Workplace ESH Inspection - ESHMS-021-000-015

• Document No.

• Audit Title

• Client / Site / Area

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel (PIC)

1.0 Housekeeping

• 1.1 Work areas free from rubbish & obstruction ?

  Yes

  No

  N/A

• 1.2 Free from slip/trip hazards ?

  Yes

  No

  N/A

• 1.3 Safety signs adequate and used appropriately ?

  Yes

  No

  N/A

• 1.4 No food and beverages goes into the workplace area ?

  Yes

  No

  N/A

2.0 Electrical

• 2.1 No broken plugs, sockets, switches ?

  Yes

  No

  N/A

• 2.2 Power tools in good condition ?

  Yes

  No

  N/A

• 2.3 No work near exposed live electrical eqyipment ?

  Yes

  No

  N/A

• 2.4 No cable-trip hazards ?

  Yes

  No

  N/A

• 2.5 Switches/circuits/circuit breakers identified ?

  Yes

  No

  N/A

• 2.6 Switchboards secured and identified ?

  Yes

  No

  N/A

• 2.7 Battery charges marked and well ventilated ?

  Yes

  No

  N/A

3.0 Maintenance Workshop

• 3.1 Adequate work space ?

  Yes

  No

  N/A

• 3.2 Clean and tidy ?

  Yes

  No

  N/A

• 3.3 Free from excess oil and grease ?

  Yes

  No

  N/A

• 3.4 Machines adequately guarded ?

  Yes

  No

  N/A

• 3.5 PPE in good condition ?

  Yes

  No

  N/A

• 3.6 PPE storage facalities provided ?

  Yes

  No

  N/A

• 3.7 All substance containers labelled adequately ?

  Yes

  No

  N/A

• 3.8 Tools in proper place ?

  Yes

  No

  N/A

4.0 Lighting

• 4.1 Adequate in general area ?

  Yes

  No

  N/A

• 4.2 Emergency lighting system checked ?

  Yes

  No

  N/A

5.0 Hazardous Substance

• 5.1 Stored appropriately ?

  Yes

  No

  N/A

• 5.2 Containers labelled correctly and capped ?

  Yes

  No

  N/A

• 5.3 Adequate ventilation ?

  Yes

  No

  N/A

• 5.4 Protective clothing/equipment available/used ?

  Yes

  No

  N/A

• 5.5 Safety data sheet (SDS) available/displayed ?

  Yes

  No

  N/A

• 5.6 Chemical handling procedures followed ?

  Yes

  No

  N/A

• 5.7 Is there has any secondary containment (I.e. spill trays) for chemical containers.

  Yes

  No

  N/A

• 5.8 Shower, eye bath, extinguishers, first aid kit facilities are not obstructed ?

  Yes

  No

  N/A

• 5.9 Chemical hazard warning signage displayed at the entrance of chemicals store and chemical handling area ?

  Yes

  No

  N/A

6.0 Personal Protective Equipment (PPE)

• 6.1 Employees provided with PPE ?

  Yes

  No

  N/A

• 6.2 PPE being worn appropriately by employees ?

  Yes

  No

  N/A

• 6.3 PPE effective ?

  Yes

  No

  N/A

• 6.4 PPE supply located where needed ?

  Yes

  No

  N/A

• 6.5 Is there any other unrelated items kept inside the PPE storage ?

  Yes

  No

  N/A

7.0 First Aid

• 7.1 Record of treatment and of supplies dispensed up to date ?

  Yes

  No

  N/A

• 7.2 Incident reports filled out correctly ?

  Yes

  No

  N/A

• 7.3 Cabinets and contents are clean and orderly and properly stacked ?

  Yes

  No

  N/A

8.0 Manual Handling

• 8.1 Mechanical aids adequate for current needs ?

  Yes

  No

  N/A

• 8.2 Safe work practices being followed ?

  Yes

  No

  N/A

• 8.3 Manual handling risk assessments performed ?

  Yes

  No

  N/A

• 8.4 manual handling controls implemented ?

  Yes

  No

  N/A

• 8.5 There is no unnecessary or excessive bending or stooping ?

  Yes

  No

  N/A

• 8.6 Work surface [desks, benches] are set up at the appropriate height ?

  Yes

  No

  N/A

• 8.7 Routine tasks do not require individuals to lift excessive weight ?

  Yes

  No

  N/A

• 8.8 Mechanical aquipment is available for lifting heavy loads ?

  Yes

  No

  N/A

9.0 Stairs, Steps and Landings

• 9.1 No worn or broken steps ?

  Yes

  No

  N/A

• 9.2 Handrails in good repair?

  Yes

  No

  N/A

• 9.3 Clear of obstructions ?

  Yes

  No

  N/A

• 9.4 Adequate lighting ?

  Yes

  No

  N/A

• 9.5 Emergency lighting ?

  Yes

  No

  N/A

• 9.6 Non-slip treatments/treads in good condition ?

  Yes

  No

  N/A

• 9.7 Floor have even surface [no cracks etc] ?

  Yes

  No

  N/A

• 9.8 Clear of debris and spills ?

  Yes

  No

  N/A

10.0 Follow up audit at incident place

• 10.1 Review the effectiveness of corrective & preventive action taken at improvement/incident area

  Yes

  No

  N/A

11.0 Ladders

• 11.1 Ladders in good condition ?

  Yes

  No

  N/A

• 11.2 Ladders not use to support planks platform ?

  Yes

  No

  N/A

• 11.3 Extend 1.0 metre above highest landing ?

  Yes

  No

  N/A

• 11.4 Straight or extension ladders securely fixed at top ?

  Yes

  No

  N/A

12.0 Storage Areas

• 12.1 Stacks stable ?

  Yes

  No

  N/A

• 12.2 Heights correct ?

  Yes

  No

  N/A

• 12.3 Sufficient space for moving stock ?

  Yes

  No

  N/A

• 12.4 No danger of falling objects ?

  Yes

  No

  N/A

• 12.5 No sharp edges ?

  Yes

  No

  N/A

• 12.6 Emergency numbers are clearly displayed ?

  Yes

  No

  N/A

• Safe Work Load (SWL) Available?

  Yes

  No

  N/A

13.0 Fire Protection

• 13.1 Extinguisher in place ?

  Yes

  No

  N/A

• 13.2 Fire fighting equipmentsl serviced/tagged ?

  Yes

  No

  N/A

• 13.3 Appropriate signing of extinguishers ?

  Yes

  No

  N/A

• 13.4 Extinguishers appropriate to hazard ?

  Yes

  No

  N/A

• 13.5 Emergency personnel identified and trained ?

  Yes

  No

  N/A

• 13.6 Overhead sprinkler/detectors clear of obstruction, store, etc?

  Yes

  No

  N/A

14.0 Emergency Procedures

• 14.1 Evacuation plan displayed ?

  Yes

  No

  N/A

• 14.1 Evacuation drill within last 12 months ?

  Yes

  No

  N/A

• 14.2 Emergency exits clearly marked/functional ?

  Yes

  No

  N/A

• 14.3 Emergency exits unobstructed ?

  Yes

  No

  N/A

15.0 Contractor Work

• 15.1 Appropriate barricades, fencing, hoarding, secure and in place ?

  Yes

  No

  N/A

• 15.2 Signage in place ?

  Yes

  No

  N/A

• 15.3 Adequate lighting for right work ?

  Yes

  No

  N/A

• 15.4 Footpaths clean and free from debris ?

  Yes

  No

  N/A

• 15.5 Has each of the contractor workers been ESH inducted ?

  Yes

  No

  N/A

• 15.6 Has the permit to work (working at height, confine space, hot work) approved/issued for the work ?

  Yes

  No

  N/A

• 15.7 Are all equipment & tools used in safe working condition ?

  Yes

  No

  N/A

16.0 Powered Material Handling Vehicle (PMHV)

• 16.1 Are only authorised (Licence) personnel allowed to operate PMHV ?

  Yes

  No

  N/A

• 16.2 Is drivers wear the safety vest during operate the PMHV ?

  Yes

  No

  N/A

• 16.3 Does the PMHV equipment in good condition (tire, horn, brake, side mirror etc) ?

  Yes

  No

  N/A

• 16.4 Is there has updated checklist inspection for PMHV ?

  Yes

  No

  N/A

• 16.5 Is there warning signage available at vicinity of PMHV ?

  Yes

  No

  N/A

• 16.6 Presence of PMHV speed limit 10km/h which operate in the plant ?

  Yes

  No

  N/A

• 16.7 Any PMHV which unused should be parked at safe area ?

  Yes

  No

  N/A

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• Auditor

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