Information
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Conducted on
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Prepared by
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Location
Instructions
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Progress through the following sections, answering each question. When an item is non-compliant, be sure to add notes and photos as evidence.
Housekeeping
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Work areas are free from hazards?
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Storage areas are free from hazards?
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Aisles/work areas are kept clear of any slip/trip hazards?
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Emergency equipment (eyewash, fire extinguishers) is constantly accessible.
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Emergency routes and emergency doors are kept clear of any item and fully accessible?
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Tools are appropriately stored?
Safety Signage
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Signs indicating required Personal Protective Equipments are in place.
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Signs indicating eyewash/safety shower, emergency exits, fire extinguishers, etc. are in place?
Maintenance
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Maintenance areas are properly identified and protected?
Hand Protection
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Gloves are used as required?
Eye/face Protection
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Safety goggles or face shield are used as required?
Hearing protection
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Ear protections is used in identified high noise areas?
Tools, Equipment and Machines
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Appropriate safety guards are in place?<br>.
Overall Notes
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What is the overall condition of the workplace?
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Enter any general findings or comments
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Are any safety concerns present that require immediate attention?
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Ensure all safety issues are noted in the audit above, with associated corrective actions created
Accomplishments
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Log below any examples of excellent work practices that were noted on this safety walk.
Good Work Practice
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Team Member Name
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Good work practice:
Sign Off
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I declare that the audit above was conducted and completed accurately.
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Full name and signature of auditor