Title Page
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Conducted on
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Prepared by
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Housekeeping
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Are all walkways clear and free from trailing cables ?
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Is the floor clear of debris and any leakage?
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Are bins emptied and not overfilling?
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Is the spill kit topped up and accessible?
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Are all fire extinguishers accessible?
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Which extinguisher has been blocked?
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Are all emergency exits clear?
Machinery
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Are all electrical cabinets locked?
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What are the asset ID's of unlocked cabinets?
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Have the daily machine and truck checks been completed?
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Have the overhead crane safety checks been carried out?
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Are all machine guards in position and secure?
Behaviours
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Is the appropriate P.P.E being worn correctly by all members of team?
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Safety conversation required.
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Have any unsafe behaviours been observed?
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Safety conversation required.
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Positive safety conversations? With Who? What was said?
Other
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Are contractors working safely and in compliance (if in area)?
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Are 5S Standards being maintained?
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Check with an employee their understanding of the fire evacuation procedure.
Complete
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Team Leader Signature
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Management Signature