F1.1.2C1Managers Quarterly Inspection Sheet –Manufacturing

Guidance on Completion

Look at all sections, use your judgement to identify critical sections for sample and ensure these are covered.

If section or question has no application enter N.A.

If section or question is not examined, cross out section/question.

Record nature of good or poor performance and add general comments/observations on the appended summary sheet.

Workplace /

Date

Company

Item

/

Inspected

Insert numbers seen, where applicable /

Acceptable

/
Priority for Action
A Immediate
B End of Day
C Within Month
D Other (specify)
Yes✓ / No✘ / N.A✓
1. First Aid Facilities
a) First Aid and EyeWash stations
b) First aid locations
c) Emergency Procedures, List of Contact Numbers
d) Sufficient qualified First Aiders available
e) Signage, visible
2. Sanitation
a) Toilets
b) Washing Arrangements (inc. barrier and hand cream)
c) Showers, Lockers & Drying Room
d) Mess Room
3. General
a) Fencing/Security
b) General Housekeeping - order
c) Signs
d) High Visibility Clothing
e) Helmets
f) Footwear
g) Other PPE specify
h) Pedestrian Excluded Areas
i) Roads and Yard
j) Visitor and Vehicular Access
k) Overhead lines/structure, approach controls
l) No Smoking Policy
4. Work Shop / Maintenance Areas
a) Aisles (clean, unrestricted)
b) Pits (construction and guards)
c) Compressed Gasses – upright & secure
d) Degreasing – Ventilation, Gloves, RPE

Item

/

Inspected

Insert numbers seen, where applicable /

Acceptable

/
Priority for Action
A Immediate
B End of Day
C Within Month
D Other (specify)
Yes✓ / No✘ / N.A✓
4. Work Shop / Maintenance Areascont.
e) Welding - Fume Control, Screens, Equipment
g) Safe Storage - Rack Strength, Secure
h) Service Records
i) Oil Disposal
j) Heating - Safe, Sufficient
k) Solvent & Paint Disposal
5. Lifting Gear / Equipment
a) General condition, damage, cleanliness, lubrication, servicing
b) Legibly labelled as to capacity and load testing
c) Hooks not deformed or damaged and safety latches intact
6. Electrical Equipment
a) Equipment and control panels (locked, good condition)
b) Isolation switches identified
c) Wiring - insulation
d) Electrical inspection reports/equipment inspected
e) RCD’s
f) Correct voltages used
g) Notices
7. Traffic Control
a) Vehicle speeds
b) Signs
c) Signalling
d) Parking
e) One way systems
8. Mobile Plant
a) General Condition / Cleanliness
b) Fire Control
c) Operated Safely
d) Brakes – service & parking
e) Qualified Operator
f) Daily Plant Inspection Checklist
g) Mirrors
h) Reversing Systems
i) Tyre Condition

Item

/

Inspected

Insert numbers seen, where applicable /

Acceptable

/
Priority for Action
A Immediate
B End of Day
C Within Month
D Other (specify)
Yes✓ / No✗ / N.A✓
9. Noise Control
a) Noise Abatement - Vehicles
b) Noise Abatement - Plant
c) Signs and notices
d) PPE being worn
10. Lock – Off and Permit to Work
a) Positive lock-off provided for all power systems/permits to work schemes
b) Lock-off permits multiple lock-off
c) Tags and colour codes indicate user of lock-off or equivalent
d) Lock-off system provides means to reduce system/equipment to a zero energy state, i.e. steam air, electrical, hydraulic, etc
e) Permit to Work scheme in use
f) Issue and clearance of permits (tracking, etc)

Distribution:

Copy forwarded to Responsible Manager

Copy retained by Inspector

Copy forwarded to Health and Safety Manager

F1.1.2C1

Issue: 3

Issue Date: July 2005

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