Title Page

  • Conducted on

  • Prepared by

  • Location

Area Conditions

  • Is the workshop area generally tidy & well kept?

  • Are there any significant trip hazards?

  • Are power sockets, connections, & cables safe / in good order?

  • Are tools & equipment in good order?

  • Is PAT Testing on equipment in date?

  • Are wearable parts / equipment (e.g. slings) stored correctly?

  • Any Other Comments / Observations?

Hot Work

  • Is there Hot Work being undertaken?

  • Is this being undertaken in the Workshop Hot Work area?

  • Is there a Hot Work Permit?

  • Has this been fully & correctly filled in?<br>Is a Permit posted on the Permit board & at the job site?

  • Are Permit controls being followed?

  • Is there suitable provision of LEV or RPE?

  • Is there a suitable extinguisher, sited appropriately?

  • Is the area clear of flammables?

  • Has suitable provision been made to protect others? (Screens; Barriers)

  • Any other issues / comments?

  • Is the LEV set up and in place?<br>Alternatively, is suitable RPE being used?

  • Is the workshop area tidy & free of flammable material?

  • Is there an extinguisher sited suitably in the area?

  • Are welding screens set up correctly, if required?

  • Is Grinding being carried out?

  • Is the grinder in good order?<br>(Disc; Cable; Plug; Aux. Handle; Blade-guard)

  • Is a face visor being used while grinding?

  • Is other PPE being used?<br>(Ear defenders; Gloves)

Feedback & Follow-up

  • Feedback provided to the individual:

  • Acceptance of Feedback

  • Feedback provided to the Shift Supervisor:

  • Acceptance of Feedback

  • Feedback provided to the Process Manager:

  • Acceptance of Feedback

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.