Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Mechanical Safety
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Are all machine guardings on rotating parts or moving equipment are in place?
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Are the flange connections with complete bolts and nuts?
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Sampling point is directed to the ground to prevent horizontal splashing?
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Is there sufficient operation and maintenance space for all equipment?
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Hot surface or piping is insulated to prevent accidental touch with skin?
Electrical Safety
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Are all equipment and cables free from obvious signs of damage? Elevated to Cable tray prevent a tripping hazard?
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Are the lamp casing fixed properly?
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At wet or outdoor location, all sockets, plugs, and electrical connections are suitable for use in that environment?
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All electrical enclosures are sight fitted and in good condition?
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All emergency buttons are in good condition?
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Are controls in place to prevent access electrical cabinets for unauthorized persons?
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Are electrical dangers posted?
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Proper fire extinguisher(s) provided near electrical panels?
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Are terminals equipped with required covers (cover used), are boxes sealed to prevent dust and water ingress?
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Walking & Working Surfaces
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Are all elevated working platforms installed with complete top rail, mid rail and toe-boards?
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Is a guard-rail installed when the gap between a platform and the structure of a machine or wall is creating a risk of fall?
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Are all temporary and permanent wall openings protected by standard guardrails, and/or doors that cover the opening?
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Are skylights, or any other fragile roof element/part protected by guard rails barriers grids or protection / not?
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Are access ways (doors, ladders, stairs) to unprotected roofs platform or structure blocked and controlled with lock?
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Are removable railings or covers, doors (e.g. hoisting areas), secured/locked when not in use?
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Are aisles and passageways kept clear?
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Are slippery surfaces covered with non-slip material if any?
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Is there safe clearance for walking in aisles where motorized or mechanical handling equipment is operating?
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Are walking/working surfaces free from any protruding nails, screws?
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Do fixed ladders in excess of 20ft / 6m have fall protection installed?
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Are any portable ladders used onsite and in good condition?
Flammable Liquids/Materials
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Have empty containers been removed?
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Are only appropriate containers being used to store flammables?
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Are containers stored in appropriate area(s)?
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Does outside storage have a bund or spill containment?
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Are appropriate signage posted on flammable and combustible material storage?
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Ventilation, Illumination & Noise
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Are all excessive heat/warm surface areas complete with sufficient control?
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Are all excessive dust areas complete with sufficient control?
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Are all exposures to toxic or irritating fumes complete with sufficient control?
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Are all excessive noises with proper control measures?
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Is all ventilation maintained properly at the working area?
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Is all lighting sufficient within the working area?
Fire Protection System
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Are fire extinguishers serviced, maintained, and tagged yearly?
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Are extinguishers free from obstruction?
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Are hose reels and hydrants in good condition (hose, valve, nozzle)?
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Is the fire alarm panel in good condition with no faulty indication?
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Are fire doors are in good condition and closed at all time?
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Are all break glasses are in good confition?
First Aid, Safety Equipment & Emergency Response Plan
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Is the first aid box is available and well equipped?
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First aid box checklist been checked?
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Emergency contact number displayed?
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Available emergency shower tag filled and checked?
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Available Lock Out and Tag Out equipment on site?
Personal Protective Equipment
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Is the level of compliance with general PPE acceptable? (Safety shoes, glasses, safety helmet w/ chinstrap, safety jacket)
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Protective equipment adequate for the work (WAH, HE & General Work)?
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Employees trained in the correct use of PPE?
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Adequate maintenance and clean storage available and utilized for PPE?
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Respirators and masks being used when needed? (Harmful dust, asbestos, sand blasting, welding lead, paint and galvanized zinc or cadmium)