DoT EHS Entity Inspection

• Document No.

• Audit Title

• Entity Name:

• Address Inspected:

• Conducted on:

  Date

• Name Of Contact Person:

• Prepared by:

• Personnel

• Entity Representative signature

  Sign

• Lead Inspector Signature

  Sign

• Overview of Entity and Areas Inspected

• The objective of the inspection is to evaluate the physical health and safety conditions against the entity OHSMS and AD OHSMS SF requirements including applicable Codes of Practice.
  The Inspection is not intended to be comprehensive and does not replace the entities responsibility to identify safety issues.
  

• Summary of Findings:

• Conclusion:

Fire Safety (refer to OSHAD SF- Element 6 & UAE Fire and Life Safety Code.

• Are sufficient numbers of fire extinguishers provided?

  Yes

  No

  N/A

• Enter details of deficiency

• Table 4.3 - For offices extinguisher minimum travel must be 15m. Corridor and shared areas 22.5 m. Electrical and services rooms 9m. Tip use judgement initially to determine if enough extinguishers are provided

• Are Fire Extinguishers correctly maintained?

  Yes

  No

  N/A

• Enter Date of last inspection

  Date

• Take a Picture of the extinguisher label

  Media

• Maintenance is required on an annual basis by a competent company (as per NFPA 10). Note a Hydostatic test is required every 6 years.

• Are fire extinguishers correctly positioned, clearly identified and not obstructed?

  Yes

  No

  N/A

• Wall mounted extinguishers should not be fixed more than 1.5 mtrs high. Extinguishers must be in an easily accessible location and not block escapeways. The operating instructions must face to the front to be read easily.

• Detail deficiency.

• Add Pic.

  Media

• Are fire detection devices (smoke alarms etc) fitted and functioning?

  Yes

  No

  N/A

• Are fire alarm systems fitted and functioning?

  Yes

  No

  N/A

• Detail deficiency.

• Add Pic.

  Media

• Are correct fire safety signs installed and maintained in a legible condition?

  Yes

  No

  N/A

• Detail deficiency.

• Add Pic.

  Media

• Is the Fire Assembly point designated and clearly identified?

  Yes

  No

  N/A

• Detail deficiency.

• Add Pic.

  Media

• Are emergency route plans posted at suitable locations throughout the building and do they clearly show the locations of assembly points and emergency exits

  Yes

  No

  N/A

• Detail deficiency.

• Add Pic.

  Media

• Are flammable materials stored correctly?

  Yes

  No

  N/A

• Detail deficiency.

• Add Pic.

  Media

• Notes:Notes:

First Aid (CoP 4.0)

• Are sufficient numbers of first aid kits provided?

  Yes

  No

  N/A

• First aid kits shall be placed in all office buildings (minimum 1 per floor) and throughout the worksite as needed. they must not be stored in a locked container / cupboard. First aid kits shall be placed in all worksite vehicles. 3.3 (c)

• Are the contents complete and items all in date?

  Yes

  No

  N/A

• Describe Deficiency.

• Take a picture

  Media
Add Additional first aid kits

• Describe Defeciency

• Take a picture

  Media

• Are there sufficient numbers of trained first aiders available?

  Yes

  No

  N/A

• Describe defeciency

• 1 - 49 staff = 2 first aiders. 50 - 100 = 2 first aiders + 1 nurse. 101 - 500 = 1 first aider per 100 staff (minimum 3 first aiders) + 1 nurse

• Are the names of first aiders and means of summoning assistance clearly displayed?

  Yes

  No

  N/A

• Notes:

CoP 8.0 General Workplace Amenities

• Is the workplace kept clean?

  Yes

  No

  N/A

• Describe findings:

• Add picture

  Media

• Are Aisles and passageways kept clear?

  Yes

  No

  N/A

• Describe findings

• Add picture

  Media

• Are any holes in floors, open pits, tanks, vats or ditches protected by covers or guardrails?

  Yes

  No

  N/A

• Describe findings.

• Add picture

  Media

• Is the temperature in the workplace reasonable?

  Yes

  No

  N/A

• Describe findings

• Add picture

  Media

• Is there sufficient space in the workplace?

  Yes

  No

  N/A

• Describe findings

• Add picture

  Media

• Workplaces are required to have 10 cubic metres per person with a maximum ceiling height of 2.5 metres. work areas that include a desk space and chair must have 90cm behind. Walkways behind a deskspace shall be a minimum of 1 metre.

• Is there sufficient lighting provided?

  Yes

  No

  N/A

• Describe findings

• Add picture

  Media

• Is there a supply of potable drinking water provided?

  Yes

  No

  N/A

• Describe findings

• Add picture

  Media

• Drinking water should be marked with signs and cups unless the water is from a jet. Sharing of cups is not permitted.

• Are sanitary conveniences (bathrooms) provided?

  Yes

  No

  N/A

• Are bathrooms provided with soap and a means for the drying of hands?

  Yes

  No

  N/A

• Is there a supply of hot and cold running water?

  Yes

  No

  N/A

• Notes:

COP 1.0 Hazardous Materials

• Are Hazardous Materials used or stored? (CoP 1.0)

  Yes

  No

  N/A

• Are Hazardous materials stored correctly:

  Yes

  No

  N/A

• Details of Issue

• Add media

  Media

• Are SDS sheets available

  Yes

  No

  N/A

• Is the correct PPE provided

  Yes

  No

  N/A

• Notes:

COP 15.0 Electrical Safety

• Are electrical items in good condition?

  Yes

  No

  N/A

• Details of Issue

• Take Picture

  Media

• Notes:

COP 23.0 Working at Heights & CoP 37 Ladders

• Select Yes if regular working at height is undertaken, this will open the audit section. Note for transport entities this includes working on the top of vehicles, for example a/c repair.

• Is working at height undertaken?

  Yes

  No

  N/A

• Is correct equipment provided for working at height and is this in good condition?

  Yes

  No

  N/A

• Details of problems

• Take Picture

  Media

• Are Ladders and access equipment checked by a competent person?

  Yes

  No

  N/A

• Details of problems

• Take Picture

  Media

• Notes:

COP 34 Safe Use of Lifting Equipment and Lifting Accessories

• Select Yes if lifting equipment is used to add to the Inspection. Note lifting equipment includes vehicle jacks and hoists.

• Is lifting equipment used?

  Yes

  No

  N/A

• Is the lifting equipment provided correct for task and is this in good condition?

  Yes

  No

  N/A

• Details of Fault:

• Add Picture

  Media

• Notes:

COP 35 Portable Power Tools.

• Select Yes if portable power tools are used to add to the Inspection. Note: includes electrical, pneumatic and hydraulic powered tools.

• Are portable power tools used?

  Yes

  No

  N/A

• Is the portable equipment provided correct for task and is this in good condition?

  Yes

  No

  N/A

• Details of Issues

• Add Picture

  Media

• Are all guards or protection devices fitted and in good condition?

  Yes

  No

  N/A

• Details of Issues

• Add Picture

  Media

• Notes:

CoP 44.0 - Traffic Management and Logistics

• Is the site traffic management correctly planned, organised and supervised?

  Yes

  No

  N/A

• Are pedestrian and vehicle routes segregated so far as is reasonably practicable?

  Yes

  No

  N/A

• Are pedestrian and vehicle routes marked with signs and barriers?

  Yes

  No

  N/A

• Are separate entrances and exits provided for vehicles and pedestrians?

  Yes

  No

  N/A

• Are speed limits signposted and enforced?

  Yes

  No

  N/A

• Notes:

COP 47.0 Machine Guarding

• Is Machinery Used?

  Yes

  No

  N/A

• Are guards correctly fitted and maintained in good condition?

  Yes

  No

  N/A

• Are trip switches, emergency stop buttons or other devices correctly fitted and maintained and working correctly?

  Yes

  No

  N/A

• Where necessary are jigs, holders and push-sticks provided and are these suitable?

  Yes

  No

  N/A

COP 48.0 Spray Finishing

• Spray finishing includes spray painting regardless if a spray booth is used or not.

• Is spray finishing undertaken?

  Yes

  No

  N/A

• Spray booth should be used unless the items are too big or heavy to move into a booth, it is infrequent spraying of large items or it is minor spot repair.

• Is a spray booth Provided?

  Yes

  No

  N/A

• Is the spray booth fitted with a negative pressure gauge? (3.3(d))

  Yes

  No

  N/A

• Is the booth fitted with a gauge or alarm to indicate if airflow drops? (3.3(e))

  Yes

  No

  N/A

• Does the booth remain on for at least 5 minutes after spraying to purge the system? (3.3 (f))

  Yes

  No

  N/A

• Are filters regularly cleaned or replaced?

  Yes

  No

  N/A

• Is the spray booth and associated systems tested annually?

  Yes

  No

  N/A

• Does spray finishing take place outside of a spray booth?

  Yes

  No

  N/A

• Has an exclusion zone been defined and marked which has a 6m horizontal separation and 2m vertical separation from other people, plant or equipment or source of ignition?

  Yes

  No

  N/A

• If 2 pack Isocyanate based paints are used, are all persons within 15 mtrs wearing correct RPE?

  Yes

  No

  N/A

• Is appropriate signage displayed (no smoking etc)?

  Yes

  No

  N/A

• Is appropriate ventilation provided for paint storage and mixing areas? (3.7 (i))

  Yes

  No

  N/A

• Are containers correct and correctly labeled? (3.7(ii))

  Yes

  No

  N/A

• Are Safety Data Sheets available? (3.7 (iii))

  Yes

  No

  N/A

• Notes:

COP 51.0 Powered Lift Trucks

• Includes - Forklifts, rider trucks, hand trucks, pallet trucks and tugs.

• Are Powered Lift Trucks Used?

  Yes

  No

  N/A

• Are forklifts checked daily with a written checklist, and is this checklist held for 1 year? 3.4 (h) (i)

  Yes

  No

  N/A

• Are forklift trucks fitted with reverse alarms and mirrors? 3.4 (h) (viii)

  Yes

  No

  N/A

• Has the forklift been inspected by an approved 3rd party annually ? 4 (a) (i)

  Yes

  No

  N/A

• Notes: