ALSTOM Grid EHS - HSV checklist and report。 (Malay)

• Prepared by

HIERARCHICAL SAFETY VISIT

• Name of site

• Type of site

  industrial

  Field / construction

  office
• Area visited
  Address

• Conducted on

  Date

• USE CHECKLIST?

  Use

GENERAL CONDITIONS

• Is the site tidy and clean? /Adakah tapak kemas dan bersih?

  Yes

  No

  N/A

• Are material and scrap properly stored? /Adakah bahan dan skrap distor dengan baik?

  Yes

  No

  N/A

• Is EHS information properly posted ? /Adakah maklumat EHS di pamerkan dengan teratur?

  Yes

  No

  N/A

• Have you done your EHS induction ? /Sudahkah anda menghadiri sesi induksi EHS anda?

  Yes

  No

  N/A

• Explain why

PERSONAL PROTECTIVE EQUIPMENT

• Safety boots? /Kasut keselamatan

  Safe

  At Risk

  N/A

• Ear protection? Perlindungan telinga?

  Safe

  At Risk

  N/A

• High visibility vest or straps? /Jaket jarak atau tail penglihatan Jauh yang tinggi?

  Safe

  At Risk

  N/A

• Safety glasses, face shield?/cermin mata keselamatan, perisai muka?

  Safe

  At Risk

  N/A

• No gloves for rotating hand tools? /tiada sarung tangan untuk peralatan berputar?

  Safe

  At Risk

  N/A

• Respiratory protection?/pelindung pernafasan?

  Safe

  At Risk

  N/A

• Fire resistant garments/pakaian kails api

  Safe

  At Risk

  N/A

* CONFINED SPACES

• Applicable ?/berkenaan

  Yes

  No

  N/A

• Are competency & training checked?/adakah kompetensi &latihan telah diperiksa

  Yes

  No

  N/A

• Air test done?/ujian udara dibuat

  Yes

  No

  N/A

• Was the permit delivered?/sudahkah permit diserahkan?

  Yes

  No

  N/A

• Are confined spaces clearly identified?/adakah ruang terkurung dikenalpasti dengan jelas?

  Yes

  No

  N/A

• Is there a keeper dedicated to the confined space?/adakah terdapat penjaga khusus untuk ruang terkurung

  Yes

  No

  N/A

• Emergency Arrangements checked ?/pengaturan kecemasan diperiksa?

  Yes

  No

  N/A

* LOCK OUT TAG OUT

• Applicable? berkenaan?

  Yes

  No

  N/A

• LOTO procedure available?/tatacara LOTO disediakan

  Yes

  No

  N/A

• Are employees trained to LOTO?/Adakah kakitangan dilatih untuk LOTO?

  Yes

  No

  N/A

• Absence of residual Energy is checked before work?/ketiadaan tenaga residual diperiksa sebelum kerja

  Yes

  No

  N/A

• Is LOTO done on all energized equipment?/adakah LOTO dilakukan ke atas semua peralatan bertenaga?

  Yes

  No

  N/A

* ELECTRICAL SAFETY

• Applicable?/berkenaan

  Yes

  No

  N/A

• Are competency & training checked?/adakah kompetensi & latihan telah diperiksa

  Yes

  No

  N/A

• Is equipment dead prior to work?/adakah peralatan telah dimatikan sebelum bekerja?

  Yes

  No

  N/A

• Are electrical panels tagged?/adakah panel elektrik ditag?

  Yes

  No

  N/A

• Is there work live on Voltage?/adakah kerja di VOltan hidup dilarang?

  Yes

  No

  N/A

• Are appropriate tools available?/Adakah alat yang sesuai yang disediakan?

  Yes

  No

  N/A

• Are safe working distance respected?/adakah jarak kerja yang selamat dihormati?

  Yes

  No

  N/A

• Are appropriate PPE available?/adakah alat pelindung diri yang bersesuaian disediakan?

  Yes

  No

  N/A

* MACHINE SAFETY

• Applicable?/berkenaan

  Yes

  No

  N/A

• Are competency and training checked?/adakah kompetensi &latihan telah diperiksa?

  Yes

  No

  N/A

• Are all guards in place & checked?/adakah semua adangan di tempat & diperiksa

  Yes

  No

  N/A

• Are electric tools inspected & conform?/adakah peralatan elektrik diperiksa & diserlaraskan?

  Yes

  No

  N/A

• Are equipment unplugged when changing tools?/adakah peralatan ditanggalkan apabila menukar peralatan ?

  Yes

  No

  N/A

• Are extension cords protected or suspended?/adakah kabel lanjutan dilindungi atau digantung?

  Yes

  No

  N/A

* WORKING AT HEIGHT

• Applicable?/berkenaan

  Yes

  No

  N/A

• Are competency & training checked?/adakah kecekapan & latihan diperiksa ?

  Yes

  No

  N/A

• Lifting equipments inspected?/

  Yes

  No

  N/A

• Fall arrest equipments inspected?/peralatan penahanan jatuh diperiksa ?

  Yes

  No

  N/A

• Scaffolds inspected and tagged?/perencah di periksa Dan di tag?

  Yes

  No

  N/A

• Temporary floor/roof openings protected?/pembukaan lantai /bumbung sementara dilindungi ?

  Yes

  No

  N/A

• Ladders attached and secured?/tangga dipasang dengan selamat ?

  Yes

  No

  N/A

• Full body harness & chinstrap worn? /badan abah-abah & tail dagu dipakai ?

  Yes

  No

  N/A

• Fall arrest equipments listed on a register?/peralatan penangkapan jatuh disenaraikan telah didaftar?

  Yes

  No

  N/A

• Was the permit delivered?/adakah permit diserahkan ?

  Yes

  No

  N/A

* EXCAVATION AND TRENCHES

• Applicable?/berkenaan

  Yes

  No

  N/A

• Permit delivered for excavation > or = 1,2 meters?/permit diserahkan untuk penggalian/penggorekan>atau =1.2meter?

  Yes

  No

  N/A

• Are all excavations inspected daily?/adakah semua kerja penggorekan diperiksa setiap hari?

  Yes

  No

  N/A

• Rigid barriers less than 1,5 from edges for excavation > or = 1,2 meters?/halangan/sekatan tegar kurang daripada 1.5 dari tepi untuk penggalian >atau =1.2meter?

  Yes

  No

  N/A

• Slopes according to construction code?/cerun/lereng mengikut kod pembinaan?

  Yes

  No

  N/A

• Trenches identified and protected?/parit yang dikenal pasti dan dilindungi?

  Yes

  No

  N/A

• Vehicle parking 3 meters from hedge/tempat letak kenderaan 3 meter dari lindungan?

  Yes

  No

  N/A

• Protective system against fall of the excavation?/sistem perilindugan daripada penumbangan penggalian /penggorekan ?

  Yes

  No

  N/A

• Excavated material > or = 1 meter from hedge?/ bahan yang digali >atau=1 meter daripada lindungan?

  Yes

  No

  N/A

• Ladders or exits every 15 meters?/tangga atau Japan keluar setiap 15 meter?

  Yes

  No

  N/A

* LIFTING OPERATIONS

• Applicable?/berkenaan

  Yes

  No

  N/A

• Lifting permit to work issued?/permit mengangkat untuk bekerja dikeluarkan?

  Yes

  No

  N/A

• Lifting plan available?/plan mengangkat disediakan?

  Yes

  No

  N/A

• Are competency and training checked ? Respected?/adakah kompetensi dan latihan diperiksa ?dihormati?

  Yes

  No

  N/A

• Are lifting equipment in register?/adakah peralatan mengangkat di dalam pendaftaran ?

  Yes

  No

  N/A

• Safety zone established under the lifting area?/zon selamat yang ditubuhkan di bawah Kawasan mengangkat ?

  Yes

  No

  N/A

• Are lifting equipment inspected and conform?/ adakah peralatan mengangkat diperiksa dan diselaras?

  Yes

  No

  N/A

* VEHICULE MOVEMENTS

• Applicable?/berkenaan

  Yes

  No

  N/A

• Are vehicules tidy and clean?/adakah kenderaan kemas dan bersih ?

  Yes

  No

  N/A

• Is traffic signing properly installed?/adakah petanda trafik dipasang dengan betul?

  Yes

  No

  N/A

• Parking Area & rules established?/Kawasan tempat letak kenderaan &peraturan yang ditetapkan?

  Yes

  No

  N/A

• Are competency and training checked ? Respected?/adakah kecekapan dan latihan diperiksa ?dihormati?

  Yes

  No

  N/A

• Forklifts with fork lowered, boom tilted back and seat belt fastened?/forklift dengan "fork" diturunkan ,"boom" dicondongkan ke belakang dan tail pinggang dipasang ?

  Yes

  No

  N/A

• Circulation of mobile equipment and pedestrians seperated and clearly signalized?/sirkulasi jentera bergerak dan pejalan kaki yang diasingkan dengan isyarat yang jelas?

  Yes

  No

  N/A

• Is a safe distance of 2 meters respected between pedestrians and vehicles?/adakah jarak yang selamat (2 meter) dihormati antara pejalan kaki dan kenderaan?

  Yes

  No

  N/A

ENVIRONMENT

• Applicable?/berkenaan

  Yes

  No

  N/A

• Are MSDS available?/adakah MSDS disediakan ?

  Yes

  No

  N/A

• Are flammable segregated from oxidizing material?/adakah bahan mudah terbakar diasingkan daripada bahan pengoksidaan?

  Yes

  No

  N/A

• Are compressed gases secured?/adakah gas yang dimampatkan dijamin dan selamat?

  Yes

  No

  N/A

• Are compressed gases stored in designated area?/adakah gas dimampatkan disimpan di Kawasan ?

  Yes

  No

  N/A

• Is oil store in designated area?/adakah minyak disimpan di Kawasan khas?<br>

  Yes

  No

  N/A

FIRST AID, EMERGENCY AND ENVIRONMENT PREPAREDNESS

• First aid kit available and inspected?/kit pertolongan cemas disediakan dan diperiksa ?

  Yes

  No

  N/A

• Is evacuation plan & gathering point communicated ?/adakah pelan evakuasi & perhimpunan sudut dikomunikasikan?

  Yes

  No

  N/A

• Is First aiders list posted ?/adakah senarai pemberi pertolongan cemas awal dipaparkan ?

  Yes

  No

  N/A

• As there and inspected fire extinguisher?/adakah alat pemadam api di periksa?

  Yes

  No

  N/A

• Are spill kits available and inspected?/adakah kit tumpahan didapati dan diperiksa ?

  Yes

  No

  N/A

• One lock̀, one key, one person?/Satu LOCK satu kunci,satu orang?

  Yes

  No

  N/A

SAFETY OBSERVATION REPORT

• Positive observations

• Add media

  Media

• Aspects to improve or Deviations

• Add media

  Media

• Action and person in charge

• Date of completion

  Date

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

• Signature

  Sign