Leadership Safety Walk
Date Completed
Time Observed
Observer Name
Reported To
Area
Sufficient waste receptacles provided and emptied daily
Please Select
Yes
No
GENERAL HOUSEKEEPING
Are designated aisles and walkways clear
Please Select
Yes
No
Are floors swept clean and surfaces undamaged and free from trip hazards
Please Select
Yes
No
No waste beneath machinery or benches and other equipment
Please Select
Yes
No
Are hoses labelled and wound up
Please Select
Yes
No
Are areas of inspection dusty or hazardous to health and safety
Please Select
Yes
No
Area storage maintained and all leaks and spills promptly cleaned
Please Select
Yes
No
General Housekeeping Comments
Housekeeping Photo 2
Housekeeping Photo 1
MACHINERY
Are machine guards in place where required
Please Select
Yes
No
Safety notices clearly displayed
Please Select
Yes
No
Competency of Operators
Please Select
Yes
No
Emergency stop switches signage is visible
Please Select
Yes
No
Machinery Comments
Are entry and exits clear
Please Select
Yes
No
Any damage to floors and doors
Please Select
Yes
No
Any damage to walls and roof
Please Select
Yes
No
BUILDING STRUCTURES
Machinery photo 2
Machinery photo 1
Are any supporting structures damaged
Please Select
Yes
No
Are gutters and drains clear and undamaged
Please Select
Yes
No
Building structures photo 2
Building structures photo 1
Building Structures Comments
Are stairwell entries clear from obstructions
Great
Average
Fences doors and locks in good condition
Please Select
Yes
No
SECURITY
Are visitors signed in appropriate safety attire
Please Select
Yes
No
Switchboards dust free and area cleaned and free of combustibles
Please Select
Yes
No
No junction box covers or panels missing
Please Select
Yes
No
No temporary wiring or long extension leads
Please Select
Yes
No
All leads and plugs etc appear in good condition and tagged
Please Select
Yes
No
Do electrical installations generally appear safe
Please Select
Yes
No
POWER AND ELECTRICITY
Security Comments
Area of inspection has adequate lighting
Please Select
Yes
No
Power outlets are serviceable and not damaged
Please Select
Yes
No
Power and Electricity Comments
Security photo 1
FIRST AID AND HYGIENE
Security photo 2
Are safety showers unobstructed and serviceable
Please Select
Yes
No
Are first aid boxes accessible
Please Select
Yes
No
Are employees aware of who the first aiders are in the area
Please Select
Yes
No
Are ablutions adequately clean and serviceable
Please Select
Yes
No
Are eating areas clean and adequate
Please Select
Yes
No
Is there a supply of hand cleanser and towels etc
Please Select
Yes
No
Is there proper ventilation
Please Select
Yes
No
First aid photo 2
First aid photo 1
First Aid and Hygiene Comments
HAZARDOUS CHEMICALS AND FLAMMABLES
All chemicals and flammables stored in their designated storage areas
Please Select
Yes
No
Approved safety containers
Please Select
Yes
No
Approved earth straps and drum pumps etc
Please Select
Yes
No
No leaks or spillages
Please Select
Yes
No
Are empty containers being removed and stored properly
Please Select
Yes
No
Are Safety Data Sheets accessible and up to date
Please Select
Yes
No
Are PPE and equipment being worn whilst handling chemicals
Please Select
Yes
No
Are chemical pipelines clearly marked
Please Select
Yes
No
Are warning signs clearly displayed
Please Select
Yes
No
Hazardous Chemicals and Flammables Comments
SAFETY AND PERSONAL PROTECTIVE EQUIPMENT
Hazardous Photo 2
Hazardous Photo 1
Safety posters and warning signs visible
Please Select
Yes
No
Condition and availability of PPE notices
Please Select
Yes
No
Eye protection work by all employees visitors or contractors
Please Select
Yes
No
PPE is stored away appropriately
Please Select
Yes
No
Correct footwear worn by employees visitors or contractors
Please Select
Yes
No
PPE photo 1
Safety and PPE Comments
GENERAL
PPE photo 2
Defined and clear speed limits and vehicle operation areas
Please Select
Yes
No
Area zoning is clear
Please Select
Yes
No
Daily inspection procedure checklists completed and up to date
Please Select
Yes
No
Employees aware of Awareness of Emergency Procedures and drills to employees
Please Select
Yes
No
Employees are conscious of safety requirements
Please Select
Yes
No
General Comments
Check all permits active for control methods and risk assessment
Please Select
Yes
No
SAFETY DOCUMENTION
Check Permits are valid and readable
Please Select
Yes
No
Check all completed permits have been signed off correctly
Please Select
Yes
No
Are there Permits for all jobs onsite at the current time
Please Select
Yes
No
Do personnel completing job have correct qualification to complete task
Please Select
Yes
No
Safety Documentation Comments
ADDITIONAL ITEMS
Item 1
Item 2
Item 3
Item 4
ACTIONS REQUIRED
Discuss what needs to change and what actions need to be taken eg maintenance or SWI update and training etc
Action 1
Action 1 By Who
Action 1 By When
Action 2
Action 2 By Who
Action 3
Action 2 By When
Action 3 By Who
Action 3 By When
Action 4
Action 4 By Who
Action 4 By When
Additional Uploads
Photo
Inspection date
*
Department
Please Select
Back End Production
Despatch/Warehouse
Front End Production
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