• USE CHECKLIST? 是否使用本检查表

GENERAL CONDITIONS 一般情况

  • Is the site tidy and clean? 现场是否整洁干净?

  • Are material and scrap properly stored? 材料以及废料等是否妥善存放?

  • Is EHS information properly posted ? 是否张贴出EHS信息?

  • Have you done your EHS induction ? 是否做过EHS入职培训?

  • Explain why

PERSONAL PROTECTIVE EQUIPMENT 个人劳保用品(PPE)

  • Safety boots? 是否穿了安全鞋?

  • Safety hat? 是否带好安全帽

  • Ear protection? 是否佩戴了耳塞等听力保护设备?

  • High visibility vest or straps? 是否穿了高亮度反光背心或反光条?

  • Safety glasses, face shield? 是否佩戴了安全眼镜,面罩?

  • No gloves for rotating hand tools? 在使用手持式旋转工具时,是否未戴手套?

  • Respiratory protection? 是否佩戴了口罩等呼吸保护装置?

  • Fire resistant garments 是否穿戴了阻火服?

* CONFINED SPACES 受限空间

  • Applicable ? 是否适用?

  • Are competency & training checked? 是否检查了资质能力及培训情况?

  • Air test done? 是否进行了气体监测?

  • Was the permit delivered? 是否办理了许可证?

  • Are confined spaces clearly identified? 现场受限空间警示标示是否清晰可认?

  • Is there a keeper dedicated to the confined space? 是否指派了专门的受限空间监护人?

  • Emergency Arrangements checked ? 是否检查了应急安排?

* LOCK OUT TAG OUT 上锁挂牌

  • Applicable? 是否适用?

  • LOTO procedure available? 上锁挂牌程序是否适用?

  • One lock̀, one key, one person? 是否执行了专人专锁专钥匙?

  • Are employees trained to LOTO? 员工是否经过上锁挂牌培训?

  • Absence of residual Energy is checked before work? 作业前是否验证已消除了残余能量?

  • Is LOTO done on all energized equipment? 所有带能设备是否均已上锁挂牌?

* ELECTRICAL SAFETY 电气安全

  • Applicable? 是否适用?

  • Are competency & training checked? 是否检查了资质能力及培训情况?

  • Is equipment dead prior to work? 作业前设备是否断电?

  • Are electrical panels tagged? 电气面板是否张贴标签?

  • Is there work live on Voltage? 带电作业是否禁止

  • Are appropriate tools available? 是否可获取适当的工具?

  • Are safe working distance respected? 是否遵守安全工作距离?

  • Are appropriate PPE available? 是否可获得适当的劳保用品?

* MACHINE SAFETY 机械安全

  • Applicable? 是否适用?

  • Are competency and training checked? 是否检查了资质能力及培训情况?

  • Are all guards in place & checked? 所有的安全防护装置是否完好并已经过检查确认?

  • Are electric tools inspected & conform? 电动工具是否检查且符合要求?

  • Are equipment unplugged when changing tools? 更换工具前是否拔掉了设备插头?

  • Are extension cords protected or suspended? 电缆软线是否得到了保护(不被碾压)或者悬挂架空?

* WORKING AT HEIGHT 高处作业

  • Applicable? 是否适用?

  • Are competency & training checked? 是否检查了资质能力及培训情况?

  • Fall arrest equipments inspected? 防坠落设备是否已经过检查?

  • Lifting equipments inspected? 吊装设备:吊索具是否检查合格

  • Scaffolds inspected and tagged? 脚手架是否已经检查并张贴了检查合格与否状态标签?

  • Temporary floor/roof openings protected? 是否对地面及屋顶的临时孔洞进行了防护?

  • Ladders attached and secured? 便携式直梯是否搭靠牢固?

  • Full body harness & chinstrap worn? 是否穿戴好全身型安全带,系好下颌带?

  • Fall arrest equipments listed on a register? 防坠落设备是否列清单登记记录?

  • Was the permit delivered? 是否办理了许可证?

* EXCAVATION AND TRENCHES 基坑与壕沟

  • Applicable? 是否适用

  • Permit delivered for excavation > or = 1,2 meters? 深度大于或等于1-2米的挖掘作业是否办理了许可证?

  • Are all excavations inspected daily? 是否每天检查所有的挖掘作业?

  • Rigid barriers less than 1,5 from edges for excavation > or = 1,2 meters? 深度大于或等于1-2米的挖掘作业在距其边缘1.5米范围内是否设立了刚性栅栏?

  • Slopes according to construction code? 是否按施工规范进行了放坡?

  • Trenches identified and protected? 壕沟是否有警示标志并有防坠落的保护措施?

  • Vehicle parking 3 meters from hedge 车辆停放在距基坑壕沟临边3m外?

  • Protective system against fall of the excavation? 基坑壕沟是否有放坠落保护系统?

  • Excavated material > or = 1 meter from hedge? 挖掘材料/弃土是否堆放在离临边1m以外?

  • Ladders or exits every 15 meters? 每15米是否有梯子或出口?

* LIFTING OPERATIONS 吊装

  • Applicable? 是否适用?

  • Lifting permit to work issued? 是否发布了吊装许可?

  • Lifting plan available? 吊装计划是否可行?

  • Are competency and training checked ? Respected? 是否检查了资质能力及培训情况?是否得到遵守?

  • Are lifting equipment in register? 吊装设备是否进行了登记记录?

  • Safety zone established under the lifting area? 吊装区域内是否设立了安全区?

  • Are lifting equipment inspected and conform? 吊装设备是否经过检查且符合要求?

* VEHICULE MOVEMENTS 车辆移动

  • Applicable? 是否适用?

  • Are vehicules tidy and clean? 车辆是否干净整洁?

  • Is traffic signing properly installed? 是否设立了适当的交通标志?

  • Parking Area & rules established? 是否确立了停车区及规则?

  • Are competency and training checked ? Respected? 是否检查了资质能力及培训?是否遵守?

  • Forklifts with fork lowered, boom tilted back and seat belt fastened? 叉车的叉齿是否放低,门架是否后倾,安全带是否系紧?

  • Circulation of mobile equipment and pedestrians seperated and clearly signalized? 移动设备及行人是否实现了人车分流并有醒目标志?

  • Is a safe distance of 2 meters respected between pedestrians and vehicles? 行人与车辆间是否保持了2m的安全距离?

ENVIRONMENT 环境

  • Applicable? 是否适用?

  • Are MSDS available? 是否可获取化学品安全说明书?

  • Are flammable segregated from oxidizing material? 易燃品与氧化剂是否隔离存放?

  • Are compressed gases secured? 压缩气瓶是否存放牢固?

  • Are compressed gases stored in designated area? 压缩气体是否存放在指定区域?

  • Is oil store in designated area? 油料是否存放在指定区域?

FIRST AID, EMERGENCY AND ENVIRONMENT PREPAREDNESS 急救,紧急及环境准备

  • First aid kit available and inspected? 急救箱是否易获取且已检查过?

  • Is evacuation plan & gathering point communicated ? 是否疏散计划及紧急集合点是否已沟通过?

  • Is First aiders list posted ? 是否张贴了救援人员清单?

  • As there and inspected fire extinguisher? 是否配有灭火器且经过检查?

  • Are spill kits available and inspected? 是否有化学品溢漏应急箱且经过检查?

Observations

SAFETY OBSERVATION REPORT 安全观察报告总结

  • Positive observations 好的方面

  • Add media

  • Aspects to improve or Deviations 待改善/偏差方面

  • Add media

  • Action and person in charge 行动项、责任人

  • Date of completion 完成日期

  • Satisfaction level of the visit (very poor; 10 excellent)

  • Signature 签名

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