1. Answer "Yes", "No", "N/A" for the questions below.
2. Fill out required fields and answer other questions as needed.
3. Add photos and notes/comments by clicking on the paperclip icon.
4. To add a Corrective Measure, click on the paperclip icon then click on "Add Action". Provide a description, assign to a member, set priority and then set the due date.
5. Complete audit by providing a digital signature.
6. Share your report by exporting as PDF, Word, Excel or Web Link.
GMP'S : Is the GMP policy being followed?
PPE'S : Is the PPE policy being followed?
SAFETY : Are the Safety rules being followed?
CLEANLINESS : Is area free of debris?
EXITS : Fire exits are kept clear
ESCAPE ROUTES : Escape routes are clear, items are not stored here
SIGNAGE : Signage is in place across site (escape routes can be easily followed)
EXTINGUISHERS : Extinguishers are of the correct type and can be clearly seen?
Are extinguishers being checked monthly?
ELECTRIC PANELS : No visible damage or defects to electrical panels, and they are secured against unauthorised access
CABLE DAMAGE : No visible damage to cables. Cables do not trail across walkways
WARNING SIGNS : Warning signs are displayed on high voltage equipment
SWITCHES : All switches are in good order and work correctly
EXTENSION CORDS : Are extension cords being used as a permanent power source?
DANGEROUS PARTS GUARDED : Dangerous parts of the machine are guarded
MISSING GUARDS : There are no missing guards
DAMAGE/DEFECTS-GUARDS : No visible damage or defects to any guards
INTERLOCKS-WORKING : All interlocks are working and are checked regularly
VISION PANELS-CLEAR : Vision panels are clear
HORN : Are drivers sounding horn before approaching the intersection?
YIELD THE RIGHT AWAY : Yield right away to pedestrians?
STOP : Complete STOP or Rolling STOP?
SAFETY ZONE : PIT operator oberving the 4-foot rule?
SEAT BELT : Is seat belt utilized?
CERTIFICATION : Is PIT certification current?
EMPLOYEES / OPERATORS : Observe operators at work?
Should anything be changed to help in operations?
HAZARDS IN THE AREA : Are they any Hazards in the area?
Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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