Information

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

  • External Hierarchal Safety Visit

  • Country

  • State

  • Direct Customer

  • End Customer

  • Location

  • Conducted on

  • 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

  • Is the area supervisory prepared for your visit?

  • Action required & who is responsible

  • Action completion date

  • Have the items from the last HSV been closed out? (If not why not?)

  • Action required & who is responsible

  • Action completion date

EHS MANAGEMENT

  • 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 serious near misses since the last HSV, 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

  • 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

  • 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

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

  • 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 all chemicals drums / barrels stored in containment bunding?

  • Action required & who is responsible

  • Action completion date

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

  • 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 signed onto the risk analysis and toolbox records?

  • 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

  • Have the contractors supplied their own risk analysis?

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

  • 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)

  • 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......)? used with protection devices, and test and tagged?

  • Action required & who is responsible

  • Action completion date

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

  • Are all observed moving machinery parts guarded?

  • 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 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

  • 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)

  • Is the area free of any trenches or excavations? (No excavations in the area)

  • 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)

  • Is the area free of any lifting activities? (No lifting activities in the area)

  • 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 the area free of mobile plant operating during your visit? (No mobile plant operating)

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

  • 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

  • Is mechanical lifting equipment used where possible?

  • Action required & who is responsible

  • Action completion date

ENVIRONMENTAL CONSIDERATIONS

  • 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

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.