Alstom Grid - HSV In-house

• Audit Title

• Internal Hierarchal Safety Visit

• Client / Site

• Workshop

• Office

• Oil Laboratory

• Conducted on

  Date

• Prepared by

• Area Manager

GENERAL OVERVIEW

• Is the area supervisory prepared for your visit?

  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?)

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

EHS MANAGEMENT

• Is the EHS management visible (posters, signs, indicators,....)?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

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

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

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

  Yes

  No

  N/A

DEVIATION / INCIDENT / ACCIDENT

• Are TSV deviations (red) being identified and auctioned?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

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

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

WORK AREA INSPECTION

• Are all people in the area wearing the required PPE.

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

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

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are all gas bottles secured?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are the Material Safety Data Sheets (MSDS) available for workers on the spot?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are all chemicals drums / barrels stored on containment bounding?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

AUTHORISATION / TRAINING / COMPETENCY

• Can you review a matrix showing who is trained to carry out work in the area?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

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

• Is there a safety instruction posted or evidence of a toolbox meeting covering the area?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are risk assessments up to date and signed off by all persons in the area?

  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)

• Are contractors wearing the minimum PPE for the area?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Is the contractors work area clearly defined?

  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?)

  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)

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

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Can the operator verify an absence of voltage to you?

  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)

• Where electrical work is being carried out are all electrical cabinets / switchboards locked?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Is there free access to all switchboards without any obstructions?

  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?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

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

• Are all observed moving machinery parts guarded?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

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

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are all licensed or approved operators identified and listed?

  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)

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

  Yes

  No

  N/A

• Have the ladders been inspected prior to use and logged 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?

  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)

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

  Yes

  No

  N/A

• Are the excavations protected by appropriate barriers or covers? (If what are you going to do?)

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

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

  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)

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

  Yes

  No

  N/A

• Were all persons observed positioned outside of the drop zone of suspended loads?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

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

  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)

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

  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

• Is the mobile plant operating area defined?

  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

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

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

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

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

Sign Off

• Comments and things done well

• Names of persons involved in the HSV

• On site representative

  Sign

• Auditor's signature

  Sign