SLIPS AND TRIPS ASSISTANT FOR ……………………………..AREA/DEPARTMENT

 

PRIORITY Slips and Trips Team Names:                                                           Date of Workplace Check:                                                                   Re-check       Date:                                                            

 

YOU SHOULD TRY TO CHOOSE A SOLUTION THAT IS AS CLOSE TO THE LEFT HAND SIDE OF THE PAGE AS POSSIBLE

 

 

YES

NO

REMOVE/REDUCE

YES

NO

CONTAIN

YES

NO

WARN, INFORM and PROTECT

YES

NO

 

FLOORS & STAIRWAYS

 

 

 

 

 

 

 

 

 

 

 

1

Even and level

 

 

Re-level/partially re-level

 

 

Barrier area off

 

 

Signs/safety footwear

 

 

2

In good repair

 

 

Repair/cover cracks

 

 

Barrier area off

 

 

Signs/safety footwear

 

 

3

Good slip resistance

 

 

Re-coat with anti-slip paint/grit floor

 

 

Barrier area off

 

 

Signs/safety footwear

 

 

4

Clean environment

 

 

Stop contamination

 

 

Clean up

 

 

Signs

 

 

5

Safe handrails

 

 

Fit handrails a.s.a.p.

 

 

Restrict use of stairs

 

 

Signs

 

 

 

THE ENVIRONMENT

 

 

 

 

 

 

 

 

 

 

 

6

Adequate lighting

 

 

Extra lights/temporary lights

 

 

Barrier area off

 

 

Signs

 

 

7

Dry – Not wet/muddy/icy

 

 

Keep area dry/use slip mats

 

 

Barrier area off

 

 

Signs

 

 

 

THE WORKPLACE

 

 

 

 

 

 

 

 

 

 

 

8

Spillage risk free

 

 

Engineer no spills/bund(dam) off

 

 

Barrier area off

 

 

Signs

 

 

9

Leak risk free

 

 

Fix leaks/bund area off

 

 

Barrier off

 

 

Signs

 

 

10

Trailing cables and pipes free

 

 

Re-route cables/lift off floor

 

 

Place ramps over cables

 

 

Signs

 

 

11

Obstruction free

 

 

Remove/reduce

 

 

Barrier area off

 

 

Signs

 

 

 

THE PEOPLE

 

 

 

 

 

 

 

 

 

 

 

12

Adequate footwear

 

 

Issue non-slip footwear

 

 

Prevent access to area

 

 

Mandatory signs

 

 

13

Good behaviour

 

 

 

 

 

 

 

 

Discipline offenders

 

 

14

Should be experienced

 

 

 

 

 

Experienced personnel only

 

 

Sign authorised personnel only

 

 

15

Train and inform

 

 

Training

 

 

Experienced personnel only

 

 

Sign authorised personnel only

 

 

 

OTHERS

 

 

 

 

 

 

 

 

 

 

 

16

 

 

 

 

 

 

 

 

 

 

 

 

Write in here, using the number from the Hazards column, what needs to be fixed, when and by who and who did it.

Line Number

What must be done?

Fix date required:

Who does it?

Date complete:

Signed: