Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 Housekeeping
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1.1 Work areas free from rubbish & obstruction ?
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1.2 Free from slip/trip hazards ?
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1.3 Safety signs adequate and used appropriately ?
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1.4 No food and beverages goes into the workplace area ?
2.0 Electrical
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2.1 No broken plugs, sockets, switches ?
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2.2 Power tools in good condition ?
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2.3 No work near exposed live electrical eqyipment ?
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2.4 No cable-trip hazards ?
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2.5 Switches/circuits/circuit breakers identified ?
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2.6 Switchboards secured and identified ?
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2.7 Battery charges marked and well ventilated ?
3.0 Maintenance Workshop
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3.1 Adequate work space ?
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3.2 Clean and tidy ?
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3.3 Free from excess oil and grease ?
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3.4 Machines adequately guarded ?
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3.5 PPE in good condition ?
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3.6 PPE storage facalities provided ?
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3.7 All substance containers labelled adequately ?
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3.8 Tools in proper place ?
4.0 Lighting
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4.1 Adequate in general area ?
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4.2 Emergency lighting system checked ?
5.0 Hazardous Substance
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5.1 Stored appropriately ?
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5.2 Containers labelled correctly and capped ?
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5.3 Adequate ventilation ?
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5.4 Protective clothing/equipment available/used ?
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5.5 Safety data sheet (SDS) available/displayed ?
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5.6 Chemical handling procedures followed ?
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5.7 Is there has any secondary containment (I.e. spill trays) for chemical containers.
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5.8 Shower, eye bath, extinguishers, first aid kit facilities are not obstructed ?
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5.9 Chemical hazard warning signage displayed at the entrance of chemicals store and chemical handling area ?
6.0 Personal Protective Equipment (PPE)
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6.1 Employees provided with PPE ?
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6.2 PPE being worn appropriately by employees ?
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6.3 PPE effective ?
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6.4 PPE supply located where needed ?
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6.5 Is there any other unrelated items kept inside the PPE storage ?
7.0 First Aid
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7.1 Record of treatment and of supplies dispensed up to date ?
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7.2 Incident reports filled out correctly ?
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7.3 Cabinets and contents are clean and orderly and properly stacked ?
8.0 Manual Handling
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8.1 Mechanical aids adequate for current needs ?
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8.2 Safe work practices being followed ?
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8.3 Manual handling risk assessments performed ?
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8.4 manual handling controls implemented ?
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8.5 There is no unnecessary or excessive bending or stooping ?
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8.6 Work surface [desks, benches] are set up at the appropriate height ?
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8.7 Routine tasks do not require individuals to lift excessive weight ?
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8.8 Mechanical aquipment is available for lifting heavy loads ?
9.0 Stairs, Steps and Landings
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9.1 No worn or broken steps ?
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9.2 Handrails in good repair?
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9.3 Clear of obstructions ?
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9.4 Adequate lighting ?
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9.5 Emergency lighting ?
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9.6 Non-slip treatments/treads in good condition ?
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9.7 Floor have even surface [no cracks etc] ?
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9.8 Clear of debris and spills ?
10.0 Follow up audit at incident place
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10.1 Review the effectiveness of corrective & preventive action taken at improvement/incident area
11.0 Ladders
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11.1 Ladders in good condition ?
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11.2 Ladders not use to support planks platform ?
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11.3 Extend 1.0 metre above highest landing ?
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11.4 Straight or extension ladders securely fixed at top ?
12.0 Storage Areas
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12.1 Stacks stable ?
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12.2 Heights correct ?
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12.3 Sufficient space for moving stock ?
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12.4 No danger of falling objects ?
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12.5 No sharp edges ?
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12.6 Emergency numbers are clearly displayed ?
13.0 Fire Protection
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13.1 Extinguisher in place ?
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13.2 Fire fighting equipmentsl serviced/tagged ?
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13.3 Appropriate signing of extinguishers ?
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13.4 Extinguishers appropriate to hazard ?
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13.5 Emergency personnel identified and trained ?
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13.6 Overhead sprinkler/detectors clear of obstruction, store, etc?
14.0 Emergency Procedures
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14.1 Evacuation plan displayed ?
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14.1 Evacuation drill within last 12 months ?
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14.2 Emergency exits clearly marked/functional ?
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14.3 Emergency exits unobstructed ?
15.0 Contractor Work
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15.1 Appropriate barricades, fencing, hoarding, secure and in place ?
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15.2 Signage in place ?
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15.3 Adequate lighting for right work ?
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15.4 Footpaths clean and free from debris ?
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15.5 Has each of the contractor workers been ESH inducted ?
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15.6 Has the permit to work (working at height, confine space, hot work) approved/issued for the work ?
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15.7 Are all equipment & tools used in safe working condition ?
16.0 Powered Material Handling Vehicle (PMHV)
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16.1 Are only authorised (Licence) personnel allowed to operate PMHV ?
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16.2 Is drivers wear the safety vest during operate the PMHV ?
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16.3 Does the PMHV equipment in good condition (tire, horn, brake, side mirror etc) ?
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16.4 Is there has updated checklist inspection for PMHV ?
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16.5 Is there warning signage available at vicinity of PMHV ?
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16.6 Presence of PMHV speed limit 5km/h which operate in the plant ?
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16.7 Any PMHV which unused should be parked at safe area ?
Sign Off
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Auditor