yes

  No

  N/A

• Is the first aiders list up-to-date and on the production notice board?

  Yes

  No

  N/A

Manual Handling Operations Regs. (Manual Handling)

• Are there any items stored at height that could pose a risk? (Too heavy, not secure, handling difficulties)

  No

  Yes

• Are there any obstructions, fixtures or restrictions that prevent manual handling?

  No

  Yes

Management / Health & Safety at Work Act ( Safe Working Environment)

• Any changes to a process, task or equipment necessitating a review of the RA?

  No

  Yes

• Are all fixtures, fittings and buildings is safe state of repair?

  Yes

  No

  N/A

• Are the monthly racking checks being carried out?

  No

  Yes

• Has all new chemicals in production been risk assessed?

  Yes

  No

  N/A

• Are all lights working and in good state of repair?

  Yes

  No

  N/A

Regulatory Reform (Fire Safety) Order.

• Is there a weekly fire alarm test being carried out and recorded?

  Yes

  No

  N/A

• Is the weekly fire checks being carried out and actions completed?

  Yes

  No

  N/A

• Are all fire routes clear and unobstructed?

  Yes

  No

  N/A

• Person being audited name and sign here

  Sign

• Auditor name and sign to confirm audit has been card out.

  Sign