Weekly H&S Operations monitoring

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Is equipment inspections being completed by operatives? (Sample compliance)

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Test and log machinery emergency stop buttons trip switches, interlocks, safety devices, isolator points checked?

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Is all lifting equipment inspections being completed by operatives? (Sample compliance)

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Is there any faulty work equipment and has it been taken out of service, or needs removing from site

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Are there any trip hazards controlled, e.g. trailing wires, hoses, waste?

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Are washing and welfare facilities accessible and clean? hot and cold water is operational with clean soap and drying facilities?

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Are employees using PPE/RPE as instructed by risk assessment / SSOW and TBT?

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Are there sufficient unobstructed walkways provided throughout the workshop to allow safe access and egress?

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Are all hazardous substances stored appropriately at the end of use? (or at the end of the shift)

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Is there sufficient space between the work to allow unhindered movement?

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Are lighting and temperature levels sufficient for the working environment?

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Are fire fighting appliances in their designated position, and unobstructed?

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Is housekeeping in all areas kept to a high standard?

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Are fire exit doors kept unlocked and unblocked?

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Are flammables stored away from sources of ignition?

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Is the building fabrication and equipment in good order? (record damage to be addressed)

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other

• Monthly RPE checks have been completed

  Select No issues identified Procedural Non-Compliance Machinery Contact Cuts and/or Abrasions Manual Handling Injury Slip, Trip, Fall (Same / Level) Fall from Height Struck by Flying / Moving Object Exposure to Hazardous Substances Entrapment Entanglement Electrocution Impact Burns and/or Scalds Fire and/or explosion Accumulative Effects Other

  • No issues identified
  • Procedural Non-Compliance
  • Machinery Contact
  • Cuts and/or Abrasions
  • Manual Handling Injury
  • Slip, Trip, Fall (Same / Level)
  • Fall from Height
  • Struck by Flying / Moving Object
  • Exposure to Hazardous Substances
  • Entrapment
  • Entanglement
  • Electrocution
  • Impact
  • Burns and/or Scalds
  • Fire and/or explosion
  • Accumulative Effects
  • Other
Additional items identified (good and bad practice)

• Evidence

  Safe

  At Risk

  N/A

Person responsible: -

• Signature: -

  Sign

• Date: -

  Date