Doc. No.

Company Name & LOGO Rev. No.

Issue / Rev. Date :
:

AUDITOR NAME: DATE: ROLLING MILL CONDUCTOR MAINT. & UTILITIES Remarks

CHECK POINTS Y P N NA Y P N NA Y P N NA

First Aid box is available with all required contents. Expiry Date is mentioned.
All Emergency exits are clearly marked and kept unblocked for movement .
Appropriate Fire Extinguisher at all designated places in healthy condition. Refilling Due Date
is marked on it.
Electrical Cables are well-dressed and in good condition.
No Road / Pathway in the section is blocked for movement of material and transport .
Effective Use of Personal Protective Equipments in the area.
Defined Emergency lights are available and are in working condition. Records are available
for testing.
Any accdent happened in the section / department. Reporting is done. Corrective and
Preventive action taken within one month of occurance of Accidents and Incidents
Safety Booklet & Unique Identification Number are available with all employees in the
section / dept. including contract workers
No Safety violation /Unsafe condition / Unsafe Act is reported during Safety Audit
SOP / Work Instruction should be displayed on required equipments.
All electrical fittings are earthed , records of earth Pit resistance available with Maintenance
Dept. and no visibility of loose connection in any equipment /Panels.
All Welding Mahcines / Griding Machines / Gas Cutting Sets are ok.
Ext. No. is in working condition and emegency phone no. is diaplayed on it.
Fans are cleand and in good working condition in the section.
All Safety Committee Points in respective section are completed.
All Floors / Walkways are safe for working in the section. Eg. No oil leakage.
Permit-To-Work System is followed striclty and records are available in the section
All Safety Interlocks are identified in each area and non of them found by passed. Records
with the section.
Effective use of Safety Helmet & Shoes in the section.
All pathways are marked for Man and Material movement and is follwed .
Service Floor is illuminated properly with no obstruction for movement
All moving parts are guarded with mesh / properly grouted Fencing to avoid any
incident/accident.
All fork lifts have required facility e.g proper lighting, horn, PUC and other necessary things.

Any Extra Point to be included

Total (Count Y, P, N, NA)

Marks Criteria - Yes = 3, Partly = 1.5, No = 0, Not Applicable = 3 0 0 0 0 0 0 0 0 0 0 0 0
Total Score out of 90 0 0 0
*Note for the "Auditor". ==> (1) Has to conduct the audit in each area on any working day (surprisingly) in the said month. Kindly ensure no two auditors make the audit on the same day. (2)
Requested to go through the points & assign ('X') mark to areas. Keep the section incharge alongwith while conducting audit. (3) While auditing, Auditor should create an awareness on
Safety / House Keeping issues down the line on positive notes / improvements. (4) After assigning marks, kindly submit the filled up audit sheet to Safety Dept. by 28th of a month, so that,
further process can be taken care of. (Abbreviations : 'Y" = YES, "P" = PARTLY, "N" = NO and "NA" = NOT APPLICABLE)

Auditor Recommendation :

Sign: