Title Page

  • Conducted on

  • Prepared by

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Housekeeping

  • Are all walkways clear and free from trailing cables ?

  • Is the floor clear of debris and any leakage?

  • Are bins emptied and not overfilling?

  • Is the spill kit topped up and accessible?

  • Are all fire extinguishers accessible?

  • Which extinguisher has been blocked?

  • Are all emergency exits clear?

Machinery

  • Are all electrical cabinets locked?

  • What are the asset ID's of unlocked cabinets?

  • Have the daily machine and truck checks been completed?

  • Have the overhead crane safety checks been carried out?

  • Are all machine guards in position and secure?

Behaviours

  • Is the appropriate P.P.E being worn correctly by all members of team?

  • Safety conversation required.

  • Have any unsafe behaviours been observed?

  • Safety conversation required.

  • Positive safety conversations? With Who? What was said?

Other

  • Are contractors working safely and in compliance (if in area)?

  • Are storage areas in a good condition visually? 1 being poor, 10 being very good.

  • Are 5S Standards being maintained?

  • Check with an employee their understanding of the fire evacuation procedure.

Complete

  • Team Leader Signature

  • Management Signature

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.