Alstom Grid - HSV - Customer Site

• HSV Title - what area of work is being inspected?

• External Hierarchal Safety Visit

• Country

• State

• Direct Customer

• End Customer

• Location

• Conducted on

  Date

• Prepared by

• 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 概述

• Is the area supervisory prepared for your visit? 现场主管是否为你的参观做好了准备？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Have the items from the last HSV been closed out? (If not why not?) 最近一次HSV发现的问题是否已经关闭？（若无问题，为什么没有？)

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

EHS MANAGEMENT EHS管理

• Is the EHS information posted in the area up to date? 张贴在现场的EHS信息是否内容是更新？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

DEVIATION / INCIDENT / ACCIDENT 偏差/事件/事故

• Has the site been free of serious near misses since the last HSV, or since the start of he job? 上次HSV后或从该作业开始以来，现场是不是还没有发生过严重的险兆事件？

  Yes

  No

  N/A

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

• Action completion date

  Date

WORK AREA INSPECTION 工作区域检查

• Is the Alstom Supervisors name and contact number displayed? 阿尔斯通现场主管的姓名和联系方式是否有张贴展示？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Is the Alstom work area been clearly demarcated and entry controlled? 阿尔斯通的作业区是否被清楚的隔离出来且进入阿尔斯通工地有控制？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are all people in the area wearing the required PPE, as shown on site safety notices and risk analysis? 作业区内的所有人员是否都按照现场安全看板及风险分析上的要求穿戴了PPE？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Is the general housekeeping at an acceptable level for a working site? 作业现场清洁卫生总体水平是否可接受？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are all gas bottles secured and stored correctly? 所有的气瓶是否被稳固地妥善储存？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are all chemicals drums / barrels stored in containment bunding? 化学品桶/槽是否都放在二次防渗漏容器上？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

RISK MANAGEMENT (Dir LSR 1 - assess & control risk before starting work) 风险管理（珍爱生命法则EHS指令1-开始工作前先评估并控制风险）

• Are risk assessments up to date and signed off by all persons in the area? (Alstom, contractors, customers, visitors) 风险评估是否为最新版本，且作业区的所有人员都已签字？（阿尔斯通、承包商、客户、参观者）

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Is there a daily toolbox meeting record covering the work area? (Signed by all persons accessing the work area) 每日的工具箱会议记录是否涵括了整个作业区域？（在本作业区作业的人员都要签字）

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

CONTROL OF CONTRACTORS (Dir LSR 2 - contractors shall apply Alstom safety rules) 承包商管理（珍爱生命法则EHS指令2-承包商应遵从阿尔斯通安全规则）

• Are contractors signed onto the risk analysis and toolbox records? 承包商是否在风险分析和工具箱会议记录上签字？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Have licenses and training been checked prior to starting work? 在开始工作之前是否检查过培训与资质情况？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Have the contractors supplied their own risk analysis? 承包商是否提供他们自己的风险分析？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are contractors wearing the minimum PPE for the area? 承包商穿戴的个体劳保用品PPE是否符合作业区的最低标准要求？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Was ALL Work observed by the contractor done in a safe manner? (If not what did you do about it?) 观察到的承包商作业是否全都是在用安全的方式展开？（若否，你如何处理？）

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

LOCKOUT TAGOUT (LOTO) - (Dir LSR 3 - one person, one lock, one kek) 上锁挂牌（LOTO）-（珍爱生命法则 EHS指令3-专人、专锁、专钥匙）

• Is there evidence of a daily check for isolations prior to starting work? 是否有证据证明，在开始工作前，对隔离上锁状况每日进行了检查？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are locks in place to prevent re-energies action? LOTO锁是否锁好，以防止重新送能？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

ELECTRICAL AWARENESS - (Dir LSR4 - check absence of voltage before working on electrical parts) 电气安全意识-（珍爱生命法则EHS指令4-在电气部件作业前先2验电）

• Are trailing earths in place on plant? 设备接地是否到位？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are portable tools used as specified? In good condition (electric cables, leads, connectors......)? used with protection devices, and test and tagged? 使用的便携式电动工具是否符合技术规范要求？状态是否良好（电缆，导线，插头…）？有（漏电）防护设备、有测试、有检查合格标签？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

MACHINE SAFETY - (Dir LSR 5 - prevent access to dangerous parts) 机械设备安全-（珍爱生命法则EHS指令5-避免接触危险部件）

• Are all observed moving machinery parts guarded? 机械运动部件是否都有安全防护？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are all equipment operators trained to use the equipment? (Show evidence) 设备操作工是否都接受过培训具备操作该设备的能力？（出示证据）

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

WORKING AT HEIGHT (Dir LSR 6 - hook on when there is a risk of falling) 高处作业-（LSR EHS指令6-当存在坠落风险时，系好安全带）

• Is the area free of ladder use? (No ladders being used in the area) 该区域没有使用梯子（该区域没有梯子正在使用着）

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are all persons working at height restrained (harnessed) or barriers in place to prevent falling? 所有高处作业人员或者系好了安全带或者受到了护栏的保护，以防止高处坠落

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• If scaffolding is used, is there a current, valid scarf tag in place? 当有脚手架在用时，脚手架是否挂着有效的检验合格标签？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Correct PPE, hard hats with chin strap, twin tailed harnesses with date checks? 是否使用正确的个人劳动保护用品PPE，如有下颌带的硬质安全帽，全身型双钩安全带，有效期的检查过的？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

EXCAVATION WORKS (Dir LSR 7 - A protective system in place to prevent collapse or cave in) 开挖作业（珍爱生命法则EHS指令7-现场保护系统到位，防止坍塌或者塌方）

• Is the area free of any trenches or excavations? (No excavations in the area) 该区域没有壕沟或基坑？（该区没有开挖作业）

  Yes

  No

  N/A

• Is everyone in the work area aware of the excavations. ( if not why not?) 该区域的每个人是否都知晓该开挖作业（若不知道，为什么？）

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

LIFTING EQUIPMENT (Dir LSR 8 - Maintain a safe distance from suspended loads) 吊装设备（珍爱生命法则EHS指令8-与悬吊的重物保持安全距离）

• Is the area free of any lifting activities? (No lifting activities in the area) 该区域没有进行任何吊装活动？（该区域没有起重作业）

  Yes

  No

  N/A

• Have the following conditions been considered: weather, loads slung correctly, ground conditions, overhead conductors? 是否考虑了下列情况：天气，重物正确悬吊，地面情况，高架电缆？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

MOBILE PLANT / EQUIPMENT (Dir LSR 9 - Maintain a safe working distance from operating vehicles) 移动设备/装备（珍爱生命法则EHS指令9-与移动设备保持安全工作距离）

• Is the area free of mobile plant operating during your visit? (No mobile plant operating) 在你参观期间，现场没有使用移动设备（没有移动设备在运行）

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

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

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

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

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Action required & who is responsible

MANUAL HANDLING / ERGONOMICS 人工搬运/人机工程

• Were all operators observed using correct manual handling techniques? (Bend knees not backs) 观察到的所有作业人员，都在正确用人工搬运技术？（弯曲膝部而非背部）

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Is mechanical lifting equipment used where possible? 可行时，是否使用了机械搬运设备（代替人工搬运）？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

ENVIRONMENTAL CONSIDERATIONS 环境注意事项

• Have all oil containers been bundled? 所有的盛油容器都放在防渗漏围堰内或二次防渗漏托盘上？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are spill kits immediately accessible? 防渗漏应急物资能立马获得

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

Sign Off 检查结束，签字

• Comments and things done well 评论（好的方面）

• Names of persons involved in the HSV 参与HSV人员的姓名

• Add media

  Media

• On site representative 现场代表

  Sign

• Auditor's signature 审核人签名

  Sign