VFL Mobile

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Information

• Person Conducting VFL

• VFL Date & Time

  Date

• Market Area

  Innocon

  GTA Aggegates

  GTA Cement

• Site Location

  Select Commissioner Mavis Wilson Newkirk Leaside Newmarket Pickering Albion Dundas Caledon Uhthoff Orillia Brechin Stouffville Mosport Cawthra Junction Rd Polson St

  • Commissioner
  • Mavis
  • Wilson
  • Newkirk
  • Leaside
  • Newmarket
  • Pickering
  • Albion
  • Dundas
  • Caledon
  • Uhthoff
  • Orillia
  • Brechin
  • Stouffville
  • Mosport
  • Cawthra
  • Junction Rd
  • Polson St

• Description of Conversation

• No. of Conversations<br>

  1

  2

  3

  4

  5

• Time Spent Conducting VFL

  Select 10 min 20 min 30 min 40 min 50 min 60 min 90 min 2 hrs

  • 10 min
  • 20 min
  • 30 min
  • 40 min
  • 50 min
  • 60 min
  • 90 min
  • 2 hrs

• Persons Conversed With

• Location where VFL conducted

  Select Crusher Mill Screen Silo Mixer Slumping Area Weighbridge Workshop Fueling Area Laboratory Loading / Unloading Area Conveyor Mobile Equipment Warehouse Washing Area Office Customer Site

  • Crusher
  • Mill
  • Screen
  • Silo
  • Mixer
  • Slumping Area
  • Weighbridge
  • Workshop
  • Fueling Area
  • Laboratory
  • Loading / Unloading Area
  • Conveyor
  • Mobile Equipment
  • Warehouse
  • Washing Area
  • Office
  • Customer Site

Safe & Unsafe Acts Observed

• Access / Egress

  Safe

  At Risk

  N/A

• Chemical Risk

  Safe

  At Risk

  N/A

• Confined Space

  Safe

  At Risk

  N/A

• Hot Work

  Safe

  At Risk

  N/A

• Housekeeping

  Safe

  At Risk

  N/A

• Lock out - Tag out - Try out

  Safe

  At Risk

  N/A

• Manual / Mechanical Handling

  Safe

  At Risk

  N/A

• Mobile Equipment

  Safe

  At Risk

  N/A

• Pedestrian Circulation

  Safe

  At Risk

  N/A

• Guarding

  Safe

  At Risk

  N/A

• PPE

  Safe

  At Risk

  N/A

• Tools / Small Equipment

  Safe

  At Risk

  N/A

• Working at Heights

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A