COMMON FACILITIES SAFETY ASSESSMENT CHECKLIST

• Doc. No

• Audit Title

• Client/Site

• Conducted on

  Date

• Prepared by

• Location
  Address

PRAYER ROOM

• Adequate ventilation

  Yes

  No

  N/A

• The floor free from slip or trip

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• Split level indicator on floors

  Yes

  No

  N/A

• Sharp edges are protected / are made blunt

  Yes

  No

  N/A

• Availability of fire extinguisher

  Yes

  No

  N/A

• Availability of smoke detector

  Yes

  No

  N/A

• Smoke detector is not covered and is in functional condition

  Yes

  No

  N/A

• Emergency light that leads to the exist

  Yes

  No

  N/A

• Emergency exit light

  Yes

  No

  N/A

• Anti-slip mat available where required

  Yes

  No

  N/A

• Kiblat signs

  Yes

  No

  N/A

TOILET

• Acceptable overall cleanliness

  Yes

  No

  N/A

• Adequate the level of lighting

  Yes

  No

  N/A

• Floor has even surface.

  Yes

  No

  N/A

• Wet area has slip-resistant surface.

  Yes

  No

  N/A

• Floor is free from broken tiles.

  Yes

  No

  N/A

• Has adequate ventilation

  Yes

  No

  N/A

• Doorways clear of obstruction.

  Yes

  No

  N/A

• Rubbish bin not overloaded

  Yes

  No

  N/A

• Fittings in good condition (E.g. taps, basins, paper holders, door locks, toilet seats, mirrors)

  Yes

  No

  N/A

• Hand-washing facilities in place

  Yes

  No

  N/A

• All floor drains clear/ not clogged

  Yes

  No

  N/A

• All cisterns* operating correctly and free from running continuously * a tank for storing water, especially one supplying taps or as part of a flushing toilet

  Yes

  No

  N/A

• Floor trap clear / clogged

  Yes

  No

  N/A

STAIRCASE

• Good housekeeping and clean.

  Yes

  No

  N/A

• Adequate lighting available for stairs

  Yes

  No

  N/A

• The edges of the stairs have anti slip finish

  Yes

  No

  N/A

• Emergency lighting and emergency exit signboard available & function at the stairwell

  Yes

  No

  N/A

• There handrails present, stable and at a reasonable height

  Yes

  No

  N/A

• Has adequate ventilation

  Yes

  No

  N/A

• Stairs, stairwells, and landing kept clear and unobstructed

  Yes

  No

  N/A

CARPARK

• Entry and exit signs clear

  Yes

  No

  N/A

• Parking bays clearly marked

  Yes

  No

  N/A

• There is a designated / safe route for pedestrians

  Yes

  No

  N/A

• All lights in working condition

  Yes

  No

  N/A

• The parking floor is safe (e.g., no pot holes, uneven signage, cracks, etc.)

  Yes

  No

  N/A

• Appropriate signs posted (e.g., no parking in emergency routes, etc.)

  Yes

  No

  N/A

• Adequate ventilation

  Yes

  No

  N/A

• Road surface in good condition

  Yes

  No

  N/A

• There is no water ponding at the lower basement carparks

  Yes

  No

  N/A

• Speed limit signs

  Yes

  No

  N/A

CAFE

• “No Smoking” sign posted

  Yes

  No

  N/A

• No sharp edges surfaces

  Yes

  No

  N/A

• Good hygiene practice when handling food and beverage

  Yes

  No

  N/A

• Floors condition are clean and not slippery

  Yes

  No

  N/A

• Adequate ventilation

  Yes

  No

  N/A

• Emergency exit signs are available

  Yes

  No

  N/A

• Cooking hood is clean and free from greasy / oily residues

  Yes

  No

  N/A

• A maintenance program has been established / being practiced for cooking hood

  Yes

  No

  N/A

• LPG cylinders are kept away from direct sunlight

  Yes

  No

  N/A

• The cafe is free from built up wastes

  Yes

  No

  N/A

• Scheduled waste is properly managed

  Yes

  No

  N/A

• Grease trap is available

  Yes

  No

  N/A

• Grease trap is maintained effectively

  Yes

  No

  N/A

WALKWAY/ COMMON AREA

• The area is clear of rubbish

  Yes

  No

  N/A

• Litter bins are available and properly maintained

  Yes

  No

  N/A

• Emergency exits and walkway clear of any obstruction

  Yes

  No

  N/A

• Emergency layout plan available and clearly visible and easily understood

  Yes

  No

  N/A

• Vegetation properly trimmed and maintained

  Yes

  No

  N/A

• Trailing cables properly taped or hanged

  Yes

  No

  N/A

• Electrical wires properly insulated

  Yes

  No

  N/A

• Mains cables, plugs or socket not exposed

  Yes

  No

  N/A

• Floor is not broken or worn out

  Yes

  No

  N/A

• Split level / level drop indicator clearly visible

  Yes

  No

  N/A

• Holes / floor traps on the ground properly covered

  Yes

  No

  N/A

• No protruding object (e.g screw, mails, woods, hardscape, etc.) along walkway and common area

  Yes

  No

  N/A

• No sharp edges along walkway and common area

  Yes

  No

  N/A

• All chemicals properly labelled and stored at designated area

  Yes

  No

  N/A

• Adequate lighting along walkway and common area

  Yes

  No

  N/A

• Emergency light functioning

  Yes

  No

  N/A

• Signage for wet floor properly put up where applicable

  Yes

  No

  N/A

• Adequate safety signage available during maintenance work

  Yes

  No

  N/A

• Furniture provided in good conditions (not rusty / rotten / damaged / etc.)

  Yes

  No

  N/A

• Availability of room signage

  Yes

  No

  N/A

SWIMMING POOL/ JACUZZI

• Pool is clean (clear water, free from debris, no algae on pool floor, etc.)

  Yes

  No

  N/A

• Litter bins available

  Yes

  No

  N/A

• No sharp edges or protruding bolts (tiles, wall edges, ladder etc.)

  Yes

  No

  N/A

• All holes on ground covered properly (e.g. Floor drain water trap)

  Yes

  No

  N/A

• Swimming pool back wash is cleaned / not clogged

  Yes

  No

  N/A

• Pool floors and the surrounds should be surfaced with non-slip materials and there should be appropriate signs in place to discourage running.

  Yes

  No

  N/A

• Pool outlet/inlet fitted with grilles and tightly secured at all times

  Yes

  No

  N/A

• Adequate signage giving user advice, dangers and restrictions

  Yes

  No

  N/A

• Electrical / Wiring system kept in proper place and away from water

  Yes

  No

  N/A

• Softscape (shrubs, trees,plants, etc) properly maintained)

  Yes

  No

  N/A

• Hardscape (gravels, rock, timber, etc) properly maintained

  Yes

  No

  N/A

• Water depth marked conspicuously

  Yes

  No

  N/A

• Rescue device available and in good conditions

  Yes

  No

  N/A

• Pesticide from vegetation around the pool is effectively contained

  Yes

  No

  N/A

• Pool use guideline clearly posted

  Yes

  No

  N/A

• Do’s & donts sign available

  Yes

  No

  N/A

• Emergency contact numbers posted

  Yes

  No

  N/A

• Pump room not used for storage of chemicals or other unrelated materials

  Yes

  No

  N/A

• Distribution Board (DB) kept closed

  Yes

  No

  N/A

• Availability of fire extinguisher

  Yes

  No

  N/A

MSB ROOM

• Indicator lighting functioning (GREEN for normal/safe, RED for unsafe entry)

  Yes

  No

  N/A

• Signage (min EC standard signage of DANGER, NO ADMITTANCE and the Electricity supply rating ie 415V)

  Yes

  No

  N/A

• Schematic drawing available

  Yes

  No

  N/A

• Calibration date

  Yes

  No

  N/A

• Lighting

  Yes

  No

  N/A

• Emergency lighting

  Yes

  No

  N/A

• Portable CO2- properly hooked/signage available/at optimum pressure/valid

  Yes

  No

  N/A

• Fixed CO2 System functioning

  Yes

  No

  N/A

• Rubber mat- full cover in front of electrical panel

  Yes

  No

  N/A

• Clean and free from any irrelevant material

  Yes

  No

  N/A

• CPR poster available

  Yes

  No

  N/A

GENSET ROOM

• Indicator lighting functioning (GREEN for normal/safe, RED for unsafe entry)

  Yes

  No

  N/A

• Signage available

  Yes

  No

  N/A

• Adequate lighting available

  Yes

  No

  N/A

• Emergency lighting

  Yes

  No

  N/A

• Portable CO2- properly hooked/signage available/at optimum pressure/valid

  Yes

  No

  N/A

• Fixed CO2 System functioning

  Yes

  No

  N/A

• Clean and free from any irrelevant material

  Yes

  No

  N/A

• Diesel tank- signage available/diesel level indicator/adequate containment

  Yes

  No

  N/A

• Secondary containment available for genset

  Yes

  No

  N/A

• Secondary containment available for diesel

  Yes

  No

  N/A

• Emergency spill kit available

  Yes

  No

  N/A

FIRE PROTECTION SYSTEM

• Exit staircase- free from obstruction/clearly visible or illuminated

  Yes

  No

  N/A

• Exit Sign- illuminated

  Yes

  No

  N/A

• Riser room- not used for storage

  Yes

  No

  N/A

• Fire break glass has its key hung

  Yes

  No

  N/A

• Portable fire extinguisher- properly hooked/signage available/at optimum pressure/valid

  Yes

  No

  N/A

• Specific instructions on how to use the fire hose is posted near the hose reel box.

  Yes

  No

  N/A

• Hose reel- rolled on the drum/no leakage/signage available/free from obstruction.

  Yes

  No

  N/A

• Fire Hose- Kept in box/stored appropriately (coiled or rolled)

  Yes

  No

  N/A

• Sprinkler pump- cut-in & cut-out pressure displayed/arrow flow available/pressure maintained at optimum level/drain valve (CLOSED)

  Yes

  No

  N/A

• Hose reel pump- cut-in & cut-out pressure displayed/arrow flow available/pressure maintained at optimum level/drain valve (CLOSED)

  Yes

  No

  N/A

• Smoke detectors are uncovered

  Yes

  No

  N/A

• Sprinkler System Flow switch- signage and flow arrow available

  Yes

  No

  N/A

• Fire water tank- level indicator functioning/ water level full.

  Yes

  No

  N/A

• Fireman switch- normal at OFF position

  Yes

  No

  N/A

• Communication Management System (CMS) / intercom linked to Bomba is functioning

  Yes

  No

  N/A

• Breeching Inlet/Outlet Valve- Signage available and no obstruction

  Yes

  No

  N/A

• Fire Hydrant- No obstruction

  Yes

  No

  N/A

MASTER FIRE ALARM SYSTEM

• SPKA System available and functioning

  Yes

  No

  N/A

• Trouble or malfunction alarm recorded

  Yes

  No

  N/A

• Printer available and functioning

  Yes

  No

  N/A

• Stairwell pressurized system functioning

  Yes

  No

  N/A

• Abnormal conditions are recorded and acted upon

  Yes

  No

  N/A

REFUSE CHAMBER

• Signage available

  Yes

  No

  N/A

• Clean and free from unpleasant odor

  Yes

  No

  N/A

• Roller shutter / door available

  Yes

  No

  N/A

• BIP tap / pipe available

  Yes

  No

  N/A

WATER PUMP ROOM

• DB panel closed and locked

  Yes

  No

  N/A

• Water Tank- level indicator functioning

  Yes

  No

  N/A

• Lighting is adequate

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• Floor is clean and dry

  Yes

  No

  N/A

• The room is free from wastes / material storage

  Yes

  No

  N/A

• Availability of fire extinguisher

  Yes

  No

  N/A

• Emergency lighting functioning

  Yes

  No

  N/A

CHEMICAL STORAGE ROOM

• Room is dedicated to store compatible chemicals only

  Yes

  No

  N/A

• Chemical signage available

  Yes

  No

  N/A

• Safety Data Sheet available for each chemical stored

  Yes

  No

  N/A

• All chemical containers are adequately labeled

  Yes

  No

  N/A

LIFT

A. Lift Loading and Capacity

• Signage is posted on the lift usage type i.e. passengers lift, goods lift, service lift, Bomba lift, etc.

  Yes

  No

  N/A

• A capacity plate bearing the contract load is permanently and securely fastened in the lift car.

  Yes

  No

  N/A

• Passenger lift - capacity load is given in number or persons and pounds.

  Yes

  No

  N/A

• Goods lift - loads are given in pounds, for emergency purposes, in number of persons calculated at 150 pounds per person.

  Yes

  No

  N/A

B. Machine/ Motor Rooms

• The room is restricted for lift machine and associated equipment only

  Yes

  No

  N/A

• The room is soundly constructed, weather proof and adequately ventilated

  Yes

  No

  N/A

• The room is provided with permanent electric lighting. At least one socket and plug for a hand-lamp are provided.

  Yes

  No

  N/A

• The room is clean and storage is limited for materials required for the maintenance / operation of the lift.

  Yes

  No

  N/A

C. Lift Well

• Not more than four (4) lifts are located in one lift well.

  Yes

  No

  N/A

D. Landing Doors

• The lift doors do not cause any injury to any person

  Yes

  No

  N/A

• The lift door can be opened manually at any landing floor in the event of power failure.

  Yes

  No

  N/A

E. Car Doors and Gates

• The lift has less than two (2) entrances.

  Yes

  No

  N/A

• Lift door electric switch that allows lift movement after all doors are closed is not accessible from the lift car.

  Yes

  No

  N/A

F. Escape Hatches

• Escape hatch is provided in every passenger lift car.

  Yes

  No

  N/A

• The escape hatch provided in the top of a lift car shall be: <br> a. Unobstructed by any fixed equipment <br> b. Can be opened outwards <br> c. Can be hinged/ attached to the car top so that the cover can be opened from the top of the car only

  Yes

  No

  N/A

• Keys for the escape hatch is kept in the premises by the person responsible for the maintenance and operation of the lift and in a location readily available to an authorized person only in the case of emergency

  Yes

  No

  N/A

G. Ventilation

• Adequate permanent ventilation is provided in every lift car.

  Yes

  No

  N/A

H. Lighting

• Every lift car is well litted, at least two (2) lamps in each car.

  Yes

  No

  N/A

• Light bulbs / tubes in every lift car are guarded to prevent injury to persons from breakage of the bulbs / tubes.

  Yes

  No

  N/A

I. General

• All lifts are provided with emergency signal that can be operated from a car and is clearly audible outside the lift well.

  Yes

  No

  N/A

• An emergency switch is provided on the top of every lift car which will prevent the car from being operated when the switch is open.

  Yes

  No

  N/A

J. Duties of SDP

• Every lift is adequately maintained.

  Yes

  No

  N/A

• To appoint an approved firm to conduct periodic examination and maintenance.

  Yes

  No

  N/A

• "To inform DOSH on the appointment of the approved firm: <br> a. Name & address of the approved firm. <br> b. Date of commencement of such agreement. <br> c. Expiry of the agreement.

  Yes

  No

  N/A

• The agreement must be of not less than one (1) year, and shall state the name of the competent person who will conduct periodic examination and maintenance.

  Yes

  No

  N/A

• The competent person to examine the lift three (3) months once.The competent person is to service and adjust the lift once a month.

  Yes

  No

  N/A

• A register of every lift is kept on the premises to record: <br> a. Details of examination, servicing and adjustments. <br> b. Details of lift repair considered necessary by the competent person & date of the repair c. Details of any failures resulting the lift being immobilized. <br>d. Other information as directed by DOSH. <br> The register shall be updated by the competent person within one (1) week after the examination / servicing / adjusments.

  Yes

  No

  N/A

• Owner to ensure that the repairs recommended are carried out.

  Yes

  No

  N/A

• The lift well and pit is maintained dry & clean

  Yes

  No

  N/A

• No material is placed on top of the lift car.

  Yes

  No

  N/A

• The lift is not operated a load greater that the load specified in the PMA and the car plate fitted in the lift.

  Yes

  No

  N/A

• If the lift is not automatic, it can be operated by an attendant of 18 years old & above.

  Yes

  No

  N/A

• No wire or current carrying device is substituted for the proper fuse or circuit -breaker of any lift control circuit.

  Yes

  No

  N/A

H. Notices

• PMA is posted in the lift car or adjacent to the bottom terminal landing.

  Yes

  No

  N/A

• Goods lift - suitable notices is posted in the lift car and each landing prohibiting unauthorized persons from riding in or on the car.

  Yes

  No

  N/A

• A notice is posted at the ground floor landing on: name and telephone number of the person to be contacted should any failure of the lift occur.

  Yes

  No

  N/A

• A notice inside the lift car is posted on instruction to passenger to sound the alarm bell should any failure of the lift occur.

  Yes

  No

  N/A

GYM

• Equipment is well maintained and has no broken or loose attachment

  Yes

  No

  N/A

• Equipment is regularly cleaned and tested

  Yes

  No

  N/A

• Gym is well ventilated

  Yes

  No

  N/A

• There is enough space between equipment to prevent accidents and overcrowding

  Yes

  No

  N/A

• The lighting is adequate

  Yes

  No

  N/A

• Instructions and pictures covering any unusual hazards or complicated features on the equipment

  Yes

  No

  N/A

• Clear warning notices and correct using techniques

  Yes

  No

  N/A

• Emergency Exits signs are illuminated

  Yes

  No

  N/A

• Fire extinguishers certificate is valid and the gauge is within the green range

  Yes

  No

  N/A

• Emergency evacuation plan posted

  Yes

  No

  N/A

• Floor is non-slippery

  Yes

  No

  N/A

• Protective padding free of cuts and tears

  Yes

  No

  N/A

• Broken equipment taken out of service and signs posted

  Yes

  No

  N/A

• Cables, wires, chains secured

  Yes

  No

  N/A

• Machines have warnings/instruction labels

  Yes

  No

  N/A

• Bar and weight Storage Racks placed against wall

  Yes

  No

  N/A

• Free weights kept off floor when not in use

  Yes

  No

  N/A

• Equipment wiped clean daily (use mixture of mild antibacterial soap and water

  Yes

  No

  N/A

• Electrical equipment has surge protectors

  Yes

  No

  N/A

• No protruding objects

  Yes

  No

  N/A

CHANGING ROOM (MALE)

• Room and floor is good condition

  Yes

  No

  N/A

• Bed and lockers condition (Cleanliness, tidiness)

  Yes

  No

  N/A

• Has adequate ventilation

  Yes

  No

  N/A

• Dustbins are available

  Yes

  No

  N/A

CHANGING ROOM (FEMALE)

• Room and floor is good condition

  Yes

  No

  N/A

• Bed and lockers condition (Cleanliness, tidiness)

  Yes

  No

  N/A

• Has adequate ventilation

  Yes

  No

  N/A

• Dustbins are available

  Yes

  No

  N/A

MANAGEMENT OFFICE / MEETING ROOM AREA / MULTIPURPOSE ROOM /HALL

• Emergency Exits signs illuminated

  Yes

  No

  N/A

• Air conditioner is functioning well.

  Yes

  No

  N/A

• Adequate lighting and power points

  Yes

  No

  N/A

• All areas are adequately illuminated

  Yes

  No

  N/A

• Has adequate ventilation

  Yes

  No

  N/A

• Sprinklers are available for offices / room where usage or storage of paper and combustible material are high

  Yes

  No

  N/A

• Smoke detectors are uncovered

  Yes

  No

  N/A

• Dustbins are available

  Yes

  No

  N/A

• Extension cords, phone cords, and cables are properly routed or covered to avoid trip and fall hazards

  Yes

  No

  N/A

• Aisles, walkways, and work areas are free of trip and fall hazards (i.e. torn carpets, turned up edges of door mats, boxes etc.)

  Yes

  No

  N/A

• Exit paths are free of materials/furniture at all times

  Yes

  No

  N/A

• Storage and equipment rooms are neat and orderly manner

  Yes

  No

  N/A

• Work and storage areas are free of improper storage (e.g., heavy, high and/or unstable storage)

  Yes

  No

  N/A

• Portable fire extinguisher is valid and the gauge indicator is within the green range

  Yes

  No

  N/A

• Portable fire extinguisher is appropriately mounted and its pin secured

  Yes

  No

  N/A

• Fire extinguishers are accessible (i.e., unblocked)

  Yes

  No

  N/A

• Electrical receptacles are in good working condition

  Yes

  No

  N/A

• Chairs are in good condition (i.e., caster wheels are functioning well, rungs are intact and legs are sturdy)

  Yes

  No

  N/A

• Furniture are free from sharp edges, sharp points, splinter and free from chemical odor.

  Yes

  No

  N/A

• Doors are functioning properly

  Yes

  No

  N/A

• Evacuation routes are clearly posted

  Yes

  No

  N/A

Remarks

Completion

• Checked by

  Sign

• Acknowledged by

  Sign

• Accepted by

  Sign