Sheffield Departmental Safety Audit

• Sheffield Area Safety Audit

• Production Area

• Conducted on

  Date

• Prepared by

• Personnel

Lock Out Tag Out

• Machine

• Lock Out Tag Out Sign in position ?

  Yes

  No

  N/A

• Person Operating the machine

• Can the Person demonstrate good LOTO?

  Yes

  No

  N/A

• Has the person completed the Level 200 LOTO Test?

  Yes

  No

  N/A

• Is there a good supply of Locks and Tags in the area? ( at least one for every two machines in the area )

  Yes

  No

  N/A

Personal Protective Equipment

• Name of Employee

• Task Employee Performing

• Gloves being worn ?

  Yes

  No

  N/A

• Gloves acceptable for Task

  Yes

  No

  N/A

• .Shoes acceptable ?

  Yes

  No

  N/A

• Type of Hearing Protection being worn

  Select Ear Plugs Muffs Yoke String

  • Ear Plugs
  • Muffs
  • Yoke
  • String

• Hearing Protection being worn correctly ?

  Yes

  No

  N/A

• Safety Glasses being worn correctly ?

  Yes

  No

  N/A

• Employee wearing Respirator properly ?

  Yes

  No

  N/A

• Employee Face Fitted?

  Yes

  No

  N/A

• Employee passed PPE 200 in the last12 months ?

  Yes

  No

  N/A

Powered Vehicles

• Has the vehicle been signed off this shift?

  Yes

  No

  N/A

• Is there good use of the horn ?

  Yes

  No

  N/A

• Is there adequate evidece of good driving standard when pedesrians are near ?

  Yes

  No

  N/A

COSHH

• Is the Coshh Register at the S Board ?

  Yes

  No

  N/A

• Is the Coshh Register Indexed ?

  Yes

  No

  N/A

• Are their any secondary containers unlabeled witnessed during the audit ?

  Yes

  No

  N/A

• Employee Name

• Substance

• Is there evidence of training of the product ?

  Yes

  No

  N/A

• Cn the employee identify one safety hazard about his particular product ?

  Yes

  No

  N/A

• Has the employee passed the Coshh 200 test wihin the last 12 months

  Yes

  No

  N/A

• Are Flammables stored in a compliant cabinet ?

  Yes

  No

  N/A

Manal Handling

• Employee Name

• Task

• Evidence of good manual handling technique ?

  Yes

  No

  N/A

• Has the employee passed the Manual Handling 200 Test in the last year?

  Yes

  No

  N/A

• Is there a MAC assessment for the task ?

  Yes

  No

  N/A

• Does the Group Manager have a register of all the MACs

  Yes

  No

  N/A

Fire Basics

• Is there evidence of the Fire Extinguishers being signed off in the last month

  Yes

  No

  N/A

• Is the sprinkler system visibly ok ?

  Yes

  No

  N/A

Risk Assessment

• What is the process being performed ?

• Who is performing the task ?

• Is there a Risk Assessment fo the task ?

  Yes

  No

  N/A

• Is the RA Assessment fully completed ?

  Yes

  No

  N/A

• Are there obvious hazards missing from the Risk Assessment

  Yes

  No

  N/A

First Aid

• Name of Fidst Aider

• First Aid Kit OK ?

  Yes

  No

  N/A

Emergency Priceedures

• Is there a Fire Register ?

  Yes

  No

  N/A

• Are Fire Exit Routes clear ?

  Yes

  No

  N/A

• Do the Fire Exit Doors open freely ?

  Yes

  No

  N/A

Vibration

• Are there records of the timer useage by person

  Yes

  No

  N/A

• Sander Reference Number

• Can the area show exposure is less than 1 hr per person over the last three months ?

  Yes

  No

  N/A

• Is the air exhaust inplace ?

  Yes

  No

  N/A

• Fgg

Waste

• Are the waste bins properly segregated ?

  Yes

  No

  N/A

• Is there evidence of chain control when carry skips on Flts ?

  Yes

  No

  N/A