Information

  • Inspection title - what area of work is being inspected?

  • Environmental Health & Safety Visit

  • Country

  • State

  • Direct Customer

  • End Customer

  • Location

  • Conducted on date:

  • Prepared by - Name

  • Alstom Site Manager/Supervisor

  • GUIDELINES:

    Engagement is key, we are not safety police, this is an opportunity to improve and help each other.

    TALK TO AS MANY PEOPLE AS YOU CAN, INCLUDE THE LOCATION HSE REPRESENTATIVE

    Safety talk focus questions;
    - Tell me about your job, what do you do?
    - What could go wrong?
    - What are the greatest dangers you face?
    - Do you think we have these dangers sufficiently controlled?
    - Do you think there are any safety issues here that we are not dealing with adequately?
    - Are there times when workers feel they need to take short cuts?

GENERAL OVERVIEW

  • Is the area supervisory prepared for your visit?

  • Action required & who is responsible

  • Action completion date

  • Have the items from any previous safety inspections been closed out? (If not why not?)

  • Action required & who is responsible

  • Action completion date

EHS MANAGEMENT

  • Is the EHS management visible (posters, signs, zero deviation posters, safety booklets)?

  • Action required & who is responsible

  • Action completion date

  • Can your host outline what specific EHS actions are key to the area?

  • Action required & who is responsible

  • Action completion date

  • Is the EHS information posted in the area up to date?

  • Action required & who is responsible

  • Action completion date

DEVIATION / INCIDENT / ACCIDENT

  • Has the site been free of Alstom related recordable incidents since the last Safety inspection or since the start of he job?

  • Have corrective &/or preventative actions been carried out? Action required & who is responsible?

  • Action completion date

  • Has the site been free of serious near misses since the last safety inspection or since the start of he job?

  • Have corrective &/or preventative actions been carried out? Action required & who is responsible?

  • Action completion date

WORK AREA INSPECTION

  • Are evacuation plans and muster points known by all Alstom persons ( includes contractors, visitors and labour hire) ?

  • Action required & who is responsible

  • Action completion date

  • Are emergency contact numbers identified and displayed?

  • Action required & who is responsible

  • Action completion date

  • Is the Alstom Supervisors name and contact number displayed?

  • Action required & who is responsible

  • Action completion date

  • Is the Alstom work area been clearly demarcated and entry controlled?

  • Action required & who is responsible

  • Action completion date

  • Has an area safety inspection been carried out within the last week?

  • Action required & who is responsible

  • Action completion date

  • Are all people in the area wearing the required PPE, as shown on site safety notices and risk analysis?

  • Action required & who is responsible

  • Action completion date

  • Are all the aisles / walkways and work ares clear of obstructions / trip / slip hazards?

  • Action required & who is responsible

  • Action completion date

  • Is the general housekeeping at an acceptable level for a working site?

  • Action required & who is responsible

  • Action completion date

  • Are there first aid facilities locally available, checked and complete, all/any items used been itemised for replacement?

  • Action required & who is responsible

  • Action completion date

  • Is fresh drinking water available, toilet facilities, separate area for food consumption?

  • Action required & who is responsible

  • Action completion date

  • Are fire extinguishers present and placed in high risk areas, with the inspection tags in date (within the last 6 months)?

  • Action required & who is responsible

  • Action completion date

  • Are waste bins emptied and not overflowing?

  • Action required & who is responsible

  • Action completion date

  • Are all gas bottles secured and stored correctly?

  • Action required & who is responsible

  • Action completion date

  • Are the Material Safety Data Sheets (SDS's) available for workers on the spot?

  • Action required & who is responsible

  • Action completion date

  • Are all chemicals drums / barrels stored in containment bunding?

  • Action required & who is responsible

  • Action completion date

AUTHORISATION / TRAINING / COMPETENCY

  • Can you review a matrix showing who is trained to carry out work in the area? (Hard or soft copy)

  • Action required & who is responsible

  • Action completion date

  • Can the supervisor show evidence of who is trained to carry out work in the area? (Hard or soft copy)

  • Action required & who is responsible

  • Action completion date

RISK MANAGEMENT (Dir LSR 1 - assess & control risk before starting work)

  • Are all observed high risk activities identified and controls in place?

  • Action required & who is responsible

  • Action completion date

  • Are permits in place for all non-routine high risks?

  • Action required & who is responsible

  • Action completion date

  • Are risk assessments up to date and signed off by all persons in the area? (Alstom, contractors, customers, visitors)

  • Action required & who is responsible

  • Action completion date

  • Is there a daily toolbox meeting record covering the work area? (Signed by all persons accessing the work area)

  • Action required & who is responsible

  • Action completion date

CONTROL OF CONTRACTORS (Dir LSR 2 - contractors shall apply Alstom safety rules)

  • Are contractors being used?

  • Have the contractors supplied their own risk analysis?

  • Action required & who is responsible

  • Action completion date

  • Have licenses and training been checked prior to starting work?

  • Action required & who is responsible

  • Action completion date

  • Are contractors signed onto the risk analysis and toolbox records?

  • Action required & who is responsible

  • Action completion date

  • Are contractors wearing the minimum PPE for the area?

  • Action required & who is responsible

  • Action completion date

  • Was ALL Work observed by the contractor done in a safe manner? (If not what did you do about it?)

  • Action required & who is responsible

  • Action completion date

LOCKOUT TAGOUT (LOTO) - (Dir LSR 3 - one person, one lock, one kek)

  • Is LOTO required?

  • Is there evidence of a daily check for isolations prior to starting work?

  • Action required & who is responsible

  • Action completion date

  • If LOTO is being conducted, is the operator using a padlock and a LOTO tag? (If not why not?)

  • Action required & who is responsible

  • Action completion date

  • Are locks in place to prevent re-energies action?

  • Action required & who is responsible

  • Action completion date

ELECTRICAL AWARENESS - (Dir LSR4 - check absence of voltage before working on electrical parts)

  • Is there any actual or potential external electrical connections to the equipment about to be worked on?

  • Has the customer proven an absence of voltage?

  • Action required & who is responsible

  • Action completion date

  • Are electrical clearances from live equipment known and communicated?

  • Action required & who is responsible

  • Action completion date

  • Are trailing earths in place on plant?

  • Action required & who is responsible

  • Action completion date

  • Are portable tools used as specified? In good condition (electric cables, leads, connectors......)Test and tagged?

  • Action required & who is responsible

  • Action completion date

  • Are portable tools protected by RCD's?

  • Action required & who is responsible

  • Action completion date

MACHINE SAFETY - (Dir LSR 5 - prevent access to dangerous parts)

  • Is there any machinery or plant in the work area?

  • Are all observed moving machinery parts guarded?

  • Action required & who is responsible

  • Action completion date

  • Verify the machine is turned off at the power point when changing tools, filters or set-up?

  • Action required & who is responsible

  • Action completion date

  • Is there evidence that all major plant and equipment is serviced and maintained? (Show evidence)

  • Action required & who is responsible

  • Action completion date

  • Are all equipment operators trained to use the equipment? (Show evidence)

  • Action required & who is responsible

  • Action completion date

WORKING AT HEIGHT (Dir LSR 6 - hook on when there is a risk of falling)

  • Is any working at height being performed?

  • Is the area free of ladder use? (No ladders being used in the area)

  • Have the ladders been inspected prior to use and tagged within the last 6 months?

  • Action required & who is responsible

  • Action completion date

  • Are all persons working at height restrained (harnessed) or barriers in place to prevent falling?

  • Action required & who is responsible

  • Action completion date

  • Have all permanent structures (including scaffolding) got a 1.1m handrail, 0.69m mid rail & 0.15m toe board in place?

  • Action required & who is responsible

  • Action completion date

  • If scaffolding is used, is there a current, valid scarf tag in place?

  • Action required & who is responsible

  • Action completion date

  • Correct PPE, hard hats with chin strap, twin tailed harnesses with date checks?

  • Action required & who is responsible

  • Action completion date

EXCAVATION WORKS (Dir LSR 7 - A protective system in place to prevent collapse or cave in)

  • Are any excavations either in the work area or by way of workplace access?

  • Are the excavations protected by appropriate barriers or covers? (If not what are you going to do?)

  • Action required & who is responsible

  • Action completion date

  • Is everyone in the work area aware of the excavations. ( if not why not?)

  • Action required & who is responsible

  • Action completion date

LIFTING EQUIPMENT (Dir LSR 8 - Maintain a safe distance from suspended loads)

  • Are there any lifting activities occurring in the work area or accessing the work area?

  • Is there a lifting plan in place?

  • Action required & who is responsible

  • Action completion date

  • Are all the slings, chains and lifting equipment individually identified and have a coloured inspection tag matching the inspection schedule board?

  • Action required & who is responsible

  • Action completion date

  • Are all the slings, chains and lifting equipment stored correctly; off of the ground, out of the sun, oil and dirt?

  • Action required & who is responsible

  • Action completion date

  • Have the following conditions been considered: weather, loads slung correctly, ground conditions, overhead conductors?

  • Action required & who is responsible

  • Action completion date

MOBILE PLANT / EQUIPMENT (Dir LSR 9 - Maintain a safe working distance from operating vehicles)

  • Is mobile plant operating in the work area during your visit?

  • Have licenses been checked?

  • Action required & who is responsible

  • Action completion date

  • Has a pre-start check been carried out, check details?

  • Action required & who is responsible

  • Action completion date

  • Is the mobile plant operating area defined?

  • Action required & who is responsible

  • Action completion date

  • Did pedestrians maintain a safe distance (2 meters) from operating plant?

  • Action required & who is responsible

  • Action completion date

  • Did the plant operator work in a safe manner? (Too fast, mobile phone, no horn,etc.)

  • Action required & who is responsible

  • Action completion date

  • Action required & who is responsible

MANUAL HANDLING / ERGONOMICS

  • Were all operators observed using correct manual handling techniques? (Bend knees not backs)

  • Action required & who is responsible

  • Action completion date

  • Heavy items stored at manageable heights to prevent operator injury? (Between hips and shoulder)

  • Action required & who is responsible

  • Action completion date

  • Is mechanical lifting equipment used where possible?

  • Action required & who is responsible

  • Action completion date

ENVIRONMENTAL CONSIDERATIONS

  • Is there any asbestos, PCB's in oil, lead paint, or other hazardous materials in, or close to, the work area? (Has the customer made hazard registers available)

  • Action required & who is responsible

  • Action completion date

  • Have all oil containers been bundled?

  • Action required & who is responsible

  • Action completion date

  • Are spill kits immediately accessible?

  • Action required & who is responsible

  • Action completion date

  • Are nearby water courses and catchments protected from pollution?

  • Action required & who is responsible

  • Action completion date

  • Has noise pollution been minimised as far as possible?

  • Action required & who is responsible

  • Action completion date

Sign Off

  • Comments and things done well

  • Names of persons involved in the HSV

  • Add media

  • On site representative

  • Auditor's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.