Title Page
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Conducted on:
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Prepared by:
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Site conducted
- Vat Room
- Block Formers
- WPD
- Seps
- Standardisation
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Is there any trip or slip hazards in the area?
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All chemicals stored correctly and locked with a padlock?
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Is the area clean and tidy?
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Is there sufficient lighting and all lights working?
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Are safety barriers and guards in place where required?
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Is everyone wearing their PPE correctly?
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Anyone undertaking any unsafe manual handling movements?
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Are the emergency exits clear to see and free from any obstructions?
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Fire extinguishers present and not obstructed ?
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PPE stations full with PPE and in good working condition?
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Ask operator if they have any H&S concerns in their area.
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Ask the operator if they have any H&S improvements for the area.
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Is there any open outstanding H&S concerns in the area?
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Have any H&S actions been raised by the operator but not actioned?
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Any actions captured on LIA?
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Completed Time and Date
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NAME & SIGNATURE