Audit

Workplace

Housekeeping

Workspace

Prevention and protection measures

Is hazards and requirements information available?

Ergonomy

Push and pull

Lifting and lowering

Torsion

Crouch/snuggle

Overwork

Repetitive actions

Procedures

Are the procedures known?

Are the procedures followed correctly?

Are food-safety standards satisfied?

(Use of food-contact approved materials; clean clothes and glowes; chance of product contamination; ...)

Are safety standards satisfied?

Working equipement

Is working equipement in good state?

Is working equipement correctly used?

PPE

Hands

Head

Eyes and face

Ears

Nose and mouth

Feet

Body

Personal evaluation

Is the worker aware of the risks due the activities he's doing and to' the place where those activities take place? Does he prevent them?

IMS qualification requirements are satisfied?

Recomanded actions

Signatures of participants
Worker observed
Person involved
Observer
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.